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ACTHIV 2018 - How to Comply with ASCVD Guidelines and HIV Thrombosis Risk Reduction

ACTHIV 2018 - How to Comply with ASCVD Guidelines and HIV Thrombosis Risk Reduction
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ACTHIV
Original Release Date: 4/6/2018
Termination Date: 09/15/2019
Review Date: 9/15/2018

The enduring material is jointly provided by Beaumont Health, American Academy of CME, Inc., and the American Conference for the Treatment of HIV (ACTHIV).

The 12th Annual American Conference for the Treatment of HIV (ACTHIV) was held April 5-7, 2018 in Chicago, IL. The Conference was supported by the Clinical Education Initiative, New York State Department of Health, AIDS Institute, and Midwest AIDS Education & Training Center Program. The conference and this web archive were supported by educational grants from Gilead Sciences; Janssen Therapeutics, Division of Janssen Products, LP; and Merck & Co. The web archive is also supported by an educational grant from ViiV Healthcare.

ONLINE CE CREDIT:

To obtain online CE credit, please follow this link to the course post-test quiz and follow the instructions.

FACULTY:
Virginia Triant, MD, MPH Assistant Professor of Medicine at Harvard Medical School; Faculty Member in the Infectious Diseases and General Internal Medicine Divisions at Massachusetts General Hospital.

Estimated time to complete: 45 minutes

TARGET AUDIENCE
Members of the HIV care team who are frontline providers of care to persons at risk of or with HIV infection, including physicians (both specialists and primary care/family medicine), nurse practitioners, physician assistants, nurses. Physician assistants, pharmacists, case managers and other healthcare professionals.

Learning Objectives
As a result of participating in this activity, participants should be better able to:

  • Describe the current data on epidemiology and mechanism of CVD in HIV
  • Apply best practices for predicting cardiovascular risk in HIV

ACCREDITATION

Physicians:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Beaumont Health, American Academy of CME, Inc., and the American Conference for the Treatment of HIV (ACTHIV). Beaumont Health is accredited by the ACCME to provide continuing medical education for physicians.

Beaumont Health designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses and Nurse Practitioners:

American Academy of CME, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

American Academy of CME, Inc. designates this educational activity for 0.75 contact hours (0.3 pharmacotherapeutic contact hours).

Physician Assistants:

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 0.75 hours of Category I credit for completing this program.

All other participants will receive a certificate of participation.

There is no fee to participate in this activity.

HOW TO RECEIVE CREDIT

In order to obtain your certificate of credit, you must:

  • read the CME/CE information and review the full content of the activity
  • achieve a passing grade on the post-test (75% or greater), and
  • complete the evaluation.

Your certificate for the activity will be made available immediately to print online.

DISCLOSURES

According to the disclosure policy of Academy and Beaumont, all faculty, planning committee members, editors, managers and other individuals who are in a position to control content are required to disclose any relevant relationships with any commercial interests related to this activity. The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation. All educational materials are reviewed for fair balance, scientific objectivity and levels of evidence. Disclosures will be made known to the participants prior to the activity.

The opinions expressed in this educational activity are those of the faculty, and do not represent those of the Academy, Beaumont, ACTHIV or the American Nurses Credentialing Council's Commission on Accreditation. This educational activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically, and draw conclusions only after careful consideration of all available scientific information.

Off-Label Usage Disclosure

This activity contains off-label discussion.

Faculty Disclosure

Virginia Triant, MD, MPH, has indicated she has no relevant financial relationships to disclose.

Planner Disclosures

The following planners have indicated they have no relevant financial relationships to disclose: Erika Aaron, MSN, CRNP; Julie Barroso, PhD, ANP, RN, FAAN; John T. Brooks, MD; Gina Brown, MD; Maggie Chartier, PhD, MPH; Sherrillyn Crooks, PA-C; Monica Gandhi, MD, MPH; John JD Juchniewicz, MCIS, CHCP; H. Nina Kim, MD, MSc; Natalie Kirkwood, RN, BSN, JD; Harry Lampiris, MD; Sharon Lee, MD; Bill G. Kapogiannis, MD; Edward Moylan, RP; Asa E. Radix, MD, MPH; Dianne Rausch, PhD; Cheryl Smith, MD; Brooke J. Taylor, MPH, CHCP; Ronald Dean Wilcox, MD; Barbara A. Young, MSW, LCSE, LCADC, SAC.

