Clinical & Interventional Cardiology

Clinical

& Interventional

Cardiology

Endorsed by

PRELIMINARY PROGRAM

CATANIAAPRIL 18-20 ITALY

2015

President:

CATANIA APRIL 18-20 ITALY

2015

Meeting (MCM), April 18-20, 2015 in Catania (Italy).

Over 1200 participants attended our last meeting with also strong international participation

which confirmed the highest interest aroused by this biannual meeting.

An outstanding Faculty, selected between the leading experts on these fields, will provide the

highest quality teaching with new interactive programs and happenings.

Thorough multidisciplinary Courses, Symposia, Debates on Controversial Topics, Clinical Tutorials, Luncheon Panels, Focus on, Meet-the-Expert Sessions, Interactive Cases-Review from Faculty and Attendance, Televoter Sessions, Intercultural Exchanges, Abstract and Poster

Sessions the meeting will highlight the current state and the prospective developments for

the treatment of: Atrial Fibrillation, Sudden Cardiac Death, Heart Failure, Acute Coronary Syndromes, Global Cardiovascular Prevention, Arterial Hypertension, Pharmacological Therapy, Syncope, Congenital Heart Disease, Cardiac Monitoring Technologies and

Genetics.

The main target of the meeting is to give the latest update on Clinical & Interventional Cardiology and it is addressed to cardiologists, internists, first aid clinicians, physicians of general medicine, fellows, nurses and technicians with high interest in the whole management of cardiac pathologies.

Catania, as one of the most famous historical and cultural locations in the whole Mediterranean area, is the ideal setting for this meeting. It is a particularly lively and fascinating town,

rich in marvellous examples of typically Sicilian baroque style, as well as one of the main economic and educational centres in the island, and a key hub of the technological industry. This beautiful city, full of colours, perfumes and flavours, is suspended between the deep blue

of the Ionian Sea and the majestic shape of Etna volcano, which dominates the town from afar. Looking forward to seeing you in Catania, sincerely

CATANIA APRIL 18-20 ITALY

2015

ENDORSEMENT

&

AUSPICES

Endorsed by:

EHRA - European Heart Rhythm Association, a Registered Branch of the ESC

FIC - Federazione Italiana di Cardiologia WSA - World Society of Arrhythmias Under the auspices of:

AIAC - Associazione Italiana di Aritmologia e Cardiostimolazione ANCE - Associazione Italiana Cardiologi Extraospedalieri ANMCO - Associazione Nazionale Medici Cardiologi Ospedalieri ARCA - Associazioni Regionali Cardiologi Ambulatoriali AA Arrhythmia Alliance ECAS - European Cardiac Arrhythmia Society

GIEC - Gruppo Intervento Emergenze Cardiologiche GISE - Società Italiana di Cardiologia Invasiva ISE - International Society of Electrocardiology SIC - Società Italiana di Cardiologia

SIC SPORT - Società Italiana di Cardiologia dello Sport SOLAECE - Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia Scientific Committee

Angelo Auricchio (Switzerland) Gianluca Botto (Italy) Eugene Braunwald (USA) Michele Brignole (Italy) Joseph Brugada (Spain) Riccardo Cappato (Italy) Paul Casale (USA) Matteo Di Biase (Italy) Giuseppe Di Pasquale (Italy) Bulent Gorenek (Turkey) Michele M. Gulizia (Italy) Karl Heinz Kuck (Germany)

Aldo P. Maggioni (Italy) Attilio Maseri (Italy) Jay Metha (USA) Andrea Natale (USA) Ali Oto (Turkey) Eli I. Ovsyshcher (Israel) Fausto J. Pinto (Portugal) Antonio Raviele (Italy) Renato Pietro Ricci (Italy) Francesco Romeo (Italy) Massimo Santini (Italy) Marino Scherillo (Italy)

