HRC 2010 Programme

Sunday 3rd October

A-A PATIENTS DAY
ATRIAL FIBRILLATION ASSOCIATION PATIENTS DAY
STARS PATIENTS DAY
HRUK CERTIFICATE OF ACCREDITATION COURSE: CORE

Monday 4th October

ADVANCED DEVICES 1
ADVANCED ELECTROPHYSIOLOGY 1

BASIC SCIENCES

HANDS-ON SESSION
HEART RHYTHM TRAINEES
HRUK CERTIFICATE OF ACCREDITATION COURSE: DEVICES
MODERATED POSTERS 1
NHS IMPROVEMENT - HEART
ORAL ABSTRACTS 1
ORAL ABSTRACTS 2
PAEDIATRIC ELECTROPHYSIOLOGY

Tuesday 5th October

AFA SYMPOSIUM - INTEGRATING AND ADVANCING AF MANAGEMENT
ALLIED PROFESSIONALS
ARRHYTHMIA SURGERY

INDUSTRY SYMPOSIUM
MODERATED POSTERS 2
PCCS
PRE-RECORDED CASES
STARS SYNCOPE SYMPOSIUM
YOUNG INVESTIGATORS COMPETITION

Wednesday 6th October

ADVANCED DEVICES 2 - HOW SHOULD WE MONITOR ACTIVITY, DEMAND AND QUALITY IN THE UK?
ADVANCED ELECTROPHYSIOLOGY 2
CASES & TRACES
GENETICS - PUSHING THE BOUNDARIES IN ICC?
HRUK CERTIFICATE OF ACCREDITATION COURSE: ELECTROPHYSIOLOGY

A-A PATIENTS DAY

Sunday 3rd October 2010 10:30 - 15:30

Chair: S Shunmoogum
 
10:30 Remote monitoring for ICDs: Will this improve my care?  
11:00 New heart rhythm drugs: Are they any good? N Linker
11:30 Anxiety Management & People with Implantable Cardiac Devices
G Gillespie
12:00 My experience of living with an ICD                                  
 
12:30 Lunch  
Chair: N Meldrum  
13:30 Role of ICDs in Inherited Cardiac Disease  
14:00
Role of ICDs in patients with Heart Failure
 
14:30 Meet the expert - Open forum for questions                                                                              K Rajappan
15:30 Close  


ATRIAL FIBRILLATION ASSOCIATION PATIENTS DAY

Sunday 3rd October 2010 10:00 - 16:00

Chair: J Mudd
 
10:00 Welcome                                     T Lobban
10:25 A Carer's perspective: A personal approach to 'Awareness and Knowing Your Pulse' J Hutton
10:45 Why do I have AF? Could it be avoided? A Grace
11:15 Options on anticoagulation: drugs & devices  
11:45 Under 60 with AF, options and access M Fay
12:15 The athlete's heart, AF and exercise: Good, bad or therapy? A Wolff
12:45 Lunch                                                                                                             
 
Chair:
 
14:00 Catheter ablation, understanding the results, terminology and results R Schilling
14:30 Managing AF: Hypnotherapy S Murray
15:00 Question Time - Panel 1 M Fay
A Grace
S Murray
15:00 Question Time - Panel 2
R Schilling
A Wolff
16:00 Close                                                                                                 
 

 


STARS PATIENTS DAY

Sunday 3rd October 2010 10:00 - 16:00

Chair:
 
10:00 Welcome  
10:15 RAS and BHS and what is breath-holding anyway?
W Whitehouse
10:45 The Autonomic Clinic - Why is it so special?
 
11:15 Managing Syncope: Hypnotherapy S Murray

Psychological affects of syncope in patients from young people to old C Baker
11:50 Daily Management of Syncope/POTS: A Patient's Perspective L Kavi
12:00 Syncope and Falls in the Elderly                                                        E Brierley
12:30 Syncope during pregnancy  
12:45 Lunch                                                                                                             
 
Chair: T Lobban  
14:00 I have just experienced my first Syncope attack - should I lose my driving license?  
14:30 The Fainting Phenomeon B Grubb
15:15 Question Time with Blair Grubb B Grubb
16:00 Close                                                                                             
 


