STEMI Live! Heart of Africa

2019

Radisson Blu Hotel Nairobi, Kenya

APRIL 26th to 28TH

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FOUNDATION ECHO AM HACK STEMI COURSE AM

FOUNDATION ECHO PM HACK STEMI COURSE PM

THURSDAY

EXHIBITION / MEDIA

HEART OF AFRICA SPONSORED DINNER (INVITATION ONLY)

AFRICASTEMI LIVE

FRIDAY

TRAINING VILLAGES. 6 people per room.

11 am IVUS in PCI

LUNCHTIME SESSIONS THE GREAT DEBATE AND THE KEYNOTE ECHO 12 noon

HEART OF AFRICA PREVENTION AND STABLE CAD 1pm IVUS in PCI

EKG 2pm

PCI - LIVE FROM THE UK! IMAGING LOUNGE 3pm IVUS in PCI

ECHO 4pm

africaSTEMILIVE! CELEBRATION AND GALA DINNER

EXHIBITION / MEDIA MODERATED POSTER

SESSION

SATURDAY COMPLICATIONS PCI

HEART OF AFRICA HEART FAILURE

LEARN THE TECHNIQUE BIFURCATION

HEART OF AFRICA HYPERTENSION

EKG 12 noon 12 noon MOTHER IN CHILD in PCI

LUNCHTIME SESSIONS EKG

TRAINING IN CARDIOLOGY ROUNDTABLE ECHO

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MOTHER IN CHILD in PCI

EXHIBITION / MEDIA

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BERNARD GERSH (USA) – MAYO CLINIC, USA JEROEN BAX (NETHERLANDS) – PRESIDENT, EUROPEAN SOCIETY OF CARDIOLOGY

(ESC) THOMAS LUESCHER (SWITZERLAND) – CHIEF EDITOR, EUROPEAN HEART JOURNAL

THOMAS ALEXANDER (INDIA) – CHAIRMAN, STEMI INDIA CHRIS GRANGER (USA) – TRIALLIST, DUKE UNIVERSITY, USA

MARTIN COWIE (UNITED KINGDOM) – TRIALLIST, IMPERIAL COLLEGE, LONDON HABIB GAMRA (TUNISIA) – AFRICAPCR COURSE CO-DIRECTOR

SAAD SUBAHI (SUDAN)– PRESIDENT, PASCAR BONGANI MAYOSI (SOUTH AFRICA) – EX-OFFICIO PRESIDENT, PASCAR

ELIJAH OGOLA (KENYA) – SECRETARY GENERAL, PASCAR AWAD MOHAMED (SUDAN) – CHAIR, INTERVENTIONAL TASK FORCE, PASCAR

HARUN OTIENO (KENYA) – VICE PRESIDENT (E), PASCAR STEVE KOPECKY (USA) – TRIALLIST, MAYO CLINIC, USA

GIANLUCA PONTONE (ITALY) – TRIALLIST, ITALY VICTORIA RUBADIRI – TV PERSONALITY/MEDIA

DOUGLAS WAKIIHURI – MARATHON WORLD CHAMPION

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DAY ONE - THURSDAY 26th APRIL

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Diagnosing an MI 0900 Risk factors, history and unusual presentations. Maxine Anyango.

1000 ECG in MI for novices. Benjamin Wachira and Hasham

Varwani

1130 Biomarkers in acute MI. Ahmed Kalebi.

1200 Technology. Benjamin Wachira.

WORKSHOP over Lunch Lysis – demonstration How to perform an ECG Resuscitation for STEMI STEMI lunchbox

1300 LUNCH

Managing an MI 1400 Immediate options for treatment. The MI lunchbox Aisha Edwards.

1430 Drugs and their evidence. Swaleh Misfar

1500 Complications of Acute MI. The role of CCU. Alice Muthoni

and Swaleh Misfar

1600 Post STEMI care including drugs, and rehab. Lois Wagana

Titus Ngeno

1700 Statin intolerance. Diagnosis and management. 1715 Wrap-up and quiz.

Faculty – Chris Granger, Swaleh Misfar, Ben Wachira, Lois Wagana, Robert Mathenge, Harun Otieno, Yagoub Musa, Thomas Alexander, Titus Ngeno, George Kuria, Maxine Anyango, Ahmed Kalebi, Aisha Edwards, Alice

Muthoni, Simon Mwaura

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E! Foundation ECHO (Full day workshop)

Echo in STEMI

0900 Echo and ultrasound in chest pain

0945 Probe handling and standard echo views for orientation

1030 lThe heart valves in physiology and in disease.