Advisory Board (provisional) Maurizio Abrignani (Italy) Gianfranco Alunni (Italy) Antonio F. Amico (Italy) Fabrizio Ammirati (Italy) Angelo Auricchio (Switzerland) Alessandro Biffi (Italy) Giuseppe Boriani (Italy) Gianluca Botto (Italy) Francesco Maria Bovenzi (Italy) Michele Brignole (Italy) Joseph Brugada (Spain) Pasquale Caldarola (Italy) Valeria Calvi (Italy) Salvatore Campione (Italy) Roberto Caporale (Italy) Riccardo Cappato (Italy) Paul Casale (USA) Giancarlo Casolo (Italy) Domenico Catanzariti (Italy) Giacomo Chiarandà (Italy) Gennaro Cice (Italy) Furio Colivicchi (Italy) Pietro Delise (Italy) Matteo Di Biase (Italy) Andrea Di Lenarda (Italy) Giuseppe Di Pasquale (Italy) Giuseppe Di Tano (Italy) Francesco Furlanello (Italy) Domenico Gabrielli (Italy) Angelo Gambera (Italy) Gianfranco Gensini (Italy) Giovanna Geraci (Italy) Franco Giada (Italy) Bulent Gorenek (Turkey) Michele M. Gulizia (Italy) Giuseppe Inama (Italy) Helmut Klein (Germany) Karl Heinz Kuck (Germany) Maurizio Eugenio Landolina (Italy)

Maurizio Lunati (Italy) Aldo Pietro Maggioni (Italy) Attilio Maseri (Italy) Anna Vittoria Mattioli (Italy) Gianfranco Mazzotta (Italy) Jay Metha (USA)

Vincenzo Montemurro (Italy) Loredana Morichelli (Italy) Ernesto Mossuti (Italy) Franco Naccarella (Italy) Federico Nardi (Italy) Andrea Natale (USA) Salvatore Novo (Italy) Ali Oto (Turkey) Eli I. Ovsyshcher (Israel) Giuseppe Palazzo (Italy) Vittorio Panno (Italy) Leonardo Patanè (Italy) Pasquale Perrone Filardi (Italy) Fausto J. Pinto (Portugal) Salvatore Pirelli (Italy) Calogero Puntrello (Italy) Antonio Raviele (Italy) Renato Pietro Ricci (Italy) Carmine Riccio (Italy) Carla Riganti (Italy) Francesco Romeo (Italy) Massimo Santini (Italy) Maurizio Santomauro (Italy) Marino Scherillo (Italy) Gianfranco Sinagra (Italy) Christian Sticherling (Switzerland) Corrado Tamburino (Italy) Pier Luigi Temporelli (Italy) Sakis Themistoclakis (Italy) Salvatore Tolaro (Italy) Giovanni Battista Zito (Italy) Massimo Zoni Berisso (Italy) Guerrino Zuin (Italy)

Allied Professionals Course Coordinators

Giuseppina Maura Francese (Italy), Angelo Gambera (Italy), Loredana Morichelli (Italy)

Updated on August 1st ₂₀₁₄ Organizing Committee Michele M. Gulizia Concetto Cacia Nunzia R. Cardillo Giuseppe Di Guardo Giuseppina Maura Francese Daniele Mangiameli Anna Portale Salvatore Raciti Natascia Savoca Silvana Anastasi Giuseppe Di Dio Giuditta Gianì Cardiology division

CATANIA APRIL 18-20 ITALY

2015

PROGRAM

AT A GLANCE

Saturday, April 18

Sat, April 18 PEGASO Room ETNA Room CALIPSO Room Timo Alto Room

7.30 - 9.00 Registration Registration Allied Professional Registration Registration

9.00 - 10.30 Electrical CardioversionMinicourse in patients treated by NAO

Interactive Minicourse Risk Stratification in Primary Prevention

Allied Professional Program

Nursing management of cardiovascular drugs

Casual Morning Meeting Management of our patients in Daily Clinical Practice: how to select

candidates to ECHO, MRI, TC 10.30 - 11.00 Exhibition Visit & Coffee Break Exhibition Visit & Coffee Break

11.00 - 12.00 Arrhythmias & DeviceFocus on

Interactive Symposium The management of the patient with

Stable CAD: the benefits of the new therapeutic approach

Allied Professional Program

Organizational aspects and management in arrhythmology -

Nursing in hemodynamic

Casual Morning Meeting “Navigating the evidence: are all NOACs the same?” 12.00 - 13.00

Controversies on

Dronedarone: Guide Lines and Therapeutic Plan, a glaring dichotomy between Clinical