The following planners have indicated they have relevant financial relationships to disclose:

Judith A. Aberg, MD: Advisory Board: Janssen Therapeutics, Merck & Co., ViiV Healthcare; Grant/Research Support: Bristol-Meyers Squibb, Gilead Sciences, GlaxoSmithKline, Shionogi
Roger Bedimo, MD: Advisory Board: Merck & Co, Theratechnologies, ViiV Healthcare; Grant/Research Support: Bristol-Myers Squibb, Merck & Co.
Carlos del Rio, MD: Consultant: ViiV Healthcare; Board Member: HIVMA, IAS-USA
Donna Futterman, MD: Grant/Research Research Support: Gilead Sciences
Rajesh Gandhi, MD: Consultant: EMD Serono, Theratechnologies; Educational Grant/Research Support: Gilead Sciences, Merck & Co., ViiV Healthcare
Margaret Hoffman-Terry, MD, FACP, AAHIVS: Advisory Board: Gilead Sciences, Merck & Co., ViiV Healthcare; Chair, Board of Directors: American Academy of HIV Medicine; Promotional Speaker’s Bureaus: Gilead Sciences, Merck & Co., ViiV Healthcare.
Vincent Lo Re, MD, MSCE: Grant/Research Support: AstraZeneca
Tonia Poteat, PhD, MPH, PA-C: Research Support: ViiV Healthcare
Renslow Sherer, MD: Advisory Board: Gilead Sciences
William R. Short, MD, MPH: Advisory Board: Gilead Sciences; Promotional Speakers Bureau: Janssen Therapeutics
Pablo Tebas, MD: Consultant: Gilead Sciences, Merck & Co., ViiV Healthcare
Melanie Thompson, MD: Grant Recipient/Research Support: Bristol-Myers Squibb, CytoDyn, Gilead Sciences, GlaxoSmithKline, Merck Sharp Dohme, Roche Molecular Systems, Taimed, ViiV Healthcare
Carole Treston, RN, MPH, ACRN, FAAN: Community Advisory Board: Gilead Sciences
Andrea Weddle, MSW: Speaker (public policy event): ViiV Healthcare (GSK)
Susan Ellen Weiss, FNP: Advisory Board: Gilead Sciences; Consultant: Gilead Sciences, Janssen Pharmaceuticals; Promotional Speaker’s Bureau: Gilead Sciences, Janssen Therapeutics

Privacy Policy
For more information about Beaumont's privacy policy, please access https://www.beaumont.org/patients-families/patients-rights-privacy/privacy
For more information about Academy privacy policy, please access http://www.academycme.org/privacy.htm

For CME information or credit details, contact: cme@beaumont.edu

For CNE information or credit details, contact: CEServices@academycme.org

Hardware/Software Requirements To access this activity hardware and software requirements are noted below.

Windows Requirements: • Operating system: Windows XP Service Pack 2 or later • Browser: Internet Explorer 7 or later, Mozilla Firefox 2.5 or later • Internet connection: DSL, cable modem, or other high-speed connection • Flash: Adobe Flash Player 9 or later
Macintosh Requirements: • Operating system: Mac OS X v10.3 or later • Browser: Mozilla Firefox 2.5 or later • Internet connection: DSL, cable modem, or other high-speed connection • Flash: Adobe Flash Player 9 or later

Copyright 20187. American Academy of CME, Inc., Beaumont Health, and American Conference for the Treatment of HIV.

Bibliographic Sources:

  • Triant VA et al. Cardiovascular risk prediction functions underestimate risk in HIV infection. Circulation 2018 Feb 14; [e-pub].
  • Phan BAP, et al. Utility of 2013 American College of Cardiology/American Heart Association Cholesterol Guidelines in HIV-Infected Adults With Carotid Atherosclerosis. Circ Cardiovasc Imaging. 2017 Jul;10(7).
  • Lloyd-Jones DM, et al. 2016 ACC Expert Consensus Decision Pathway on the Role of Non-Statin Therapies for LDL-Cholesterol Lowering in the Management of Atherosclerotic Cardiovascular Disease Risk: A Report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents. J Am Coll Cardiol. 2016;68(1):92-125.
  • Feinstein MJ, et al. Assessing and Refining Myocardial Infarction Risk Estimation Among Patients With Human Immunodeficiency Virus: A Study by the Centers for AIDS Research Network of Integrated Clinical Systems. Jama Cardiol. 2017;2(2):155-162.
  • Goff DC Jr, et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129(25 Suppl 2):S49-73.
  • Stone NJ, et al. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129(25 Suppl 2):S1-45.

Presenter
  • Virginia Triant, MD, MPH
    Assistant Professor of Medicine
    Harvard Medical School
Presenter Bio
Virginia Triant, MD, MPH

Virginia Triant, MD, MPH is Assistant Professor of Medicine at Harvard Medical School and a faculty member in the Infectious Diseases and General Internal Medicine Divisions at Massachusetts General Hospital. Dr. Triant earned her MD from the Yale School of Medicine. She is a practicing infectious diseases clinician in the inpatient and outpatient settings. Her research interests are in the area of clinical epidemiology/population health/outcomes and focus on the intersection between HIV and non-communicable disease complications, with a particular interest in cardiovascular disease. She developed and directs an HIV longitudinal clinical care cohort using data from a Partners HealthCare System-based data registry. Utilizing this cohort, she has led studies on HIV in relation to cardiovascular and metabolic outcomes, risk factors, prevention, risk prediction, and management. The overall goal of her research is to characterize the long-term medical complications of HIV disease to design and implement treatment and preventive strategies across diverse clinical settings.