They organized a course of excellence in cardiology without any novelty.

Think are not necessary sophisticated equipment and very innovative treatments. If we look at our patients symptoms, if we take into account the information from the diagnostic standard techniques, if discussed among experts in different areas, I am sure that we can truly help our patients, without which our work would have no raison d ’ être. ” this is the kind of excellence that is sought in this course BMV according to San Román.

Hence the importance we give to the clinical cases ” says Dr. San Román for whom theoretical exposure is only an introduction to raise a case in which we will discuss together how must proceed, in which all learn from everyone. The practice of medicine is increasingly an activity to do in Group; We all know something, nobody knows everything ”.

Dr. Alberto San Román.

This approach has determined the structure of the BMV course that will develop 7 priority thematic areas spread over two 2-hour sessions. In each sesio 2 aspects of great practical interest for its novelty or controversial nature will be raised. An expert of the highest Prestige will review the State of knowledge and will pose the clinical priorities. Arise after a specific clinical case. Then, a multidisciplinary panel of experts BMV ” will discuss the problematic clinical topic and explain the approach taking into account, not only current performance guides, but also up-to-date and real circumstances of the problem, future trends in this field and capacities and peculiarities of each media in relation to this. Finally, the session moderators will promote an active discussion with the entire audience.

The theme of this course is no stranger to the current health situation. According to San Román must do clinical care as well as possible with the lower spending for the society. Our goal is not to save without considering the consequences for patients. Our goal is to improve the quality of life of the patients with the lower possible cost ”.

So this year the BMV focuses on those aspects. One of the biggest loads for the health system are chronic diseases. The improvement in treatments has managed to decrease the mortality of patients who died before and now survive becoming chronic patients, who need attention continued by the health system. In this course we will discuss precisely on what is the best way to focus on the care of these patients: the patient with heart failure, the most common cause of hospital admissions; the patient with ischemic heart disease, the commonest cause of income in a cardiology service; Degenerative aortic stenosis, the most frequent cause of cardiac surgery in elderly patients.

Several of the themes also address efficiency from a clinical perspective: how and when to administer expensive treatments such as new antiplatelet agents; how and when to place devices such as implantable cardioverter-defibrillator only those patients that are going to benefit this or how being more efficient in the evaluation and treatment of syncope.

Topics to be addressed:

-heart disease and pregnancy: Yes, no, never, depends
-aortic stenosis and mitral insufficiency: an explosive combination
-tricuspid insufficiency: when and how to repair
-sudden death without heart disease apparent. what to do
-Syncope: guidelines are effective are also efficient?
-monitoring and treatment after an acute aortic syndrome
-coarctation of aorta in adult
-clinical and etiological diagnosis of the pericardial effusion severe
-cardiomyopathies with normal ejection fraction
-faith < 30% and TV with cardiopatito structural, two type I indications for implant Dai. should we look for effective alternatives to guidelines in clinical practice?

Clinical cases to be presented:

-pregnant woman with aortic valve bicuspid and dyspnea
-woman young with chest pain and shock
-revascularization in angina stable.
-patient with aortic stenosis and mitral insufficiency severe and high risk surgical
-woman with Dyspnea and heart normal ”
-symptomatic tricuspid insufficiency after aesthetic surgeryto valve mitral
-monomorphic ventricular tachycardia in a patient with cardiomyopathy
-syncope in a patient with congenital heart disease
-young patient with recurrent episodes of loss of consciousness in treatment with carbamazepine
patient asymptomatic intervened SAA type 1 with residual dissection
-hypertensive patient with coarctation of the aorta
-patient with cardiomegaly and dyspnea
-cardiomyopathy with late enhancement biventricular
-non-ischemic dilated cardiomyopathy