1130 Assessing LV ejection fraction

TEA BREAK – 11 am

1630 Complications of MI on echocardiography – Regional wall motion – LV aneurysms – Pericardial effusions and tamponade. – Septal rupture – Mitral valve effects

1200

LIVE CASES AND ECHO DEMONSTRATION Physiology and knobs (depth, gain, 2D, CFM, CW, ECG and sweep speed)

12 – 1pm: Three groups. Three normal subjects.

Pathology

2-4pm: Three patients (LV dysfunction and mitral regirgitation)

Dr. Fred Bukachi, Dr. Lois Wagana, Ms. Ann Waweru, Dr. Saad Subahi, Dr. Chris Granger, Dr. Mohamed Jeilan, Dr. Nashwa Ahamed, Dr. Anders Barasa, Dr. Hasham Varwani, Dr. Nabil CHaudhry

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“The Heart of Africa ”

Venue – Crowne Plaza Hotel

Speaker: Dr. David Silverstein

“Advances in heart failure - case-based presentations”

Panel of experts: Prof. Bongani Mayosi (SA) Dr. Bernard Gersh (USA) Dr. DK Gikonyo (Nairobi) Dr. Vinesh Vaghela (Mombasa) Dr. Yagoub Musa (Khartoum)

Devices in HF: Dr. Mohamed Jeilan

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DAY TWO - FRIDAY 27th APRIL

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Facilitator – Dr. Harun Otieno, Prof. Habib Gamra

0800 READY, SET, GO! LIVE IN A BOX Two patients treated differently in Africa.

0830 Thrombolysis.

0930 Primary PCI.

Discussion areas (Panel) Who benefits the most from Primary PCI? Who benefits most from PCI after lysis? Availability of anti-platelets? Thrombolytic options

Panel of experts –Dr Christopher Granger , Dr Swaleh Misfar, Dr. Benjamin Wachira, Dr. Muthoni Ntonjira, Dr Abraha Hailu, Dr Constantin Akwanalo, Dr. Thomas Alexander, Dr. Jose Roberto, Dr. Firoz Alibhoy

1000 Systems of care in STEMI – what Africa can learn from the USA. Dr. Christopher Granger

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Facilitators – Dr. Mohamed Jeilan, Dr. Awad Mohamed

1100 INNOVATIVE APPROACHES TO ACS CARE 1100 Telemedicine to Interventional devices. New technologies to improve outcomes in Acute MI. Ms. Hadas Mendel

1115 Emergency response innovations for Africa. Ms. Caitlin Dolkart

1130 2017 came and went! The key studies that impact acute coronary syndrome management in the last year. Dr. Awad Mohamed

Q&A

Panel of experts –Dr Robert Mathenge, Dr Bekele Alemayehu, Dr. Anthony Gikonyo, Dr. Thomas Alexander, Dr. Phillipa Mutua, Dr. Firoz Alibhoy, Dr. Ahmed Kalebi, Dr. Ntonjiri Muthoni, Ambassador G Gendler

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STEMI Live! (Lunchtime Session 1)

HEART OF AFRICA – TWO KEY NOTE ADDRESSES

1200 What is the next frontier in STEMI care? Dr. Bernard Gersh

1230 Imaging for myocardial viability and ischemia. Professor Jeroen Bax

President of ESC

ESC Guidelines Committee Chair (2007 – 2016)

Panel of experts – Prof. Martin Cowie, Dr. Thomas Luescher, Dr. Thomas Alexander, Prof. Habib Gamra, Bernard Gersh, Dr. Saad Subahi

Lunch break 1300 to 1400

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THE GREAT DEBATE - The Black Panther vs the Pink Panther! 1400 Inferior STEMI and have multi-vessel disease. Dr. Hasan Ahmed

1410 Black Panther - Of course you treat all the vessels! Dr. Nauman Naseer

1425 Pink Panther - Don’t waste your money! Treat only the culprit. Dr. Ahmed Suliman

1440 Panel discussion

1455 Vote and final words

Chair: Prof. Bernard Gersh

Panel of experts: Prof. Chris Granger, Dr. Charles Kariuki, Dr. Ahmed Khashava, Dr. James Kayima, Dr. Raj Singh

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E! Stable coronary artery disease (Afternoon session)

My 46 yr. old brother just had a heart attack so I got myself checked. It turns out there is a lot of calcium in my coronary arteries.

