Harvard The Mass General Brigham Heart Failure & Shock Course 2024

Part I: Big Ideas in Cardiogenic Shock

• Cardiogenic shock: where the field has been and where it is going
• The “golden day” of shock diagnosis
• Centralized versus localized shock care
• Door-to-PAC timing and early invasive assessment
• Pre-emptive versus selective LV unloading in VA-ECMO
• ECMO and IABP indications, configuration, and troubleshooting
• Shock phenotypes, trajectories, and patient deterioration patterns

Special Topics in Cardiogenic Shock

• Cardiogenic shock treatment in adult congenital heart disease
• Disparities in shock care and strategies to improve equity
• ARDS and cardiogenic shock overlap
• Temporary MCS as bridge to durable LVAD or transplant
• Cardio-obstetric shock management dilemmas
• Impactful shock trials and evolving clinical evidence
• Creating MCS and ECMO programs in community hospitals

Heart Failure Basics & Diagnostic Evaluation

• Overview of HF pathophysiology and epidemiology
• HFpEF and HFrEF clinical phenotypes
• What to do when heart failure is suspected
• Diagnostic evaluation of heart failure in 2024
• Role of echocardiography in HF diagnosis and management
• Exercise-hemodynamic assessment and CPET in HF phenotyping
• Clinical trial updates shaping future HF care

GDMT and Practical HF Management

• Guideline-directed medical therapy and beyond
• Emerging heart failure therapies
• Diabetic cardiomyopathy and repurposing diabetes drugs in HF
• Role of artificial intelligence in heart failure care
• Prior authorization and practical GDMT acquisition
• Starting GLP-1 agonists in appropriate patients
• When and how to give IV iron
• Outpatient diuretics: oral versus subcutaneous or IV options

HFpEF, Right Heart Failure & Pulmonary Hypertension

• HFpEF phenotyping and treatment strategy
• Infiltrative cardiomyopathies and diagnostic considerations
• Optimizing care for patients with HFpEF
• Right ventricular dysfunction in heart failure
• Optimization of the right ventricle in right heart failure
• Pulmonary hypertension in heart failure
• Medication versus temporary mechanical support in right heart failure

Arrhythmias, Device Therapy & Advanced HF

• CRT updates and CRT alternatives
• His bundle pacing, left bundle branch pacing, and leadless LV pacing
• Atrial fibrillation in heart failure: ablation considerations
• PVCs and ventricular tachycardia management updates
• Cardiac contractility modulation and BAROSTIM debate
• Durable LVAD surgical considerations
• Heart transplantation updates
• Advanced coronary artery disease and valve intervention debates

Team-Based HF Care, Lifestyle & Palliative Care

• Comprehensive team-based heart failure management
• Co-management with APPs and partner hospitals
• Stress and anxiety management in heart failure
• Caregiver burnout and patient support
• When to call palliative care
• Safe and effective physical activity augmentation
• Equity and disparities in heart failure treatment

It is ideal for nurses, primary care physicians, physician assistants, specialty physicians, pharmacists, nurse practitioners, cardiologists, intensivists, hospitalists, residents, fellows, and clinicians involved in heart failure or cardiogenic shock care.

The course is structured into two major parts: an in-depth review of cardiogenic shock and a heart failure section focused on GDMT, device therapies, technology-based care, and advanced HF management.

The course covers cardiogenic shock, shock diagnosis, ECMO, IABP, Impella, temporary MCS, LVAD, transplantation, HFpEF, HFrEF, GDMT, IV iron, outpatient diuretics, AI in HF, arrhythmias, CRT alternatives, right heart failure, pulmonary hypertension, and team-based HF care.

No. This course package does not include CME points or a certificate.

You can contact us at support@getmedicalcourses.com.