HRUK CERTIFICATE OF ACCREDITATION COURSE: CORE

Sunday 3rd October 2010 13:00 - 17:15

Chair:
 
13:00 Exam overview N Linker
13:15 "Electrical" anatomy of the heart D Begley
13:50 Arrhythmia mechanisms
 
14:25 Introduction to electrophysiology                                          
D Todd
15:00 Tea / Coffee  
Chair:    
15:30 Drugs and the heart N Meldrum
16:05 Clinical trials in arrhythmia management
N Linker
16:30 Introduction to cardiac device function and troubleshooting                                                                                               A Turley
17:15 Close  


ADVANCED DEVICES 1

Monday 4th October 2010 08:30 - 12:15                

Chair:    
08:30 Can you trust implantable device Holter monitoring to diagnose Atrial Fibrillation in all situations? N Sulke
09:00 Pacing in children: what are the challenges and solutions in the 21st century?  
09:30 Imaging modalities to assess suitability for CRT  
10:00 Tea/Coffee  
Chair: N Sulke  
10:45 Defibrillator Leads: what have we learned from recent failures?  
11:15 Debate: Lead extraction in the 21st century - should it be done in a cardiothoracic centre? A Rozkovec
12:15 Close  


ADVANCED ELECTROPHYSIOLOGY 1

Monday 4th October 2010 08:30 - 12:15

Advanced SVT Diagnostics - how to figure out the difficult case

Chair: F Murgatroyd & D Todd  
08:30 His synchronous PVCs  
08:55 Entrainment                                                                                                                                                                F Murgatroyd
09:20 Parahisian pacing                                                                            D Todd
09:40 Unknown traces                                                                     O Segal     
10:00 Tea/Coffee  

Linear Ablation in AF

Chair: M O'Neill & T Betts  
10:45 How to do a mitral isthmus line and prove block T Betts
11:15 How to do a roof line and prove block D Gupta
11:45 When should a line not be crossed:the role of non linear ablation M O'Neill
12:15 Lunch  


BASIC SCIENCES

Monday 4th October 2010 13:30 - 17:15

Basic Science Tools for Arrhythmia Research

Chair:    
13:30 Ion channel electrophysiology  
14:00 Optical mapping                                                                                                                                                 F Burton
14:30 Mathematical modelling    R Clayton
15:00 Tea/Coffee  


Novel Mechanisms and Therapeutic Targets

Chair: N Peters  
15:45 Genetics and geonomics A Grace
16:15 Gap junctions N Peters
16:45 Autonomic nervous system and cardiac fibrillation                                                             A Ng
17:15 Close  


HANDS-ON SESSION

Monday 4th October 2010 13:15 - 17:15

Open session: come and view the latest advances from...


HEART RHYTHM TRAINEES

Monday 4th October 2010 17:30 - 19:00

Chair:    
17:30    
17:45    
18:30    
18:45    
18:50    
19:00 Close                                                                                                             
 


HRUK CERTIFICATE OF ACCREDITATION COURSE: DEVICES

Monday 4th October 2010 08:30 - 12:15

Chair:
 
08:30 Implanting devices - a practical guide                                     S Harris
09:00 The physics of implantable devices                                                                 
C Jeffrey
09:30 Pacemaker troubleshooting C Regan
10:00 Tea/Coffee                                                              
 
Chair:    
10:45 ICD troubleshooting  
11:15 CRT troubleshooting
S Jones
11:45 Recalls and faults - the role of the MHRA  
12:15 Close  


MODERATED POSTERS 1

Monday 4th October 2010 12:45 - 13:15
Abstract numbers 40 - 47

Judges    
 40 Real-time cardiac MR overlay guided left ventricular lead placement predicts acute response to CRT AK Shetty
 41 A Simultaneous X-MR and Non-Contact Mapping Study of the Acute Haemodynamic Effect of Left Ventricular Endocardial and Epicardial Cardiac Resynchronisation Therapy in Humans MR Ginks
 42 CMR & 3D Echo Derived Systolic Dyssynchrony Index to Predict Acute Haemodynamic Response to LV and BIV Pacing in Patients Awaiting CRT SG Duckett
 43 Length-Dependent Tension in the Failing Heart and the Efficacy of Cardiac Resynchronisation Therapy SA Niederer
 44 Betablockers are associated with improved survival in patients with pacemakers for bradycardia DHJ Elder
 45 Pacemaker Complications in a DGH RC Bond
 46 What has changed: Reduction in mortality following revision of NICE guidance? WB Nicolson
 47 When should an implantable loop recorder be used in the diagnosis of syncope? Results from the PICTURE study NJ Linker
13:15 Close                                 
 


