An africaSTEMI course intended for cardiologists, cardiac sonographers and physicians who have a passion for echo and imaging.
Case based clinical echocardiography teaching with an emphasis on myocardial wall motion and cardiac function assessment in coronary artery disease, chest pain syndromes and complications of myocardial infarction. Case examples you will have never seen before with a world leading faculty! This year’s course focuses on the use of contrast in ecbocardiography and addresses any misconceptions about contrast technologies. This will be the first ever course on contrast echo in Africa.
Introduction – Why this course. Advancing your echo practice: pushing the boundaries
The fundamentals of contrast echo
- Indications, contraindications, drawbacks, uses, contrast types and preparation/formulations, consent
- How to implement contrast in an echo lab
- Settings on echo machine
- Live demo with hands on
Jonathan Lindner, USA
(Live Case Sonographer Mike
Foster)
Panelist: Mzee Ngunga, Kenya
Wall motion assessment using contrast
Hasham Varwani, Canada/Kenya (v)
Assessment of LV aneurysm and LV thrombus with contrast
Jonathan Lindner, USA
How to perform stress echo with and without contrast
Debra Isaac, USA
Debate: Contrast echo vs Cardiac radiology (MRI/CT) for LV thrombus in Africa (10 minutes each speaker)
Echgo: Hasham Varwani, Kenya
MRI/CT: Cynthia Sempele,
Kenya
Final word: Ntobeko Ntusi,
South Africa
Myocardial contrast perfusion fundamentals
Jonathan Lindner, USA
Contrast Zebras – interesting and instructive cases
Vince Sorrel, USA (v)
ACS mimickers on echo with and without contrast
Vince Sorrel, USA (v)
Using agitated saline contrast in transthoracic and transesophageal echo: step by step
Sheila Klassen, USA
A course intended for primary care doctors, physicians in internal medicine and doctors in the emergency setting.
Acute cardiac emergency scenarios taught through case scenarios, enhanced by hands on simulation
training and emphasized by utilization of point-of-care ultrasound.
Key topics covered
- Acute Heart Failure
- Acute Chest Pain
- Acute Pulmonary Embolism
- Hypertensive Crisis
- Management of Tachycardias
- Management of Bradycardias
- Cardiac Tamponade
- Recognise important acute cardiac conditions in primary care/outpatient/emergency department setting (presentation, symptoms, vital signs)
- Build a differential diagnosis in primary care/outpatient/emergency setting
- Build competence in ECG and Point of care ultrasound (POCUS) as central diagnostic tools for all cadres of clinician
- Utilize and interpret blood tests and imaging in the evaluation of all acute cardiac conditions
- Understand and outline treatment and best practice in both resource-rich and resource constrained settings.
Gikonyo,
Jeilan,
Adams
How to approach chest pain in A&E
- Acute Coronary Syndromes
Adams,
Gikonyo,
Parag
Time to stretch yourselves!
How to approach a patient with shortness of breath in A&E
- Acute Decompensated Heart Failure
Dr. Kimani
Dr. Munguti
Do not be fooled by the great masquerader
- Pulmonary Embolism
Dr. Odhiambo
Dr. Mzee
Time to rejuvenate yourselves!
How to assess and treat a clinically unstable patient with a slow pulse
- Bradyarrhythmias
Dr. Khuz,
Charles,
Hellen,
Adams,
Parag
If it is fast and unstable, then what do I do?
- Tachyarrhythmias
Dr. Khuz,
Charles,
Hellen,
Adams,
Parag
Time to stretch yourselves!
Oh no! Another patient who is short of breath and hypotensive, but does not have a MI or PE!
- Cardiac Tamponade
Adams,
Nyamu,
Githura
An extremely hypertensive patient is in A&E, is it life threatening?
