Hypertrophic Cardiomyopathy: Overview of 2020 Guidelines and Future

In this presentation, Timothy Wong, MD, MS, discusses the diagnostic process, genetic testing, and available therapeutic options for hypertrophic cardiomyopathy. He also discusses the risk stratification criteria to identify patients at high risk for sudden cardiac death, as well as the updated guideline recommendations for sports participation in the setting of hypertrophic cardiomyopathy. 

Target Audience

This course is intended for primary care physicians, hospitalists, general medicine internists, family practitioners, physician assistants, nurse practitioners, nurses, and other allied health professionals.

Learning Objectives

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

  • Explain the process by which hypertrophic cardiomyopathy is diagnosed
  • Identify two uses of genetic testing for hypertrophic cardiomyopathy care
  • Recognize therapeutic options available for obstructive and nonobstructive hypertrophic cardiomyopathy, and the difference between myectomy and ablation
  • Identify risk stratification criteria to identify patients at high risk for sudden cardiac death
  • Follow updated guideline recommendations for sports participation in the setting of hypertrophic cardiomyopathy including the concept of shared decision.

Suggested Additional Reading:

  • Estes NAM 3rd, Wong TC. Ablation of Atrial Fibrillation in Hypertrophic Cardiomyopathy: Semper Discere (Always Learning). J Am Heart Assoc. 2021 Feb 2;10(3):e019876. doi: 10.1161/JAHA.120.019876. Epub 2021 Jan 17. PMID: 33459028; PMCID: PMC7955422.
  • Wong TC. Cardiovascular Magnetic Resonance Imaging of Myocardial Interstitial Expansion in Hypertrophic Cardiomyopathy. Curr Cardiovasc Imaging Rep. 2014;7(5):9267. doi: 10.1007/s12410-014-9267-z. PMID: 24719675; PMCID: PMC3973947.
  • Captur G, Manisty CH, Raman B, Marchi A, Wong TC, et al. Maximal Wall Thickness Measurement in Hypertrophic Cardiomyopathy: Biomarker Variability and its Impact on Clinical Care. JACC Cardiovasc Imaging. 2021 Jun 16:S1936-878X(21)00375-2. doi: 10.1016/j.jcmg.2021.03.032. Epub ahead of print. PMID: 34147459.
Course summary
Available credit: 
  • 0.75 AAPA Category I CME
  • 0.75 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 0.75 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 0.75 Attendance
Course opens: 
03/24/2022
Course expires: 
12/31/2024

Planning Committee Members:

  • Michael Fallert, MD, FACC - Clinical Assistant Professor of Medicine, Division of Cardiology, University of Pittsburgh School of Medicine
  • Katie Scollon, PAC - Lead Cardiovascular Physician Assistant at UPMC Health Plan
  • Lisa Henry, DNP - Clinical Project Director, UPMC Center for Aortic Valve Disease

Course Directors:

TIMOTHY C. WONG, MD, MS - Director, UPMC Hypertrophic Cardiomyopathy Center

All individuals in a position to control the content of this education activity have disclosed all financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All of the relevant financial relationships for the individuals listed below have been mitigated.  Dr. Wong has financial interests with the following entity or entities producing health care goods or services as indicated below:

  • Consultant: Unpaid consultant for Bristol Myers Squibb and Cytokinetics
  • Grant/Research Support: Site principal investigator Bristol Myers Squibb, Cytokinetics
  • Other: CME contributor to Projects in Knowledge

No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician (CME)

The University of Pittsburgh designates enduring material activity for a maximum of 0.75 AMA PRA Category 1 Credit[s]™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing (CNE)

The maximum number of hours awarded for this Continuing Nursing Education activity is 0.75 contact hours.

Physician Assistant (AAPA)

The University of Pittsburgh has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.75 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Other Health Care Professionals

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Disclaimer Statement:

The information presented at this activity represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine.  Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.

 

 

Available Credit

  • 0.75 AAPA Category I CME
  • 0.75 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 0.75 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 0.75 Attendance
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