NHS IMPROVEMENT - HEART

Monday 4th October 2010 08:30 - 12:15

Chair: M Fay  
08:30 Stroke and Atrial Fibrillation - The National Context                 
09:00 Screening in Atrial Fibrillation                                                                                                                             A Wolff
09:30 When is Atrial Fibrillation a concern in Stroke-Considerations of Paroxysmal AF P Guyler
10:00 Tea/Coffee  
Chair:    
10:45 Risk stratification in AF M Fay
11:05 When not to Anti-coagulate  
11:25 Issues in Anticoagulation and Atrial Fibrillation R MacLean
11:45 Auricular Occlusion Devices  
12:15 Close  


ORAL ABSTRACTS 1

Monday 4th October 2010 13:30 - 17:15

Chair:
 
  AF Ablation  
13:30 Pulmonary vein isolation for persistent atrial fibrillation in patients with severe heart failure: a randomised controlled trial M MacDonald
13:45 Ganglionated plexi stimulation produces vagally mediated local changes in atrial fibrillation cycle length. L Malcolme-Lawes
14:00 Coronary sinus diameter predicts difficult mitral isthmus ablation
KCK Wong
14:15 Catheter ablation for atrial fibrillation on uninterrupted warfarin is safe and cost-effective                                      
S Page
14:30 Robotic AF ablation - is there a learning curve? E Duncan
14:45 Robotic ablation reduces local electrogram amplitude more than Manual ablation L Malcolme-Lawes
15:00 Tea / Coffee  
Chair:    
  Cardiovascular Implantable Electronic Devices  
15:45 Scar Quantification Assessed by Contrast-Enhanced MRI Predicts Spontaneous Ventricular Arrhythmias In patients with Coronary Artery Disease and Implantable Cardioverter Defibrillators PA Scott
16:00 ICD lead-generator manufacturer ‘mismatch’ may cause unacceptable patient morbidity F Gao
16:15 Advanced image fusion to overlay coronary sinus anatomy and myocardial scar with real time fluoroscopy to aid left ventricular lead implantation during CRT
SG Duckett
16:30 A single centre coronary sinus lead extraction                                                                                  A Arujuna
16:45 Longterm survival in patients with pacemakers for bradycardia DHJ Elder
17:00 Immediate use of a remotely monitored ILR in diagnosing unexplained syncope: The Second Eastbourne Syncope Assessment Study (EaSyAS ll) PSG Hong
17:15 Close  


ORAL ABSTRACTS 2

Monday 4th October 2010 13:30 - 17:15

Chair:
 
  Clinical Electrophysiology
 
13:30 The Realise-AF registry: An international, observational, cross-sectional survey describing characteristics, cardiovascular risk, and management of patients with Atrial Fibrillation M Rosenqvist
13:45 Catheter ablation in patients with d-transposition of great arteries – Outcomes, recurrence rate and predictors of recurrence of tachyarrhythmias AB Gopalamurugan
14:00 Safety & efficacy of combining substrate & activation guided ablation of  Ventricular Tachycardia (VT) in patients with structural heart disease
NK Kelland
14:15 Micro-re-entry in dilated left upper pulmonary veins: a distinct clinical syndrome in AF patients                                
NK Kelland
14:30 The Atrial Fibrillation Patient Journey – Patient Satisfaction from a Single Centre UK Experience VA Ezzat
14:45 Conduction delay in desmoplakin mutation positive patients: electrical manifestations of sub-clinical disease demonstrated by non-contact mapping MC Finlay
15:00 Tea / Coffee  
Chair:    
  Basic Science
 