1500 Statins and PCSK 9 inhibition in 2018. Prof. Thomas Luescher. 1520 Five myths about statins on Whatsapp and how to address them. Prof Elijah Ogola. 1535 Nutrient deficiencies and supplements. What is the evidence. Dr. Rohit Shelatkar

Panel discussion

Facilitators – Dr. Harun Otieno, Dr. Alemayehu Bekele Panel of experts: Prof. Elijah Ogola, Prof. Thomas Luescher, Dr. Kirtida Acharya, Dr. Erick Njenga,

TEA BREAK 4-430pm

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PCI Live from the UK!

430 pm

Multi-vessel PCI from start to finish in one hour

Operators - Dr. Colum Owens, Dr. Mark Spence

Facilitators – Dr. Nashawa Ahamed, Dr.. Awad Mohamed

Panel of experts – Dr. Charles Kariuki, Dr. Anas Babiker, Dr.

Roberto dos Santos, Dr. Nauman Naseer, Dr. Saleem Bagha

Cardiovascular imaging lounge

430 pm

Specially for physicians, cardiologists and clinical nurses.

Focus on coronary CT, cardiac MRI and PET - Interesting and instructive imaging cases

from around Africa

Imaging for interventional cardiology

Facilitators - Dr. Khalid Makhdumi, Dr. Gianluca Pontone, Dr. Ahmed

Khashava

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DAY THREE - SATURDAY 28th APRIL

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Coronary intervention

0800 Complications in the cathlab! Cases from around the world.

Prof. Habib Gamra, Dr. Jose Roberto, Dr. Mohamed Jeilan, Dr. Ahmed Suliman, Dr. Nashwa Ahamed

1000 Orbita who? The role of PCI in stable coronary artery disease – Dr. Bernard Gersh

1030 Stroke prevention post PCI with LV thrombus. Single, dual, or triple therapy? – Dr. Chris Granger Panel of experts - Prof. Elijah Ogola, Dr. Mzee Ngunga, Dr. Yagoub Musa, Prof. James Jowi

1100 Tea break

1130 Learning the technique – coronary bifurcation

Panel of experts – Dr. Awad Mohamed, Dr. Mzee Ngunga, Dr. Emmy Okello, Dr. AK Gikonyo, Dr. Anas Babiker, Dr. Roberto dos Santos

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Heart Failure and Atrial Fibrillation

Facilitators – Anders Barasa, Yagoub Musa ,

“Mrs. MM, an obese patient presenting with severe LV systolic dysfunction, an irregular heart rhythm and a systolic murmur in acute heart failure two weeks following primary PCI”

0800 State of the art. Managing acute heart failure; trials and tribulations. Prof. Martin Cowie

0830 Q&A

0845 State of the art. Novel targets for therapy 0850 Functional Mitral regurgitation - Bernard Gersh 0910 Atrial fibrillation - ablation and anticoagulation for this patient - Mohamed Salim 0925 Novel pharmacological targets – Yagoub Musa 0940 Sleep disordered breathing - Martin Cowie

1000 Q&A

1020 State of the continent. Cardiomyopathy in Africa – Prof Bongani Mayosi

1040 State of the science. A practical approach to the use of DOACs with quality assurance recommendations for LMICs. Prof. Chris Granger

1100 TEA BREAK

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Hypertension

Facilitators: Dr Fred Bukachi, Prof. Elijah Ogolla

Resistant hypertension - A 34 yr. old man with blurred vision and persistently elevated blood pressure

1130 Hypertension in Africa in 10 simple slides. Prof. Gerald Yonga

1145 New guidelines in hypertension. A critique. Dr. Thomas Luescher

Q&A with focus on managing difficult hypertension in Africa. Panel discussion. Drugs (Dr. Fred Bukachi) Counselling (Dr.

Jacob Shaabani) Secondary hypertension

(Dr. Erick Njenga) Interventions (Dr. Harun

Otieno)

1230 The rise and fall and rise again of renal denervation therapy. Dr. Thomas Luescher

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Heart of Africa (Lunchtime Session)

215pm

HEART OF AFRICA

The most important publications of the last 12 months.

Chief Editor, European Heart Journal

Prof. Thomas Luescher

Introduced by Prof. Bernard Gersh

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Training in cardiology in Africa

300pm A round table discussion

Chairman - Prof. B Mayosi My Kenyan and Indian journey in pictures. Dr. Lois Wagana

A historical perspective. Dr. DK Gikonyo

Panel discussion. Training around the world.

• Where are the weaknesses? Dr. M Ngunga

• The African cardiologist of the future. Dr. H Otieno

• Is modular training the solution? Dr. M Jeilan

• Regulation, coordination and collaboration. What role may PASCAR and Ecsacop and other bodies have? Prof. B Mayosi / Dr. James Kayima

Wrap up and action points. Dr. Saad Subahi.