Evidences and Regulatory restrictions

13.00 - 14.30 Luncheon Panel

Interactive Luncheon Panel Different therapeutical approach in

patients with NSTEMI PCI and in those with pharmacological therapy

Luncheon Panel

14.30 - 15.00 Exhibition Visit & Coffee Break

Interactive Symposium Rivaroxaban: practical experience examples and sharing clinical cases

Allied Professional Program

Update In Electrophysiology And Cardiac Pacing

15.00 - 16.30 _{Joint Symposium} ESC-EHRA

16.30 - 17.00 Plenary Lecture Allied Professional Program

Prevention of infection in cardiology and cardiac surgery

CATANIA APRIL 18-20 ITALY

2015

PROGRAM

AT A GLANCE

Sunday, April 19

Sun, April 19 PEGASO Room ETNA Room CALIPSO Room Timo Alto Room

9.00 - 10.30 Heart Failure with Preserved Minicourse Ejection Fraction: how to manage it?

Interactive Symposium Management of dyslipidemia in high cardiovascular risk patients:

two clinical cases

Allied Professional Program

NAO in nonvalvular atrial fibrillation

Exhibition Visit & Coffee Break Casual Morning Meeting Longevity, Mini-ICD, S-ICD:

the right device for every patient. What is the best

choice? 10.30 - 11.00 Exhibition Visit & Coffee Break

Allied Professional Program Joint Session:

Education as a tool to enhance the health care allied professionals -

Nurse and heart failure

11.00 - 12.30

Satellite Symposium

Getting the most out of the latest available technologies in order to optimize

daily clinical practice

Interactive Symposium Unmet needs and current practice of stroke prevention in

non valvular atrial fibrillation

Casual Morning Meeting Rivaroxaban: operating

instructions

12.30 - 13.00 M. Lecture tbd

13.00 - 14.30 SJ. Luncheon Panel tbd Interactive Luncheon Panel

14.30 - 15.00 Exhibition Visit Exhibition Visit

15.00 - 16.30

Symposium

The Use of large Registries for Quality Improvement for patients with Coronary Artery

Disease or Cardiac Arrhythmias

Interactive Symposium Novel trials and new horizons

with dabigatran: protecting patients at high risk of stroke

Allied Professional Program

Nursing care in non-invasive

ventilation Casual Afternoon Meeting_{Beyond LDL cholesterol}

control 16.30 - 17.00 Thyroid hormone treatment in heart failure: Lecture

when and how?

Lecture

A defibrillator to bring down mortality: state of the art (S-ICD)

17.00 - 17.30 _{Inflammation in atherosclerosis- do we need to treat it?} Lecture

Interactive Meet the Expert 10 Interactive Question / Answers

on Pulmonary Hypertension & Pulmonary Embolism 17.30 - 19.00 _{The Heart in Neoplastic patients}Meet the Expert

CATANIA APRIL 18-20 ITALY

2015

PROGRAM

AT A GLANCE

Monday, April 20

Mon, April 20 PEGASO Room ETNA Room CALIPSO Room Timo Alto Room

9.00 - 10.30

Minicourse TAVI and MITRACLIP: how to select the Ideal Candidate

Interactive Minicourse Pediatric Cardiology: the real

needs for daily practice

BLS-D Course physician

Casual Morning Meeting New perspectives in the prevention of thromboembolic

risk in Atrial Fibrillation 10.30 - 11.00 Exhibition Visit & Coffee Break Exhibition Visit & Coffee Break

11.00 - 12.30

Symposium

Which Antiplatelet Agent in the treatment of SCA patients?

Interactive Symposium Heart & Sport: 10 Question / Answers on Cardiac Evaluation at

Different Age and Different Sports BLS-D Course physician

12.30 - 13.30

Focus on

Chest Pain: do we still need a CP Unit or can we integrate it in Cardiology?

Lecture Changing the face of anticoagulation: 2 years of

Dabigatran in Italy

13.30 - 15.00 Luncheon Panel Interactive Luncheon Panel Lunch

15.00 - 16.30

Symposium

Endocarditis, Miocarditis, Pericarditis & surrounds: how is changed the clinical approach

to this patient

Interactive Symposium Atrial Fibrillation & Heart Failure

BLS-D Course physician

16.30 - 17.30

Focus on

ICD implanted patients: balance between Benefit & Complication

Interactive Focus On Do we need Cardiopulmonary

Test in All Heart Failure patients?