15:45 Conduction Slowing in the Infarct Border Zone Correlates with Ventricular Arrhythmia Inducibility in a Chronic Myocardial Infarction Model FS Ng
16:00 ZP1210 attenuates gap junctional uncoupling and conduction slowing in a metabolic stress model – An Optical Mapping study FS Ng
16:15 The Gap Junction Modulator ZP1210 Attenuates Ischaemia-Induced Connexin43 Dephosphorylation
AA Owusu-Agyei
16:30 Inotropic enhancement during cardiac contractile modulation is associated with a shortening of epicardial action potential duration and is prevented through pharmacological β1 adrenoceptor blockade in the isolated rabbit heart                                                                                J Winter
16:45 A non-cholinergic NO release and NO-dependent anti-fibrillatory effect of vagal efferent stimulation on the cardiac ventricle KE Brack
17:00 Multi-Array Mapping Demonstrates both Conduction Delay and Repolarization Abnormalities in a Mouse Model of Brugada Syndrome CA Martin
17:15 Close  


PAEDIATRIC ELECTROPHYSIOLOGY

Monday 4th October 2010 08:30 - 12:15

Chair:
 
08:30    
09:00    
09:30    
10:00 Tea/Coffee                                                                                                      
 
Chair:    
10:45    
11:15    
11:45    
12:15 Close  


AFA SYMPOSIUM - INTEGRATING AND ADVANCING MANAGEMENT

Tuesday 5th October 2010 08:30 - 17:15

Community

Chair:    
08:30 Identifying asymptomatic patients and those at risk                  
C Cowan
09:00 Alternative approaches to reducing AF burden                  
G Thomas
09:30 When the drugs don't work - when to                              refer                                                                                                                  
M Fay
10:00 Tea/Coffee
 

Stroke Prevention

Chair: A J Camm  
10:45 Neurologist's perspective on Atrial Fibrillation  
11:15 Effective stroke prevention - devices                                                                                                                             P Kanagaratnam
11:45 Effective stroke and bleeding risk assessments - implications for thromboprophylaxis
G Lip
12:15 Lunch  

Current Thresholds for Intervention

Chair: A Grace & N Sulke  
13:30 How do you decide on rate versus rhythm control?                                                                                                            
M O'Neill
14:00 Have simpler approaches to AF ablation dropped your threshold for intervention in paroxysmal patient?                    S Murray
14:30 Factors determining patient selection for ablation for persistent AF?  
15:00 Tea/Coffee  

Research

Chair: G Lip  
15:45 Genetic and social determinants of Atrial Fibrillation                                                                                                        
A Grace
16:15 New drug development
 
16:45 What should be our five year plan? I Savelieva
17:15 Close  


ALLIED PROFESSIONALS

Tuesday 5th October 2010 08:30 - 17:15

Chair: C Joyce & Wise  
08:30 An overview of recent trials and implications for      practice                                        J de Bono
09:00 More new drugs! What's wrong with the old ones?                                                                                                                J Paisey
09:30 Remote monitoring in practice: Top tips and how to avoid the pitfalls                                                                        
10:00 Tea/Coffee  
Chair: J Mudd & J Upright  
10:45 Head scratching case studies: 1 Device and 1 Electrophysiology  
11:15 Debate: Arrhythmias don't just occur during office hours - CRM should provide a 24 hour service J Cole
T Meredith
12:15 Lunch  
Chair:    
13:30    
14:10 Sarcoid: What on earth is it? D Tomlinson
14:30 ARVC: Another Really Vexing Condition  
15:00 Tea / Coffee  
15:45 Allied Professionals Meeting - Arrhythmia Nurses
 
Chair: A Griffiths, N Meldrum, J Mudd  
     
 15:45 Allied Professionals Meeting - Cardiac Physiologists  
Chair: J Cole, S Jones  
 17:15 Close
 


ARRHYTHMIA SURGERY

Tuesday 5th October 2010 13:30 - 17:15
Wellington / Salisbury Room

Chair:    
13:30    
14:00    
14:30    
15:00 Tea/Coffee                           
 
Chair:    
15:45    
16:15    
17:15 Close                                                                                                          
 


INDUSTRY SYMPOSIUM

Tuesday 5th October 2010 08:30 - 15:00

     
     
     
     
     
     
     
     
