Activity 4: Case Studies in ACS

CME certification of this program has expired. The program is still available for viewing, but is no longer eligible for CME credit.

Program Overview

Following an acute coronary event, many patients (and their physicians) find the mandated list of secondary prevention measures daunting. Complicated long-term medication regimens and dramatic adjustments to lifestyle (including changes in diet and activity level) can be overwhelming to patients. By adopting and advocating evidence-based practices, family physicians can facilitate implementation of and adherence to secondary prevention strategies in their post-ACS patients.

In Case Studies in ACS, four video case presentations are used to demonstrate how evidence-based secondary prevention recommendations can be applied in clinical practice and how to address the challenges family physicians often encounter in managing ACS. Knowledge and concepts reviewed in the previous three activities in this series will be applied.

Intended Audience

This continuing medical education program is intended for family physicians and other primary care providers who care for patients with acute coronary syndrome (ACS).

Learning Objectives

After completing this activity, family physicians will be better able to:

  • Apply evidence-based treatment recommendations across the ACS continuum of care
  • Communicate with patients concerning their ACS risk, presentation of ACS and importance of compliance with recommended treatment
  • Appreciate the benefits of including cardiac rehabilitation in the management plan for post-ACS patients
  • Recognize the importance of effectively managing comorbid illnesses such as diabetes and depression in post-ACS patients in order to achieve optimal outcomes
  • Address major barriers and challenges to effective management of ACS


Rebecca Gladu, MD, FAAFP
Associate Professor, Baylor College of Medicine
Associate Director, Family Medicine Residency
San Jacinto Methodist Hospital
Baytown, TX

Isaac Goldberg, MD
Clinical Assistant Professor, Department of Family and Community Medicine
Baylor College of Medicine
Family Practice Physician
San Jacinto Methodist Hospital
Baytown, TX

Clare A. Hawkins, MD, MSc, FAAFP
Associate Professor, Baylor College of Medicine
Director, Family Medicine Residency
San Jacinto Methodist Hospital
Baytown, TX

Planning Committee

Sharon K. Duffy, RN, MS, CRRN
Manager, Integrative Medicine
Madonna ProActive Health & Fitness
Lincoln, NE

Kim A. Eagle, MD, MACC
Albion Walter Hewlett Professor of Internal Medicine
Director, Cardiovascular Center
University of Michigan Health System
Ann Arbor, MI

Clare A. Hawkins, MD, MSc, FAAFP- Chair
Associate Professor, Baylor College of Medicine
Family Medicine Residency Director
San Jacinto Methodist Hospital
Baytown, TX

Jasen W. Gundersen, MD, MBA, SFHM
Inpatient Clinical Services Chief
Division Chief, Hospital Medicine
UMass Memorial Medical Center
Clinical Associate Professor of Medicine and Family & Community Health
UMass Medical School
Worcester, MA

CME Accreditation

This enduring material activity, Case Studies in ACS (#4 in ACS Series), has been reviewed and is acceptable for up to 1 Prescribed credit(s) by the American Academy of Family Physicians. This activity conforms to the AAFP criteria for evidence-based CME clinical content. AAFP accreditation begins December 15, 2010. Term of approval is for 2 year(s) from this date with the option of yearly renewal.

The Evidence-Based CME clinical content designated for this activity was based on practice recommendations that were the most current with the strongest level of evidence available at the time this activity was approved. Since some clinical research is ongoing, the American Academy of Family Physicians recommends that learners verify sources and review these and other recommendations prior to implementation into practice.

The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Academy of Family Physicians designates this Enduring material for a maximum of 1 AMA PRA Category 1 credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Introduction and Opening Remarks

Module 1: 75-year-old Woman 2 Years Post MI

Module 2: 65-year-old Man 2 Years Post MI

Module 3: 89-year-old Woman 5 Years Post MI

Module 4: 64-year-old Woman 2 Years Post MI

Closing Remarks


It is the policy of the AAFP that all CME planning committee/faculty/authors/editors/staff disclose relationships with commercial entities upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflict of interests and, if identified, they are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.

The AAFP and MedEd Architects, LLC staffs have indicated that they have no relationships to disclose relating to the subject matter of the activity. Drs. Gladu and Goldberg returned disclosure forms indicating that they have no financial interest in or affiliation with any commercial supporter or providers of any commercial services discussed in this educational material. Dr. Hawkins returned a disclosure form indicating that he assisted Boehringer Ingelheim with manuscript preparation and validation for a chronic obstructive pulmonary disease (COPD) screener.


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