This educational activity is certified by the American College of Cardiology Foundation
Pre-TAVR Testing: Patient Presents with Dyspnea on Exertion
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Thura T. Harfi, MD, MPH

Scott M. Lilly, MD, PhD, FACC


Shawn A. Gregory Sr., MD, FACC

Brian D. Hoit, MD, FACC



The overall goal of this CME certified, online activity is to improve your competence in choosing the optimal pre-TAVR testing schema and imaging modalities. This case was created in response to 2016 ACC Expert Consensus Decision Pathway for Transcatheter Aortic Valve Replacement in the Management of Adults with Aortic Stenosis.


The American College of Cardiology Foundation (ACCF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The ACCF designates this enduring material for a maximum of up to .25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

While offering CME credits noted above, this program is not intended to provide extensive training or certification in the field.

Target Audience

This activity is intended for cardiovascular physicians, adult physicians, and surgeons.

Important Dates

Date of Release: April 10, 2017

Term of Approval/Date of CME Expiration: April 10, 2018

Learner Objectives

After completing the activity, the learner will be better able to:

  • Discuss the standard testing that precedes the transcatheter aortic valve replacement (TAVR) procedure.
  • Describe the role of cardiac computed tomography (CT) for TAVR planning.
  • Identify alternatives to cardiac CT for patients with advanced renal disease.
  • Recognize which pre-TAVR testing is appropriate to be performed locally, and which should occur at the implanting center.

Method of Participation and Claiming Credit

ACCF Case Vignettes feature case information and questions. To be eligible for credit, you must attain a score of 70% or better on the questions included in the activity.

Requesting AMA PRA Category 1 CME Credit™ for this Activity
To request credit, you must:

  1. Read all text and view all tables and/or figures in the case for which you wish to receive credit.
  2. Answer the questions in each case for which you wish to claim credit. After you have answered all the questions, click on the Exam Summary button. A Claim Credit button will appear on this page if you have achieved a passing score of 70% or better. If you did not achieve a passing score, please click the Reset Scores link and retake the exam.
  3. Click the Claim Credit button and answer the evaluation questions in the pop-up window.
  4. 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 each module in this activity. Click Submit.
  5. You will receive a message that your request has been submitted and a link to view your certificate. You may view and download the certificate when you receive the message, you may also view it at any time in the My Transcript section of My ACC.