C

C

• Epidemiology and risk stratification in healthy and sick population • Expanding the target population for anti-platelet/coagulation

therapy

• Controversial issues: from clinical studies to real life • Sport and cardiac pathologies

• Nuclear cardiology in CAD and CHF patients

Acute Coronary Syndromes

• Management of STEMI and non-STEMI patient

• Evolving therapies for Acute myocardial Infarction: when PTCA, when stent?

• Hybrid myocardial revascularization • Post-ACS patient’s route

• Anti-thrombotic therapy in STEMI and NSTEMI patient • Fibrinolitics, IIb/IIIa inhibitors: a therapy beyond any expectation? • New antiplatelet drugs

• Spinal Cord Stimulation in refractory CAD: the last resource?

Global Cardiovascular Risk Prevention

• Global Cardiovascular Risk assessment and prevention

• Insulin Resistance Syndrome, type 2 Diabetes and Atherosclerosis: an explosive mixture

• Lipid-lowering therapy: do we need statins for all life long? • Role of platelets in the atherosclerosis pathogenesis • Drug interaction, gender, age and comorbidities

• Elderly and Cardiology: are all patients to be treated the same way?

• Right pharmacological therapy in fragile patient

MAIN

TOPICS

CATANIA APRIL 18-20

2015

CATANIA APRIL 18-20 ITALY

2015

MAIN

TOPICS

CliniCal arrhythmology

Atrial Fibrillation

• New insight into the electrophysiological mechanism of AF initiation and perpetuation

• The ionic bases underlying the trigger of AF

• New experimental drugs for the treatment of recurrent AF • Limitations of current guidelines for anticoagulation in AF • The prevalence and clinical significance of silent AF • Role of drug therapy in the prevention of recurrence of AF • New drugs for stroke prevention

• New oral anticoagulants • Atrial Fibrillation in children

Echocardiography

• Echocardiography in the evaluation of the induced AF-mechanical remodelling

• Evaluation of thromboembolic atrial sources

• Echo optimisation of atrial-ventricular delay in paced AF patients

• Doppler echocardiography in the management of the resynchronization in HF

Genetic Arrhythmias

Guidelines in Cardiology Heart Failure

• The interaction of AF and CHF and its clinical implications • Neurohumoral activation in CHF patients

• Latest pharmacological therapy for CHF

• The HF doctor: is there still a role for clinical cardiologists? • What lessons from the early completed trials?

• Management of hypertrophic and dilated cardiomyopathy

Hypertrophic Cardiomyopathy Non-Invasive Risk Stratification

• New non-invasive markers for risk stratification

Sudden Death

• Results of ten year experience of Cardiac AED Resuscitation programs

• Advances in the prevention of SCD with non-antiarrhythmic drugs • Home defibrillation strategy in high risk patients

Syncope

• Syncope: practical issues of diagnosis and treatment • Physical treatment of neurally-mediated syncope • Organizational models of Syncope Unit 2015

• Modern management of chest pain and unexplained palpitations • The new generation implantable loop recordersili

CATANIA APRIL 18-20 ITALY

2015

MAIN

TOPICS

• Efficacy and safety of drug therapy vs trans-catheter ablation for atrial flutter

• Pulmonary Veins anatomy variability

• Ablation of AF in Pulmonary and Non-Pulmonary Foci

• Circumferential PV isolation: morbidity, mortality, QoL and long term outcomes

• The efficacy and safety of the cryosurgical maze procedure for refractory AF

• Ablation of Atrial Flutter

ventricular arrhythmiaS

• Percutaneous trans-catheter ablation of ventricular arrhythmias • How to manage non-inducibility

• Setting anti-tachypacing algorithms after ablation

Implantable Pacing Device

• Latest indication to Cardiac Pacing • Leadless pacemaker

• Left ventricle endocardial cardiac pacing

• New Pacing, Prevention and Cardioversion algorithms • Latest pacing and ICD leads technology

• Telemedicine for the home follow-up of PM/ICD patients • New generation of implantable cardiac haemodynamic sensors • MR-conditional pacemaker systems

• Cost-effectiveness of drug/devices interaction

Heart Failure & Cardiac Resynchronization

• Hybrid therapy in CHF and AF

• The optimal candidates to biventricular pacing • Complication of biventricular pacing

• Optimizing CRT vector selection

• ICD backup in biventricular paced CHF patients need of multiples therapy in a single device

• Fluid & Congestion monitoring

Supraventricular Arrhythmias

• Drug-device interaction in the management of pacing, prevention and treatment of atrial tachyarrhythmias

• New atrial tachyarrhythmias detection algorithms

Implantable Defibrillators

• Electrical or chemical implantable atrial defibrillator: always fancy or a new tool?