     
15:00 Close                                                                                                            
 


MODERATED POSTERS 2

Tuesday 5th October 2010 12:45 - 13:15
Abstract numbers 48 - 55

Judges    
 40 Prodrome in syncope: A predictor of cause? PSG Hong
 41 Desmoplakin haploinsufficiency is a purely electrical disease: in vivo and in vitro models of arrhythmogenic right ventricular cardiomyopathy JC Gomes
 42 The Safety And Efficacy Of Anti-arrhythmic Drugs In The Management Of Acute Atrial Fibrillation C Sawh
 43 Management of atrial fibrillation in a NICE way - a retrospective audit K Chima
 44 3.75 frames per second fluoroscopy safely minimises radiation exposure during EP procedures PA Venables
 45 The Spatial and Temporal Variability of the 3D Dominant Frequency Mapping from 2048 Non-Contact Unipolar Electrograms in Human Atrial Fibrillation JL Salinet Jr
 46 Pulmonary Vein Pacing to Prove Exit-Block with Ablation Frontiers PVAC: Threshold Testing, A Simple Method for Identification of Far Field Capture PA Venables
 47 Incidence of Recovered Conduction Following Previously Successful Linear Ablations KCK Wong
13:15 Close           


PCCS

Tuesday 5th October 2010 08:30 - 17:15

Primary Care Cardiac Services

Chair: K Griffith  
08:30 Increasing diagnostics and diagnosis in Primary Care   M Fay
09:00 Poor device implantation and the role of primary care?                                                                                                                 J McComb
09:30 New developments in rhythm medicine and their impact on Primary Care                                                                         
M Earley
10:00 Tea/Coffee  

Atrial Fibrillation

Chair: M Fay  
10:45 The Aspirin Myth G Lip
11:15 AF - a national priority: the potential impact of screening and stroke prevention C Cowan
11:45 General AF management in Primary Care: the role of PN, GP and GPwSI                                                                                                                C Arden
12:15 Lunch  

 SADS and Syncope

Chair: A Wolff  
13:30 How not to miss problems leading to Sudden Cardiac Arrest        
N Wheeldon
14:00 Syncope and Primary Care                                                                                                                  
 
15:00 Tea/Coffee  

The Big Quiz

Chair: H Purcell  
15:45 A panel show quiz pitting two teams against each other, one side being the GPwSIs and the other cardiologists from secondary and tertiary care.                                                                                     
 
  Team 1 - GPwSI                                                                     
C Arden
D Fitzmaurice
K Griffith
  Team 2 - Consultants S Murray
A Zaidi
17:15 Close  


PRE-RECORDED CASES

Tuesday 5th October 2010 10:45 - 17:15

Star Wars

Chair: D W Davies & S Ernst  
10:45 Magnetic ablation - update and pre-recorded case                           
S Ernst
11:30 Robotic ablation - update and pre-recorded case
 
12:00 Lunch  

LAA Occlusion - ready for prime time?

Chair:
G Lip
 
13:30 The evidence so far                                                                                                                    G Lip
14:00    


 
15:00 Tea/Coffee  

Persistent AF Ablation

Chair:
M Lowe  
15:45    
     
     
17:15 Close                                                                                                          
 


STARS SYNCOPE SYMPOSIUM

Tuesday 5th October 2010 08:30 - 17:15

Chair: A Zaidi
 
08:30 NICE guidelines on TLOC D Pitcher
09:00 An outside assessment of NICE guidelines  
09:30 Relationship between NICE on TLOC and ESC on Syncope                                                                                
M Brignole
10:00 Tea/Coffee  
Chair: G van Dijk
 
10:45 What is Syncope? B Grubb
11:15 Differential Diagnosis: Epilepsy vs. Syncope       
P Cooper
11:45 When 'Epilepsy' is Syncope A Zaidi
12:15 Lunch  
Chair: R Sutton  
13:30 Terminology in TLOC G van Dijk
14:00 Orthostatic Hypotension  
14:30 Different approaches to Orthostatism D Benditt
15:00 Tea/Coffee  
Chair: D Benditt
 
15:45 POTS and how to manage it B Grubb
16:15 Syncope Management Units  
16:45 What is new in the ESC guidelines on Syncope in 2009                                                                                             
R Sutton
17:15 Close  

