Official account representing the ACC's
#JACCJournals
, one of the most widely read & most impactful CV journal programs in the world.
@ACCinTouch
#JACC
The newest
@American_Heart
/
@ACCinTouch
clinical guideline, in collaboration with 7️⃣ other societies, provides updated recommendations for perioperative CV management of patients undergoing noncardiac surgery.
Read the guideline in
#JACC
:
In a recent study in 442 athletes, mean age 61 yrs, aortic root enlargement by z-score present in 24% of participants w/ elite competitor status found to be an independent predictor of aortic growth.
📎
#AorticDisease
guideline:
#ACCAthleticHeart
#JACC
We're pleased to announce Dr. Harlan M. Krumholz, a globally esteemed cardiologist and researcher, as the incoming editor-in-chief of
#JACC
!
Join us in celebrating his appointment and learn more about his incredible contributions to the field:
@hmkyale
The new 2023 ACC/AHA/ACCP/HRS
#AFib
Guideline-at-a-Glance highlights the new classification system of AF, which identifies AF as a disease continuum that requires a variety of strategies at different stages. Learn more:
#ClinicalGuidelines
#CardioTwitter
Have you ever heard of rotational vertebrobasilar occlusion? Also known as Bow Hunter's Syndrome, it is a rare cause of posterior circulation ischemia. See how Dr. Niya Mileva and colleagues stented a patient w/ this condition in
#JACCCaseReports
.
A first-in-human clinical trial of minimally invasive transapical beating-heart septal myectomy for HCM! See the details:
#JACC
#cvHCM
#LVOT
#CardioTwitter
Benefits of
#SGLT2
inhibitors have been revolutionary. How do they compare across different patient populations?
In this
#JACC
meta-analysis, authors highlight the benefits of
#SGLT2i
across pts w/
#heartfailure
,
#T2D
mellitus, &
#CKD
w/ striking results
Angiography made easy? Read on to find out how CTCA can be used to find optimal fluoroscopic viewing angles of coronary ostia and bifurcations.
#JACCINT
Time to Tx high
#CAC
as aggressively as post-heart attack? CAC of ≥300 in asymptomatic ppl confers the same risk as post-MI survivors (eg secondary prevention) in
#CONFIRM
. Use of CAC may guide the intensity of preventive approaches more broadly.
#JACCIMG
#JACCCEP
review suggests much of what's been categorized as JT could well be AVNRT or infra-atrial re-entrant tachycardias. In rare reports of both AV/VA dissociation during narrow QRS tachycardia, mechanisms were likely re-entrant in upper septal HPS.
New
#JACC
State-Of-The-Art Review: Angina with nonobstructive coronary arteries (
#ANOCA
) is an increasingly recognized entity among the
#Cardiology
community.
In Part 1 of this review, the authors define and discuss Dx in this important disease process:
Ever wonder why some people with
#AFib
, tachycardias, and PVCs develop arrhythmia-induced
#cardiomyopathy
and others don’t? See some of the insights behind this disease in this week's
#JACC
state-of-the-art review:
@PShoureshi
#JACCIMG
detailed right ventricular (RV) anatomy review for procedure guidance: high-resolution RV images & videos show the 5 RV attachments to the aortoventricular unit, septal “safe zone,” and other key aspects.
#CardioTwitter
#cvImaging
New
#JACCHF
state-of-the-art review provides a comprehensive approach to the use of invasive hemodynamic assessments in patients supported with LVADs.
#LVAD
#HeartFailure
@FilioBillia
Reentrant tachycardias involving concealed nodoventricular or fasciculoventricular pathways are rare. This
#JACCCEP
case series presents a structured approach for the diagnosis and management of these unusual
#tachycardias
.
#EPeeps
#CardioTwitter
Discover a wealth of resources on managing aortic disease! Dive into our guideline hub for an interactive tool, top 10 take-home messages, and more.
Explore here:
#AorticDisease
#NYCVS23
Decisions regarding antithrombotic therapy in pts undergoing interventional or
#cvEP
procedures have become a crucial part of best practices.
Expert group provides a practical guide for peri-procedural antithrombotic mgmt across
#Cardiology
.
#JACC
Beta blockers work in patients w/ obstructive hypertrophic cardiomyopathy! A crossover study of treatment w/
#metoprolol
in 29 patients showed ⬇️
#LVOT
gradients, ⬇️ symptom burden & ⬆️ quality of life compared to placebo.
#JACC
#cvHCM
#QoL
#CardioTwitter
1/2
First U.S. Guideline in five years on Management of Blood Cholesterol is now live, with guidance on newer agents & shared decision-making: Want additional help/tools to sift through the guideline? Visit the
#JACC
hub:
@ACCinTouch
Use of multimodal imaging in genetic cardiomyopathies may allow for the identification of myocardial inflammation potentially responsive to immunomodulatory therapy.