• Is there a role for atrial ICD or is dual ICD enough? • New physiological ICD therapies

• Primary Prevention of Sudden Cardiac Death in different population

• Remote monitoring devices

• New MR-conditional implantable defibrillators • New generation Subcutaneous ICD

Hemodynamical & Surgical Therapies

• New surgical strategies for AF

• Surgical transepicardic approach to CRT • Role of surgery in end-stage CHF • The treatment of ischemic mitral valve

• TAVI

• MITRACLIP

B

C

n

F

• New developments in cardiac imaging

• Data-banks in cardiology: an useful tool in the follow-up • Genetics, arrhythmogenesis and cardiomyopathies

• Cellular and molecular mechanism of conduction disease and apoptosis

• Update on Guidelines in Cardiology • Late-breaking and on-going clinical trials

CATANIA APRIL 18-20 ITALY

2015

REGISTRATION

INFORMATION

Course Attendance Modalities

BLS-D COURSE PHYSICIAN

Before November 30th 2014 € 200,00* Vat 22% not included

From December 1st 2014 € 220,00* Vat 22% not included

Registration fee includes: participation to the Course, entrance to the exhibition area, BLS-D licence, coffee break, CME Certificate (for Italian participants).

Maximum 36 participants accepted on first come first served basis after the full payment of the charge. Date and timetables must be respected.

ALLIED PROFESSIONAL REGISTRATION

Registration for 1 day € 60,00* Vat 22% not included

Registration for 2 days € 100,00* Vat 22% not included

Registration fee includes: attendance to all scientific sessions including luncheon panel, entrance to the exhibition area, badge and conference kit, attendance certificate, CME certificate (if entitled to - two-day attendance is required), coffee breaks and welcome opening ceremony.

* VAT could be subjected to changes. The VAT rate will be applied depend-ing on the Italian fiscal law at the time of payment of registration.

Individual Registration

Participants are invited to register using the on-line service on the web site: mcmweb.it. Alternately, the form can be downloaded from the web site and faxed to the Organizing Secretariat. The registration will be con-firmed only if accompanied by the payment.

Group Registration

Companies have the opportunity to sponsor the registration of a group of participants by contacting the Organizing Secretariat, Adria Congrex ([email protected]). A group consists of a minimum of 10 partici-pants. Registration shall be coordinated by one identified contact person representing a pharmaceutical/product company or a travel agency.

Congress Registration Modalities

DELEGATE Before November 30th 2014 € _{550,00* Vat 22% not included}

From December 1st 2014 € 620,00* Vat 22% not included

Registration fee includes: attendance to all the scientific sessions includ-ing the luncheon panels (limited to seat availability), entrance to the exhibition area, meeting proceedings, attendance certificate, badge and congress kit, welcome opening reception and coffee breaks at the Venue, CME Certificate (for Italian participants).

CATANIA APRIL 18-20 ITALY

2015

SCIENTIFIC

INFORMATION

Abstract Submission

You can find all the instructions on the website. The presentation of an ab-stract requires the registration of at least one of the authors. The Scientific Committee will review all the submitted abstracts and the selected ones will be accepted as oral communications or posters. The abstract authors will receive notification of acceptance by February 13, 2015 together with the information regarding their presentation. All the accepted abstracts (if the presenter is regularly registered within February 27, 2015) will be printed in a book available at the time of the Congress. There will be spe-cial awards given to “THE BEST COMMUNICATIONS” selected by the Scientific Committee among accepted oral communications and posters.

Projection

PC data projection will be available in all the rooms. All projections must be worded in English only.

Luncheon Panels

The admission to the luncheon panels (limited to seat availability) is free for all the registered participants.

Attendance Certificates

Attendance certificates will be distributed to all the registered delegates at the end of the Meeting.

Program Changes

The information published in this program is correct at time of print. The Scientific Committee reserves the right to change the program at any time.