- Hypertensive urgency
- Hypertensive emergency
- Acute aortic syndromes
Adams,
Nyamu,
Githura
HOW TO: PERIPHERAL ARTERIAL DISEASE INTERVENTION
Objectives of the session - Indications, contraindications and limitations of peripheral intervention
Mustafa Musajee, Kenya
Peter Mugo, Kenya
Medical therapy before and during the procedure
Hardeep Gill, Kenya
Access and closure techniques
Hany Zayed, UK (v)
Demonstration of U/S guided access and closure devices
Naushad Karim, Kenya
Hardeep Gill, Kenya
Mustafa Musajee, Kenya
Crossing the lesion, wire and catheter choices
Hany Zayed, UK (v)
What equipment should be used on which patient and how (Stent: self- expanding/ Balloon/ atherectomy/IVL) – evidence supported treatment for CLI
Narayan Thulasidasan, UK (v)
Post-procedure care
Hardeep Gill, Kenya
Complications
Becky Sanford, UK (v)
Pearls from the panel and simulator session registration
Faculty
Lunch
HOW TO: TRANS-SEPTAL PUNCTURE
Objectives of the session
Sajidah Khan, South Africa
Indications for trans-septal puncture
Sajidah Khan, South Africa
Preparing the patient for trans-septal puncture
Sajidah Khan, South Africa
Important anatomy of the inter-atrial septum
Sajidah Khan, South Africa
Access and closure (safe femoral puncture techniques)
Fluoroscopy guided trans-septal puncture in normal cardiac anatomy and in patients with rheumatic heart disease
Sajidah Khan, South Africa
TOE-guided trans-septal puncture
Muzahir Tayebjee, UK
Habib Gamra, Tunisia
Christine Jowi, Kenya
Ahmed Suliman, Sudan (v)
Cardiovascular Research In Africa
George Nel, Debra Isaac, Constantine Akwanalo, Lilian Muga, Felix Barasa, Bernard Gitura, Emmy Okello, Pedro Pallangyo, Martin Murage, Nadeem Kassam, Selma Mohammed, Lydia Kaduka, AJ Hale, Thomas Crawford, Ntobeko Ntusi, Sayed Karar
The European Heart Journal Session
The Best 15 Abstracts of AfricaSTEMI 2024 – Entry 1 to 5
Emmy Okello,
Chris Granger,
Habib Gamra
Best of The European Heart Journal 2023/2024
Filippo Crea, Italy (v)
Best of The Cardiovascular Journal of Africa 2023/2024
Patrick Commerford, South Africa (v)
The Best African Publications in 2023
Elijah Ogola, Kenya
Geographic distribution of publications on the African continent during the last 10 years
Habib Gamra, Tunisia
Panel discussion: George Mensah’s Address
Bernard Gersh, USA (v)
Supporting Health Research Capacity in Africa: A Decade of Progress at NIH/NHLBI
George Mensah, USA (v)
Panel (moderated by Mohamed Janaby and Nadeem Kassam)
Ntobeko Ntusi, South Africa
The Best 15 Abstracts of AfricaSTEMI 2024 – Entry 6 to 15
Felix Barasa,
Chris Granger
Sudden Cardiac Arrest in Africa
Emmanuel Edafe (Nigeria), Jean Wanjema (Kenya), Ben Wachira (Kenya), Seifu Chiri (Ethiopia), Leandre Nsanzumuhire (Rwanda), Willy Mucyo (Rwanda), Fifi Asamoah (Ghana), Brian Vezi (South Africa), Chris Granger (USA), Jens Hinteroth (South Africa), Caitlin Dolkart (Kenya), Sanjay Sharma (UK), Philipa Mutua (Kenya), Mario Affonati (USA), Yvette Kiseka (Kenya), Carolina Mata Hansen (Denmark), George Longopa (Tanzania), Jose Roberto dos Santos (Angola), Jean Wanjema (Kenya), James Kayima (Uganda), Simon Mwaura (Kenya), Carol Petua Akinyi (Kenya), Anastaze Dzudie (Cameroon)(v), Salah Mohamed, Sudan
Albert Nyanga, Cameroon,
Jean Wanjema, Kenya
Pre-hospital treatment of Cardiac Arrest
In-hospital Cardiac Arrest in Africa
Salah Mohamed, Sudan
Abraha Hailu, Ethiopia,
Mazen Albaghdadi, USA,
Khuzeima Khanbhai, Tanzania
The European Heart Journal Session
Atypical Myocardial Infarction Patterns
STEMI could be a time of war
Generic heparin in the cathlab
To Endarterectomy Or Not To Endareterectomy?
Dilemma
Stroke and MI
Surviving the odds
A challenging surgical case
The case for FFR
ACUTE CORONARY SYNDROMES
Harun Otieno, USA/Kenya
Sajidah Khan, South Africa
Mohamed Jeilan, Kenya
An imperfect STEMI journey- strengths and weaknesses in our patient’s pathway.
