CME online

in association with the 17th Annual World Congress on Insulin Resistance Diabetes and Cardiovascular Disease

Diabetes and the Cardiorenal Syndrome

This is a CME Symposium Supported by an Educational Grant from AstraZeneca
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This CME online educational activity is approved for a maximum of 2 AMA PRA Category 1 Credits ™.
Accreditation period: January 15, 2020 - January 15, 2021

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View the presentations in this CME activity and complete the evaluation. Your certificate will be mailed to you upon satisfactory completion of these documents.

Agenda

Introduction & Pre-CME Questions

The Cardiorenal Syndrome in Diabetes, Epidemiology and Economic Impact
Janani Rangaswami, MD

Classification, Pathophysiology and Diagnosis of The Cardiorenal Syndrome
Peter A. McCullough, MD

Contemporary Approach to Management and Prognosis of the Cardiorenal Syndrome in Diabetes
Hector O. Ventura, MD

Emerging Therapies: The SGLT2 Inhibitors in People with T2D at Risk for Cardiorenal Syndrome
Mark E. Molitch, MD

Q&A Panel Discussion: Practice Implication of CRS- Management and Prevention - Case based
Panel: Yehuda Handelsman, MD • Mikhail N. Kosiborod, MD • Peter A. McCullough, MD Mark E. Molitch, MD, Janani Rangaswami, MD • Hector O. Ventura MD • Matthew R. Weir, MD
Moderator: Norman E. Lepor, MD

Faculty

Peter A. McCullough, MD, MPH, FACC, FACP, FCCP, FAHA, FNKF, FCRSA

Vice Chief of Medicine
Baylor University Medical Center
Dallas, Texas

Norman E. Lepor, MD, FACC, FAHA, FSCAI

Past President, California Chapter, American College of Cardiology
Clinical Professor of Medicine, Geffen School of Medicine-UCLA
Attending Cardiologist, Cedars-Sinai Heart Institute
Co-director, Cardiovascular Imaging, Westside Medical Imaging
Director of Clinical Research, Westside Medical Associates
Los Angeles, California

Hector O. Ventura, MD, FACC, FACP

Professor of Medicine
Tulane University School of Medicine
Adult Congenital Heart Disease, Heart Failure & Transplantation
Section Head Heart Failure and Heart Transplantation Ochsner Clinic
President, Louisiana Chapter of the American College of Cardiology
New Orleans, Louisiana

Janani Rangaswami, MD, FACP, FCRS

Clinical Associate Professor
Sidney Kimmel College of Thomas Jefferson University
Associate Program Director
Department of Medicine/Nephrology
Einstein Medical Center
Philadelphia, Pennsylvania

Mark E. Molitch, MD

Emeritus Professor of Medicine
Division of Endocrinology, Metabolism & Molecular Medicine
Department of Medicine
Northwestern University Feinberg School of Medicine
Chicago, Illinois

Yehuda Handelsman, MD, FNLA, FACP, MACE Chair

Medical Director & Principal Investigator, Metabolic Institute of America
Chair & Program Director: WCIRDC & HiD
President, Pacific Lipid Association
Past President AACE and ACE
Tarzana, California

Mikhail Kosiborod MD, FACC, FAHA

Professor of Medicine,
Saint Luke's Mid America Heart Institute
University of Missouri-Kansas City School of Medicine
Kansas City, Missouri

Program Description

Chronic kidney disease (CKD) and congestive heart failure (CHF) have major adverse effects on affected individuals and on society. CKD and CHF are closely related, and both share common pathophysiological pathways with type 2 diabetes, including hypertension, inflammation, oxidative stress, and increased renin-angiotensin-aldosterone system activity. Approximately 37% of patients with diabetes and 18% of those with prediabetes have CKD. Medical care for CKD in diabetes accounts for 29% of direct medical costs. Meanwhile, the incidence of CHF is 2.8 times higher in patients with both diabetes and CKD, and over half of heart failure patients have moderate to severe CKD. The relationship between CHF and CKD has been termed the Cardiorenal Syndrome (CRS), which, once developed in individuals, promises a grave outcome. The CRS may be acute or chronic and initiated from the heart or from the kidney.

In this CME activity will examine the epidemiology, pathophysiology and classification of the CRS. We'll evaluate contemporary approaches to management and emerging concepts, specifically the SGLT2 inhibitors. The CME activity will conclude with a case-based panel discussion to identify the best approaches for individual patients.


Learning Objectives

Upon completion of this CME activity, participants should be able to:

  • Discuss the prevalence, comorbidities, and economic burden of CHF and CKD in patients with diabetes
  • Compare and contrast acute and chronic cardiorenal syndrome and describe how heart and kidney defects contribute to disease pathophysiology
  • Describe best practices in the management of cardiorenal syndrome in patients with diabetes using medical and procedural interventions
  • Discuss the impact of SGLT2 inhibitors on cardiorenal risk in patients with diabetes
  • Design optimal therapeutic regimens for the prevention of CKD and CHF in patients with diabetes
  • Target Audience

    This educational initiative is designed for cardiologists, endocrinologists, nephrologists, family physicians, internists, diabetologists, nurse practitioners, physician assistants, diabetes educators, and other healthcare professionals interested in the pathophysiology, prevention, and treatment of diabetes, obesity, kidney disease, cardiovascular disease, and associated conditions, as well as the effect of these conditions on health and society.

    CME Statement

    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PESI Inc., and Metabolic Endocrine Education Foundation (MEEF). PES Inc., is accredited by the ACCME to provide continuing medical education for physicians.

    PESI, Inc, designated this enduring activity educational activity for a maximum of 2 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.

    For information please contact: [email protected] or 818 342 1889
    This is a CME Program Supported by an Educational Grant from Astrazeneca