CATANIA APRIL 18-20 ITALY

2015

Sheraton Catania Hotel & Conference Center

Just few minutes from the historic center of Catania, the Sheraton Hotel offers high level of hospitality with a wide range of business and spare time facilities. The Sheraton Catania is one of the largest conference centers in eastern Sicily, with an area of 724 square meters in 6 modular meeting rooms of different sizes and acoustically isolated. All the 162 rooms and 7 suites - walking through a panoramic elevator - are characterized by colors that come into perfect harmony with the landscape of the Mediterranean area. Each room is equipped with all facilities and comforts offering the highest standards of quality and safety. The conference area, personalized

LOCATION

Catania& Congress venue

Catania is undoubtely one of the most important cities in the whole Mediterranean area, both in terms of cultural and historical point of view. It is one of the few cities in Italy that offers a variety of landscapes condensed in one site. Located on the east coast of Sicily (which represents the metropolitan area with the highest population density), Catania has ancient origins since its foundation dates back to 729 BC. During its history Catania has been a constant point of reference for the entire Mediterranean area, especially from an artistic and cultural point of view: it is here that in 1434 the oldest university of Sicily was founded. The remains of several ruins still enrich the heritage of the town and surrounding areas, despite Catania was repeatedly destroyed by violent volcanic eruptions caused by the Etna volcano (the most impressive occurred in 1669) and by devastating earthquakes (the more catastrophic one occurred in 1693). It is from this tragic event that the city and its people were able to get up in a truly unique and admirable way. A work of reconstruction with few equals in the world led to the blossoming of the famous “Sicilian Baroque” style of architecture that identifies more than any other the fantasy, the imaginative power and the passion for beauty of Catania and its inhabitants. Therefore in 2006 the splendid baroque center of Catania became a UNESCO World Heritage Site, along with seven towns of the Val di Noto, Sicily. Today, Catania is a city full of colors, scents and flavors - a lively and surprising, suspended between the magic of the blue Ionian Sea and the imposing outline of Etna volcano and often snowy, which dominates the city from above.

CATANIA APRIL 18-20 ITALY

2015

The hotel reservation form can be filled out on line on the web site: www. mcmweb.it. Alternately, the form can be downloaded from the web site and faxed to the Organizing Secretariat. It is strongly recommended to book well in advance.

Adria Congrex will make every effort to place you in the hotel category of your choice. A confirmation will be sent starting from March 2015. Please note that hotel categories and rooms are assigned on a first come first served basis.

Hotel reservation can be made by:

Sending your credit card details to be used as a guarantee. The −

total amount will be paid to the hotel at the check out.

Rates* Double room as single use Double room

5 Star Hotels *****

1) Romano Palace 146,50 183,00

4 Star Hotels ****

2) Aga Hotel 136,50 158,00

3) Grand Hotel Baia Verde 131,50 153,00

4) Liberty 110,50 153,00

5) Nettuno 131,00 165,00

6) NH Parco degli Aragonesi 110,50 137,00

7) Romano House 131,50 163,00

8) Una Hotel Palace 171,50 198,00

3 Star Hotels ***

9) Best Western Mediterraneo 100,50 112,00

Contracted hotels provisional list

* All prices include: taxes, VAT, service, continental breakfast and are per room per night.

Transfer service is not available.

HOTEL

CATANIA APRIL 18-20 ITALY

2015

SPONSORSHIP

A. Menarini

Astrazeneca

Bayer

BMS - Pfizer

Boehringer Ingelheim

Boston Scientific

Daiichi Sankyo

IBSA

Medico

Medtronic

MSD

Sanofi

St Jude Medical

ORGANIZED BY Cardiology Division “Garibaldi-Nesima” Hospital SCIENTIFIC SECRETARIAT Michele M. Gulizia Cardiology Division “Garibaldi-Nesima” Hospital Via Palermo, 636 95122 Catania, Italy Phone +39 095 7598502 Fax +39 095 7598505 e-mail: [email protected] CONGRESS VENUE

Sheraton Catania Hotel & Conference Center

ORGANIZING SECRETARIAT Adria Congrex s.r.l. Via Sassonia, 30 47922 Rimini, Italy Phone +39 0541 305811 Fax +39 0541 305842 e-mail: [email protected]

www.mcmweb.it

CATANIAAPRIL 18-20 ITALY