 
YOUNG INVESTIGATORS COMPETITION

Tuesday 5th October 2010 13:30 - 17:15
Abstract numbers 1-6

Judges M Gammage, A Ng, N Peters, A Rankin
 
Chair: A Ng  
13:30 A Systematic Assessment of the Optimal Left Ventricular Pacing Site during Cardiac Resynchronization Therapy: An Initial Derivation of a Novel Non Invasive Method and Subsequent Validation with a Randomized Controlled Trial FZ Khan
14:00 Computerised modelling accurately predicts acute response to CRT: initial results from a patient-specific biophysical model MR Ginks
14:30 Balloon occlusion of the coronary sinus facilitates mitral isthmus ablation KCK Wong
15:00 Tea / Coffee  
Chair: A Ng  
15:45 Heterogeneity of Fibrosis in the Infarct Border Zone Correlates with Arrhythmia Inducibility Post-Myocardial Infarction SA Cooper
16:15 Omega 3 fatty acid supplementation alters expression levels of calcium handling proteins in human cardiomyocytes
P Saravanan
16:45 The increase in nitric oxide and antifibrillatory effect of postganglionic vagal fibres is preserved during VIP inhibition and does not involve  the endothelium KE Brack
17:15 Close  


ADVANCED DEVICES 2 - HOW SHOULD WE MONITOR ACTIVITY, DEMAND AND QUALITY IN THE UK?

Wednesday 6th October 2010 09:00 - 12:45

Chair:    
09:00 The Heart Rhythm Management Database  
09:20 The UK Device Survey R Charles
09:40 The role of the Cardiac Networks  
10:00 Measuring outcome with devices  
10:20 Discussion  
10:30 Tea/Coffee  
                                                         Keynote Session - State of the Art  
11:15    
11:45 Cutting edge approach to POTS and Inappropriate Sinus Tachycardia                                                                                                      B Grubb 
12:45 Close                                                                                                             
 


ADVANCED ELECTROPHYSIOLOGY 2

Wednesday 6th October 2010 09:00 - 12:45

Persistent AF Debate

Chair: S Murray & A Rankin  
09:00 The best treatment is AV node ablation                         N Sulke
09:30 Rhythm Control with ablation is best M Earley
10:00 UK Electrophysiology 2009-2010 - CCAD Data                                                              M Griffith
10:00 Tea/Coffee  

Cost Effectiveness of AF Ablation - Redo Issues

Chair: S Murray & A Rankin  
11:15 The evidence so far                                                                      
11:45 The issues with persistent AF                                                                                                     E Rowland
12:45 Close  


CASES & TRACES

Wednesday 6th October 2010 09:00 - 15:30

Chair:  S Fynn & M Hall  
09:00 ST elevation on the ECG                                                                                                                   D Rowlands
09:30 Long QT Syndrome           E Behr
09:50 Brugada and repolarisation abnormalities P Lambiase
10:10    
10:30 Tea/Coffee                                                                                                    
 
11:15
   
11:45    
12:15    
12:45 Lunch  
Chair:    
14:00    
14:30    
15:00    
15:30 Close  


GENETICS - PUSHING THE BOUNDARIES IN ICC?

Wednesday 6th October 2010 09:00 - 12:45

Chair:    
09:00 Emerging technologies in cardiac laboratory genetics  
09:30 MRI applications in inherited cardiac diseases  
10:00 Direct to consumer genetic testing  
10:30 Tea/Coffee  
Chair: E Behr  
11:15 ARVC - Current diagnosis and management        W McKenna
11:45 Debate: This house believes that existing law adequately provides the needs of the ICC patient and family                                                                                                                  
12:45 Close  


HRUK CERTIFICATE OF ACCREDITATION COURSE: ELECTROPHYSIOLOGY

Wednesday 6th October 2010 09:00 - 12:45

Chair:    
09:00 AVRNT  
09:30 WPW and other accessory pathways                                                                                                          N Grubb
10:00 Atrial Flutter M O'Neill
10.30 Tea/Coffee  
Chair:    
11:15 Atrial Fibrillation S James
11:45 Ventricular Tachycardia  
12:15 Modern day ablation techniques: an overview of mapping systems and ablation technologies I Wright
12:45 Close