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Prevention, Diagnosis, and Management of Radiation Associated Cardiac Disease: JACC Scientific Expert Panel (JACC August 2019-2)
Description

Radiation-associated cardiac disease (RACD) is a heterogeneous disease carrying a high morbidity and mortality burden, manifesting decades following prior chest radiation exposure. Coordinated management by an experienced team of providers is strongly advocated. Timing of surgical intervention must be individualized, based on the complexity of the disease, comorbidities, and technical difficulty. Percutaneous options are increasingly available, although their use and suitability in RACD is evolving. Multimodality imaging-based screening protocols are crucial to adequately identify those at risk and plan therapeutic procedures. The future should involve developing radiotherapy treatment protocols that minimize the chances of developing RACD.

Editors

Editor-in-Chief
Valentin Fuster, MD, PhD, MACC

CME Editor
Ragavendra R. Baliga, MD

Authors
Milind Y. Desai, MD

CME Information

Target Audience

JACC Journal CME/MOC/ECME is intended for physicians who treat patients with cardiovascular disease.

Important Dates

Date of Release: August 12, 2019
Term of Approval/Date of CME/MOC/ECME Expiration: August 11, 2020

Learner Objectives

After reading this article the reader should be able to:

  • Discuss the state-of-the-art diagnostic techniques for detection of radiation-associated cardiac disease.
  • Discuss the current management strategies of treating patients with established radiation-associated cardiac disease.
  • Discuss current radio-oncologic strategies to reduce radiation dose and minimize chances of future development of radiation-associated cardiac disease.

Method of Participation and Claiming Credit
This ACC JACC Journals CME/MOC/ECME activity includes the reading of an article published in one of the JACC journals and the successful completion of self-assessment questions.  

Requesting AMA PRA Category 1 CME Credit™ and/or MOC, or ECME credit for this Activity
To request credit, you must:

  1. Read the article for which you wish to receive credit.
  2. Answer the self-assessment questions. You need to have achieved a passing score of 70% or better in order for the Evaluation link to become activated. If you did not achieve a passing score, please click on the Posttest link in the left navigation bar and retake the exam.
  3. After you complete the Evaluation, click on the Claim Credit button in the left navigation bar.
  4. For CME credit, enter the total amount of time you actually spent in the activity in the box provided. Please note that you may only claim once for this activity. Click Claim.
  5. For MOC credit, click the Claim button in the row for MOC. Please note that you may only claim once for this activity. Confirm your ABIM number and date of birth.
  6. For ECME credit, click the Claim button in the row for EMCE. Please note that you may only claim once for this activity. Enter date of birth and click Submit.
  7. The page will be updated with the date and time that you claimed your credit.
  8. To view your credit, or to print a certificate, please go to ACC.org and navigate to the My Transcript section of My ACC.

This CME/MOC/ECME-certified activity may contain links to other educational resources such as clinical trial summaries, journal articles, guidelines, etc., that may not be CME/MOC/ECME certified. Please note that clicking on the links provided to view these resources will open new windows, which are outside of this CME/MOC/ECME-certified activity.

Summary
Availability: On-Demand
Cost: FREE
Credit Offered: 1 CME Credit
1 ECME Credit
1 MOC Credit
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