This is a self-assessment CME activity in online format consisting of 30 multiple-choice questions. Each question includes an answer rationale and references for further studying. This module is updated every 3 years. It is designed for practitioners who are performing nuclear imaging studies and want to increase their competence for certification, recertification or general practice improvement. This Part 1 module will focus on high-risk features, image interpretation and heart failure.

This activity is designed for nuclear cardiology physicians.

Upon completion of this module, the learner will be able to:

• Explain high-risk features on stress testing with myocardial perfusion imaging  
• Recognize artifacts and incidental findings on myocardial perfusion imaging  
• Identify the role of nuclear cardiac imaging in patients with heart failure
• Explain the value and limitations of myocardial perfusion imaging in patients presenting with acute chest pain  
• Identify the role of myocardial perfusion imaging in stable ischemic heart disease

The overall goal of this module is to increase learners’ knowledge and competence in their ability to improve cardiovascular outcomes.

An estimated 80 Million American adults (approximately 1 in 3) have 1 or more types of cardiovascular disease (CVD) with over 30 Million estimated to be under 60 years of age. According to the Centers for Disease Control “Heart Disease Fact Sheet”, in 2006 heart disease was the leading cause of death for both men and women and a total of 26%—or more than one in every four—of all deaths were caused by heart disease. Further, in the United States, one person has a heart attack every 34 seconds and one person dies from a heart disease-related event every minute.

Evaluation Deadlines: AMA PRA Category 1 Credits™ and MOC = December 31, 2027

The American Society of Nuclear Cardiology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American Society of Nuclear Cardiology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Physicians: The American Society of Nuclear Cardiology designates this Enduring Material activity for a maximum of 10 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. ABIM Maintenance of Certification Recognition Statement Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 10 medical knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program.

Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. To receive 10 MOC points for participating in this activity, you must be a diplomate of the American Board of Internal Medicine (ABIM) and you must have an ABIM account. If you have not yet established an online account, you will need to visit the ABIM at www.abim.org, or contact ABIM via phone by calling: 1-800-441-ABIM or 215-446-3590. Mon - Fri 8:30 a.m. - 8:00 p.m. ET, Sat 9:00 a.m. - 12:00 p.m. ET

As an accredited provider of the Accreditation Council for Continuing Medical Education (ACCME), The American Society of Nuclear Cardiology (ASNC) adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. In compliance with these standards, it is ASNC’s policy to ensure balance, independence, objectivity, and scientific merit of all its educational activities through the disclosure of all relationships with ineligible companies and mitigation of conflicts of interest. The financial interest or relationships requiring disclosure are outlined in ASNC’s CME Conflict of Interest Policy. All persons who influenced the content of this activity are required to disclose all relationships. The American Society of Nuclear Cardiology has reviewed these disclosures and resolved or managed all identified conflicts of interest through a peer review process.

The following activity planners reported the following relationships:
Mouaz Al-Mallah, MD, MSc, MASNC: Research Grants - Siemens; GE Healthcare; Consultant - Jubilant; Pfizer; Phillips
Mahmoud Al Rifai, MD, MPH, FASNC: Nothing to disclose
Fadi Hage, MD, MASNC: Grant support – AstraZeneca, Idorsia, Kowa Research Institute
Matthew Harinstein, MD, MPH, FASNC: Nothing to disclose
Wendy Passerell (staff): Nothing to disclose

The following author(s) who were involved in the development of this activity reported the following relationships:
Ahmed Abuzaid, MD: Non branded echocardiography lecture – BMS
Cigdem Akincioglu, MD: Research grant – Pfizer; Honorarium – CANM
Rahma Doudeen, MD: Nothing to disclose
Yoshito Kadoya, MD: Speaker – Abbott Medical Japan
William Morgan, MD: Nothing to disclose
Brittany Weber, MD: Consultant/Advisory Board – NovoNordisk, Kinsika, Horizon, BMS

The following reviewer(s) who were involved in the development of this activity reported the following relationships:
Aiden Abidov, MD: Nothing to disclose
Richard Weinberg, MD: Nothing to disclose

Release Date: January 1, 2025
Expiration Date: December 31, 2027

This activity has no commercial support.

This online activity consists of a total of 30 questions. In order to receive a statement of credit, you must read and answer all questions. In order to be eligible for CME credits and/or MOC points, you must answer 70% of the questions correctly. After successfully completing the activity and evaluation form, users will be able to generate a CME certificate.

Estimated time to complete the activity is about 10 hours, after reflecting on the answers, explanations, objectives and references.

The American Society of Nuclear Cardiology
9302 Lee Highway, Suite 1210
Fairfax, Virginia 22031
Phone: 703-459-2555 | FAX: 301-215-7113 | Email: info@asnc.org