INVITED ATTENDEES Dr Mzee Ngunga (African fellowship model), Dr Mohamed Jeilan (proctorship model), Dr James

Kayima (ECSACOP), Dr. Martin Cowie (UK), Dr Lois Wagana - a personal journey, Dr DK Gikonyo (Karen), Prof. Bongani Mayosi, Prof E Ogolla

(UoN), Dr Nadeem Sheikh, Prof Habib Gamra (Tunisia), Dr Constantin Akwanalo (SA), Dr Charles

Kamotho, Dr Bernard Gersh (USA), Dr Ahmed Khashava (Egypt), Dr Abraha Hailu (Ethiopia), Dr Ngeno Titus (USA), Dr Thomas Alexander (India),

Dr. Hellen Nguchu, Dr. Daniel Nduiga

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Putting it all together

4pm

AFRICASTEMI LIVE!

FOUR UNEXPECTED EVENTS FROM THIS UNIQUE CONFERENCE

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THOMAS LUESCHER (SWITZERLAND)

BERNARD GERSH (USA)

JEROEN BAX (NETHERLANDS)

CHRIS GRANGER (USA)

HABIB GAMRA (TUNISIA)

SAAD SUBAHI (SUDAN)

AWAD MOHAMED (SUDAN)

ABRAHA HAILU (ETHIOPIA)

EMMY OKELLO (UGANDA)

AHMED SULIMAN (SUDAN)

MARTIN COWIE (UNITED KINGDOM)

AHMED KHASHAVA (UAE/EGYPT)

ROBERT MVUNGI (TANZANIA)

ETIENNE AMENDEEZO (RWANDA)

THOMAS ALEXANDER (INDIA)

STEVE KOPECKY (USA) SHAKIR

LAKHANI (PAKISTAN) GIANLUCA

PONTONE (ITALY) BONGANI

MAYOSI (SOUTH AFRICA) PETER

KISENGE (TANZANIA)

JAMES KAYIMA (UGANDA)

NASEER NAUMAN (PAKISTAN)

NASHWA AHAMED (SUDAN)

NICK OSSEI-GERNING (GHANA)

ROHIT SHELATKAR (UNITED KINGDOM)

ALEMAYEHU BEKELE (ETHIOPIA)

YAGOUB MUSA (SUDAN)

JOSE ROBERTO DOS SANTOS (ANGOLA)

FAC

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Y THOMAS LUESCHER

BERNARD GERSH

JEROEN BAX

CHRIS GRANGER

HABIB GAMRA

SAAD SUBAHI

DAVID KETTLES

AWAD MOHAMED

ABRAHA HAILU

EMMY OKELLO

AHMED SULIMAN

AHMED KHASHAVA

ROBERT MVUNGI

ETIENNE AMENDEEZO

MAXINE ANYANGO

AISHA EDWARDS

NABIL CHAUDRY

DOUGLAS WAKIIHURI

GIANLUCA PONTONE

BONGANI MAYOSI

ANTHONY GIKONYO

DANIEL GIKONYO

ANDERS BARASA

PETER KISENGE

JAMES KAYIMA

ALICE MUTHONI

HASHAM VARWANI

FIROZ ALIBHOY

VINESH VAGHELA

OMONDI OGADA

ERIC NJENGA

ONYE ACHILIU

BENJAMIN WACHIRA

NASEER NAUMAN

WILSON SUGUT

THOMAS ALEXANDER

DAVID SILVERSTEIN

SWALEH MISFAR

LOIS WAGANA

MZEE NGUNGA

HARUN OTIENO

MOHAMED JEILAN

ELIJAH OGOLA

FRED BUKACHI

RAVI SHARMA

KIRTIDA ACHARYA

GERALD YONGA

CHARLES KARIUKI

MOHAMED SALIM

STEVE KOPECKY

SHAKIR LAKHANI

FELIX BARASA

MARTIN COWIE

VICTORIA RUBADIRI

AHMED KALEBI

DAVID MAINA

AMIRA EAPEN

NICK OSSEI-GERNING

SALEEM BAGHA

NADEEM SHEIKH

NIHAD HABIB

CONSTANTINE AKWANALO

ROHIT SHELATKAR

ALEMAYEHU BEKELE

WILSON SUGUT

AWAD MOHAMED

VITALIS BWIRE

TITUS NGENO

NTONJIRI MUTHONI

YAGOUB MUSA