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CME

The Brain-Heart Team Approach: Secondary Prevention After a Presumed PFO-Mediated Stroke

  • Authors: Megan Coylewright, MD; Steven Messé, MD; Megan Stevens, MD; Molly Szerlip, MD; David E. Thaler, MD, PhD; John J. Volpi, MD
  • CME Released: 3/28/2023
  • Valid for credit through: 3/28/2024
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  • Credits Available

    Physicians - maximum of 1.25 AMA PRA Category 1 Credit(s)™

    You Are Eligible For

    • Letter of Completion

Target Audience and Goal Statement

This activity is intended for stroke neurologists, interventional cardiologists, stroke care teams, and cardiovascular care teams.

Faculty will present cases and pertinent data on the Brain-Heart team collaboration for patients with cryptogenic stroke and patent foramen ovale (PFO).

Upon completion of this activity, participants will:

  1. Describe the epidemiology and burden of cryptogenic ischemic stroke
  2. List competencies and resources necessary to constitute a Brain-Heart team
  3. Perform the complete evaluation of ischemic stroke patients to determine stroke mechanism
  4. Describe key clinical trial data regarding the safety and efficacy of FDA-approved devices for PFO closure to prevent secondary stroke
  5. Suspect PFO in patients with cryptogenic stroke and ensure appropriate team-based evaluation
  6. Deploy shared decision-making principles with cryptogenic stroke patients with PFO to determine the patient's preferred secondary stroke prevention strategies


Disclosures

As a provider of continuing medical education through the Accreditation Council for Continuing Medical Education (ACCME), it is the Society’s policy to ensure balance, independence, objectivity, and scientific rigor in all its activities.

Planning Process 
SCAI activities are developed by the SCAI Planners prior to and independent of commercial support. Members of the Education Committee reviewed and approved this activity. If planners had relevant financial relationships, the agenda was peer reviewed by a member with no relevant financial relationships. 

Mitigation of Relevant Financial Relationships
All participating planners, reviewers, faculty, and staff are required to disclose to SCAI all financial relationships. SCAI identifies relevant financial relationships and mitigates them before the activity begins.

Content Validation Statement 

SCAI accepts the following Content Validation Statements and expects all persons involved in its professional education activities to abide by these statements for clinical care recommendations. All clinical and pharmacological recommendations are based on evidence accepted within the medical profession as adequate jurisdiction for their indications and contradictions in patient care. All research referenced to support or justify patient care recommendations conforms to accepted standards of experimental design, data collection, and analysis. 

SCAI does not promote recommendations, treatment, or manners of practicing medicine that are not within the definition of accredited continuing education or known to have risks or dangers that outweigh the benefits or known to be ineffective in the treatment of patients. 

SCAI actively promotes improvements in health care and NOT proprietary interests of an ineligible company. 

SCAI's educational content is free of marketing or sales of products or services. Faculty will not actively promote or sell products or services that serve their professional or financial interests during accredited education.  
 
SCAI encourages faculty to identify investigational products or off-label uses of products regulated by the U.S. Food and Drug Administration (FDA), at first mention and where appropriate in the content. 


Co-chair

  • Megan Coylewright, MD

    Erlanger Heart and Lung Institute
    Chattanooga, Tennessee

    Disclosures

    Megan Coylewright, MD, has the following relevant financial relationships: 
    Consultant or advisor for: Abbott

  • Steven Messé, MD

    Hospital of the University of Pennsylvania
    Philadelphia, Pennsylvania

    Disclosures

    Steven Messé, MD, has the following relevant financial relationships: 
    Consultant or advisor for: W.L. Gore and Associates
    Research funding from: W.L. Gore and Associates

Faculty

  • Megan Stevens, MD

    University of Tennessee, Erlanger Hospital
    Chattanooga, Tennessee

    Disclosures

    Megan Stevens, MD, has no relevant financial relationships.

  • Molly Szerlip, MD

    Baylor Scott and White, The Heart Hospital
    Plano, Texas

    Disclosures

    Molly Szerlip, MD, has no relevant financial relationships.

  • David E. Thaler, MD, PhD

    Tufts University School of Medicine 
    Medford, Massachusetts

    Disclosures

    David E. Thaler, MD, PhD, has the following relevant financial relationships: 
    Consultant or advisor for: Abbott, Occlutech, and W.L. Gore and Associates

  • John J. Volpi, MD

    Houston Methodist Hospital
    Houston, Texas

    Disclosures

    John J. Volpi, MD, has the following relevant financial relationships: 
    Research funding from: NovaSignal and W.L. Gore and Associates

Reviewer

  • Adhir Shroff, MD, MPH

    The University of Illinois Hospital and Health Sciences System
    Chicago, Illinois

    Disclosures

    Adhir Shroff, MD, MPH has no relevant financial relationships.

  • Megan Stevens, MD

    University of Tennessee, Erlanger Hospital
    Chattanooga, Tennessee

    Disclosures

    Megan Stevens, MD, has no relevant financial relationships.

Staff

  • Robert C. Bartel, MSc

    The Society for Cardiovascular Angiography and Interventions
    Washington, DC

    Disclosures

    Robert C. Bartel, MSc, has no relevant financial relationships.

  • Laura Daigle Porter, CMP

    The Society for Cardiovascular Angiography and Interventions
    Washington, DC

    Disclosures

    Laura Daigle Porter, CMP, has no relevant financial relationships.


Accreditation Statements

The Society for Cardiovascular Angiography and Interventions (SCAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    For Physicians

  • SCAI designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Contact this provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read about the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or print it out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate, but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period, you can print out the tally as well as the certificates from the CME/CE Tracker.

*The credit that you receive is based on your user profile.

CME

The Brain-Heart Team Approach: Secondary Prevention After a Presumed PFO-Mediated Stroke

Authors: Megan Coylewright, MD; Steven Messé, MD; Megan Stevens, MD; Molly Szerlip, MD; David E. Thaler, MD, PhD; John J. Volpi, MDFaculty and Disclosures

CME Released: 3/28/2023

Valid for credit through: 3/28/2024

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