EP

CHRS

Section 3

Workshop

CANADIAN HEART RHYTHM SOCIETY SPOTLIGHT: CURRENT CONTROVERSIES IN ICDS AND PACEMAKERS

Co-Chair(s)

• 

  Matthew Bennett, MD FRCPC

  Cardiologist
  University of British Columbia
• 

  Ratika Parkash, MD

  Professor
  QEII Health Sciences Center
  Dalhousie University

Presenter(s)

• 

  Stephen Wilton, MD

  EP Cardiologist
  University of Calgary
  Libin Cardiovascular Institute of Alberta, University of Calgary
• 

  Vikas Kuriachan

  Cardiac electrophysiologist
  University of Calgary / Libin Cardiovascular Institute of Alberta
  University of Calgary
• 

  Blandine Mondesert, MD

  Cardiologue
  Montreal Heart Institute
  MD
• Pablo N.

  Pablo Nery, MD

  Associate Professor/ Cardiac Electrophysiologist
  University of Ottawa Heart Institute
• Andrew H.

  Andrew Ha

  Cardiologist
  Toronto General Hospital
• Calum R.

  Calum Redpath, MD, PhD

  Assistant Professor/Cardiac Electrophysiologist
  University of Ottawa Heart Institute
• 

  Bernard Thibault, MD

  Cardiologue
  Institut de Cardiologie de Montréal
  Université de Montréal;
• 

  Laurence Sterns, MD

  Electrophysiologist
  Royal Jubilee Hospital
• 

  François Philippon, MD, FRCPC, FHRS, FCCS

  Cardiologist
  IUCPQ
  Laval University
• Derek E.

  Derek Exner, MD, MPH

  Associate Dean, Clinical Trials
  University of Calgary

This session will highlight 5 exciting topics relevant to clinical practice for general cardiologists and cardiologists with an interest in heart rhythm disorders or heart failure.



The format will include a debate between two experts followed by a summary. During this summary a balanced opinion will be given and a description of “this is what I do and why” as it relates to the specific topic. The audience will be encouraged to ask specific questions as they relate to difficult patient related questions.



Debate 1: CRT/single chamber ICD should be used for all patients with AF, LBBB and low EF.

Drs Stephen Wilton(should) and Vikas Kuriachan (should not)



Debate 2: SICD/transvenous ICD should be first line for all young people/prior infection/etc when an ICD is indicated.

Drs Blandine Mondesert (should) and Pablo Nery (should not)



Debate 3: A leadless pacemaker should (not) be implanted in patients expecting to receive a single chamber pacemaker.

Drs Andrew Ha (should) and Calum Redpath (should not)



Debate 4: His bundle pacing should (not) be used for all patients with a CRT indication.

Drs Bernard Thibault (should) and Larry Sterns (should not)



Debate 5: Ejection fraction is (not) the optimal assessment of risk of sudden death in patients being evaluated for an implantable cardioverter defibrillator.

Drs Francois Philippon (IS) and Derek Exner (is not)

Learning Objectives

At the conclusion of this session, participants will be able to:

• understand how the presence of atrial fibrillation affects the risk/benefit decision of the use of cardiac resynchronization therapy in patients with left bundle branch block, reduced ejection fraction and heart failure symptoms;
• appreciate the differences between subcutaneous and transvenous implantable cardioverter defibrillators and understand which strategy may be beneficial over the other; and
• understand in which patients a leadless pacemaker may be preferred over a standard pacemaker.