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Evaluation ViewAttendees 94
Hot Topic Symposia

Cardiology

Neonatology

Neurology
Session Type: Hot Topic Symposia

The Heart and Brain Unite: Their Interconnections in Neonatal Hypoxic Ischemic Encephalopathy

Sunday, May 5, 2024
11:00 AM – 12:30 PM ET
Location: Metro Toronto Convention Centre: 206 BD
CE: Live CME: 1.5

Selected By: NBS
Co-sponsored By: CNS, Neonatal
Disclosure(s):
Audrey Hebert, MD, FRCPC: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Mireille Guillot, MD, MSc, FRCPC: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Session

Description: Neonatal hypoxic ischemic encephalopathy (HIE) is a serious birth complication affecting term infants that remains an important cause of mortality and adverse neurodevelopmental outcomes. Neonatal HIE is frequently associated with cardiovascular dysfunction and pulmonary hypertension, which might be further impacted by therapeutic hypothermia. While there is a body of research on hemodynamic management and brain protection in these neonates, they are often looked at separately. Recent evidence has demonstrated a strong relationship between right ventricular dysfunction in neonates with HIE and both brain injury and adverse neurodevelopmental outcome at 2 years; yet, the approach to care is inconsistent. This session will explore the relationship between the brain and the heart in the setting of neonatal HIE, specifically focusing on physiopathology, the importance of hemodynamics monitoring, precision-based care and promising novel therapies.
This session is a tribute to the work of the late Dr Regan Giesinger who was a pioneer in research on the hemodynamic impact of HIE.

Learning Objectives:

  • Upon completion, participants will be able to describe the physiopathology of the brain and cardiovascular injury in HIE and the modulator effects of therapeutic hypothermia
  • Upon completion, participants will be able to review enhanced neurological and cardiovascular monitoring and management of neonatal HIE
  • Upon completion, participants will be able to recognize the long-term impact of HIE on neurodevelopment and cardiovascular health

Presentations:

  • 11:00 AM – 11:15 AM ET
    Physiopathology of the cardiovascular and brain injury in HIE and the impact of therapeutic hypothermia and rewarming

    Speaker: Audrey Hebert, MD, FRCPC (she/her/hers) – CHU de Quebec - Universite Laval

  • 11:15 AM – 11:30 AM ET
    Special hemodynamic considerations in HIE: how optimizing cardiovascular management can impact the brain

    Speaker: Patrick J. McNamara, MB, BCH, BAO, DCH, MSc (Paeds), MRCP, MRCPCH, FASE – University of Iowa Stead Family Children's Hospital

  • 11:30 AM – 11:45 AM ET
    Multimodal brain and cardiovascular monitoring in HIE

    Speaker: Zachary A. Vesoulis, MD, MSCI – Washington University in St. Louis School of Medicine

  • 11:45 AM – 12:00 PM ET
    Brain and heart: experimental treatment modalities in HIE

    Speaker: Pia Wintermark, MD – McGill University Faculty of Medicine and Health Sciences

  • 12:00 PM – 12:15 PM ET
    Optimizing long term neurological and cardiovascular health after HIE

    Speaker: Mireille Guillot, MD, MSc, FRCPC (she/her/hers) – Faculty of Medicine Université Laval