New Trends in Cardiology Imaging
Coronary computed tomographic angiography (CCTA) is an established noninvasive test of coronary anatomy that can be used in the management of coronary artery disease (CAD) and plaque assessment. The implementation of CCTA in managing stable patients with chest pain and suspected CAD is newly trending in cardiology imaging. CCTA is emerging as the initial test of choice in low- and intermediate-risk patients with suspected CAD. In addition to stenosis assessment, CCTA can depict atherosclerosis burden, determine functional significance of a stenotic lesion, and be used to drive clinical decision-making in the management and treatment of stable CAD. This activity will discuss CCTA as a new trend in cardiology imaging and its role in providing a comprehensive assessment of patients with suspected CAD.
This activity is provided by Optum Health Education and Optum Care, Clinical Performance.
No commercial support was received for this activity.
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This activity is designed to meet the educational needs of physicians, PAs, nurses, nurse practitioners, and other HCPs who have an interest in learning about cardiology imaging.
At the end of this activity, participants should be able to:
- Discuss the available randomized trial evidence supporting the use of coronary computed tomographic angiography (CCTA) as a frontline diagnostic test for suspected coronary artery disease.
- Identify how the added contribution of fractional flow reserve with computed tomography can guide clinical decision-making and risk stratification.
- Describe clinical practice algorithms from the 2021 ACC/AHA chest pain guidelines.
- Explore a cardiologist’s personal experiences with incorporating CCTA into practice.
Joshua Jacobs, MD, FAAFP
National Medical Director
Leslee J. Shaw, PhD, MASNC, FACC, FAHA, FSCCT
Professor and Endowed Chair
Director, Blavatnik Family Research Institute
Icahn School of Medicine at Mount Sinai
Stephen B. Johnston MD, FACC
Medical Director of Specialty Medicine, USMD (part of Optum)
About the presenters
Leslee J. Shaw, PhD, FACC, MASNC, FAHA, FSCCT, is a leading outcomes researcher whose major focus is cardiovascular clinical diagnosis of ischemic heart disease. Dr. Shaw has authored pieces in more than 800 publications and presented more than 400 abstracts in major scientific meetings in the United States, Europe, Asia, and South America. She has been ranked as one of the top 1 percent of clinical researchers with the most highly cited publications (awarded by Thomson Reuters), with an H-index >150. Based on her scientific contributions, in 2009, Dr. Shaw was recognized with the Simon Dack Award for academic excellence from the American College of Cardiology and, in 2013, the Coalition to Reduce Disparities in Cardiovascular Disease Outcomes Award for her research contributions in racial and ethnic differences in cardiovascular disease. In 2013, she received the Women’s Day Red Dress Award for her scientific contributions to women’s health. In 2017, she presented the Mario Verani Lecture at the American Society of Nuclear Cardiology. In 2018, she was awarded the Gold Medal from the Society of Cardiovascular Computed Tomography and, representing the North American Society of Cardiovascular Imaging, gave the Paulin Keynote Lecture. In 2020, she was awarded the Bernadine Healy Leadership Award in Women’s Cardiovascular Disease from the American College of Cardiology. Also, in 2020, she received the Nanette Wenger Award from the American Society of Preventive Cardiology and, from the Academy for Radiology and Biomedical Imaging Research, she received the Distinguished Investigator Award. She has served as an associate editor for several journals and now serves as executive editor for the Journal of the American College of Cardiology: Cardiovascular Imaging, with the highest rated impact factor for imaging journals (2020 Impact Factor: 14.8). She is also an editorial consultant for the Journal of the American College of Cardiology and Circulation. Dr. Shaw is a past-president of the American Society of Nuclear Cardiology and the Society for Cardiovascular Computed Tomography, making her the only individual to have served as president of two medical societies within cardiovascular medicine.
Stephen B. Johnston MD, FACC, earned his medical degree at the University of Texas Health Science Center in San Antonio. He completed his residency and cardiology fellowship at Baylor University Medical Center. His sub-specialty board memberships include echocardiography, nuclear cardiology, ARDMS-RPVI and cardiovascular computed tomography. Dr. Johnston was a founding member and served as managing partner of Cardiology Consultants of Texas, which grew to be one of the largest cardiovascular groups in the Southwest. It was a difficult decision, but in 2012 Dr. Johnston elected to leave his practice at Baylor and join USMD. His goal is to develop a model wherein the medical specialist and primary care provider work together to manage the patient, avoiding unnecessary formal consults when possible. Since joining USMD, Dr. Johnston has twice been the recipient of Optum’s Values in Action Award for Integrity and Innovation.
Elizabeth Albert, MD
Clinical Activity Manager
Sarah Chart, RN
Joshua Jacobs, MD, FAAFP
National Medical Director
Disclosures of relevant financial relationships
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, Optum Health Education (OHE) requires all those in control of educational content to disclose their financial relationships with ineligible companies within the prior 24 months. Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. Individuals must disclose all financial relationships, regardless of the amount, with ineligible companies and regardless of their view of the relevance of the relationship to the education. OHE ensures that the content is independent of commercial bias.
The activity faculty and planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, this activity has been planned and implemented by Optum Health Education and Optum Care, Clinical Performance. Optum Health Education 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 health care team.
Credit designation statements
The participant will be awarded up to 1.00 contact hour(s) of credit for attendance and completion of supplemental materials.
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
Optum Health Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been preapproved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization from which they wish to obtain credit.
- 1.00 AMA - Physicians
- 1.00 ANCC - Nurses
- 1.00 Attendance - General Attendance
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