James Kayima, Uganda
Emmanuel Edafe, Nigeria,
Mathilde Mbouk, Cameroon
Update on access to STEMI drugs and treatments in Africa.
Update on troponin.
What is different about Africa?
SUDDEN CARDIAC ARREST
Mohamed Jeilan, Kenya
Dave Kettles, South Africa
SHOCK
Mohamed Jeilan, Kenya
Dave Kettles, South Africa
HEART FAILURE
Swaleh Misfar, Kenya
Selma Mohammed, USA
DEVICES IN CARDIOVASCULAR MEDICINE
Parag Patel, USA
Barbara Karau, Kenya
Constantine Akwanalo
Advanced Contrast Echo Certificate program: 25th April 2024
Sheila Klassenail
Jonathan Lindner
Sheila Klassen
Salah Mohamed, Sudan
Abraha Hailu, Ethiopia,
Mazen Albaghdadi, USA,
Khuzeima Khanbhai, Tanzania
a. The ECG in Acute Cardiac Emergencies
b. How to Thrombolyze Effectively
c. First Responder Interventions
Dr. Kimani
Dr. Kimani
Thrombolytic therapy
- Indications
- Contraindications
Dr. Kimani
Dr. Kimani
HOW TO: FUNDAMENTALS OF PERCUTANEOUS CORONARY INTERVENTION
Mohsen Gaballa
Charles Kariuki
Martin Muragesenter
ENHANCING QUALITY IN ECHOCARDIOGRAPHY AND NON-INVASIVE IMAGING IN AFRICA
Sheila Klassen, Mike Foster, Jonathan Lindner, Hellen Nguchu, Elijah Ogola, Felix Barasa, Daniel Gikonyo, Kevin Ombati, Cynthia Sempele, Tayo Addo, Felix Barasa, Abraha Hailu, Alemayehu Bekele, Mohamed Janaby, Mohamed Alfy, Emmy Okello
CCU LIVE!
Emmy Okello, Uganda
Mohamed Jeilan, Kenya
Martin Mvwile
Emmy Okello,
Mzee Ngunga
FROM ACUTE TO CHRONIC CORONARY SYNDROMES
PREVENTIVE CARDIOLOGY
Chris Granger, USA
Lois Wagana, Kenya
Sponsored. Should 40mg of rosuvastatin be a standard dose for secondary prevention and high CV risk patients?
1400: THE WEIRD AND WONDERFUL CARDIOLOGY SHOW
Sajidah Khan, South Africa
Yemi Johnson, Nigeria
OBESITY
Harun Otieno, USA
Hassan Aden, Kenya
Abraha Hailu, Ethiopia
Emmy Okello, Uganda
Chris Granger, USA
Habib Gamra, Tunisia
CLINICAL CASES 1300 TO 1400
Salah Mohamed, Sudan
Abraha Hailu, Ethiopia,
Mazen Albaghdadi, USA,
Khuzeima Khanbhai, Tanzania
Focus on POCUS
02:00 pm - 05:00 pm
Point of Care Ultrasound (POCUS) in acute cardiac emergencies with Live
Patients
Dr. Kagona
Dr. Ruth
Dr. Adams
Dr. Githura
HOW TO: LEFT BUNDLE BRANCH AREA PACING
Muzahir Tayebjee
Daniel Nduiga
HOW TO: ADVANCED PERCUTANEOUS CORONARY INTERVENTION
Mazen Albaghdadi
Redempta Kimeu, Kenya
Chris Granger
Anthony Ochola, Kenya
Anthony Gikonyo
Daniel Nduiga
Mohsen Gaballa, Kenya
For (10min)
Against (10min)
Audience discussion (10min)
James Kayima, Uganda
Case 1. Khuzeima Khanbhai
Case 2. David Kanyeki
Case 3. Yemi Johnson
Sponsored talk. Percutaneous Coronary Intervention in STEMI. An unfavourable scenario.
Tayo Addo, Nogeria
Quickfire international cases (8 minutes per case)
Case 1. Rob Welsh (Canada)
Case 2. Oladipupo Olafarinywe (USA)
Case 3. Dave Kettles (SA)
Case 4. Mohsen Gaballa (Kenya)
Case 5. TBC
Mr. Dennis
Dr. Akshay
Dr. Akshayail
Salah Mohamed, Sudan
Abraha Hailu, Ethiopia,
Mazen Albaghdadi, USA,
Khuzeima Khanbhai, Tanzania