Read the new
#JACCBTS
study by
@GiovanniPeretto
et al here:
#HeartFailure
#CardioRheum
Pts w/ aortic annulus dimensions >30mm are generally considered unsuitable for
#TAVI
due to the unavailability of large-size devices. Here's the first successful implantation of a 35mm transcatheter balloon-expandable valve for severe calcific bicuspid aortic valve stenosis
How much cardiac chamber dilatation is expected in
#athletesheart
? Reference values of biventricular size & function by CMR for athletes. RV size depends on training: .
#sportscardiology
#JACCIMG
Cardiovascular imaging for fibrosis, edema or infiltration (eg, fat, iron, amyloid, others)? A new
#JACCIMG
state-of-the-art review highlights the role of
#WhyCMR
and non-invasive imaging techniques in myocardial tissue characterization:
#JACC
Review Topic of the Week: What is the rational and data to initiate SGLT2-inhibitors as an inpatient with
#HFrEF
?
Let us know in the comments below 👇
#CardioTwitter
Atrial fibrillation &
#heartfailure
commonly occur together, & the combination is assoc. w/ a worse prognosis than either condition alone.
This
#JACC
state-of-the-art review explores the impact of
#GDMT
on
#AFib
& the impact of AF on the efficacy of GDMT
New
#JACCINT
issue is out!
Classic crush, Mini-crush, DK-crush and Nano-crush: How did the crush techniques in bifurcation
#PCI
evolve w/ time? What are the outcomes of the different crush techniques?
Read more in this state-of-the art review:
#ACCIntl
(1/10)
#JACC
#Tweetorial
: T2MI is
#cvMI
due to alterations in either myocardial oxygen supply and/or demand in the absence of acute atherothrombosis. It can occur in pts w/ normal coronaries and in obstructive/non-obstructive stable
#cvCAD
.
Among women w/ premature MIs, 39% had a history of APO. Women w/ APO history presented sooner after pregnancy but had similar MI characteristics vs those w/out APOs. Pregnancy history may identify women who warrant early, aggressive
#cvPrev
.
#JACCAdvances
Use of SGLT2-Is in patients with type 2 DM is associated with a lower risk of arrhythmia recurrence after AF ablation and thence a reduced need for cardioversion, AAD therapy, or re-do AF ablation.
#JACCCEP
#SGLT2i
#T2D
#AFib
#epAblation
@SarjuGanatraMD
Not all angina is epicardial. Go below the surface in this deep dive into the coronary microvascular evaluation via
#cvPET
and
#WhyCMR
#CVImaging
to assess microvascular blood flow quantification and dysfunction:
#JACCIMG
@ChrisKramerMD
Lower plasma ferritin levels are linked to an increased risk of heart failure & diastolic dysfunction in older adults, regardless of anemia status. Iron repletion could be key in preventing heart failure.
#JACCHF
#HeartFailure
#ARIC
#Anemia
In an analysis of REVIVED-BCIS2,
#PCI
did not improve hierarchical composite of death, HHF, & health status at 2 yrs, although did improve short-term KCCQ-OSS (not sustained). PCI should not be recommended to improve long-term health status.
#JACCHF
This
#JACC
paper presents the historical perspectives of percutaneous coronary revascularization. From the first angioplasty in 1977 to present. Read about this past, present, and future:
#CardioTwitter
#MedTwitter
#cvCABG
#cvCAD
Mechanical left ventricular unloading before coronary reperfusion is emerging as a potential approach to reduce infarct size. Data from the
#STEMI
-Door to Unload trial was analyzed to determine infarct size and mitochondrial function. Learn more w/
#JACC
:
The term “myocardial revascularization” oversimplifies the complex effects of
#PCI
and
#CABG
on the coronary circulation and obscures key mechanisms of the 2 interventions. Time to improve terminology?
#JACC
#CardioTwitter
#CAD
#MedTwitter
Happy 50th birthday, Swan-Ganz catheter! 🎈 Dr. James S. Forrester shares the insider story on how the Swan-Ganz catheter came to be in this week's
#JACC
.
An interesting case of left anterior descending coronary artery pseudoaneurysms managed percutaneously with covered stents!
#JACCINT
#PCI
@Pooh_Velagapudi
This first-of-a-kind report combining hydrodynamic testing, multimodality imaging, and histological assessment on explanted failed TAV found that functional stenosis can occur to a similar extent in the absence of leaflet calcification.
#JACCINT
#TAVR
Today in
#JACC
: An international collaborative of clinicians summarize outcomes in
#COVID19
patients with thrombotic disease who develop venous or arterial thrombosis, & of those w/ preexisting thrombotic disease at risk.
@MVMadhavanMD
#JACCCaseReports
Clinical Quiz: A 61-year-old male patient presenting with shortness of breath and chest pain and a temperature of 38.5 °C. Patient also determined to be
#COVID19
positive. What do you see in the below
#ECG
? Find out this Wed. May 13.
#EPeeps
New issue of
#JACCINT
is out!
State-of-the-art review by the ALIGN-TAVR consortium: In-depth insight of commissural alignment in
#TAVR
, including rationale, standardized definitions, technical steps, outcomes, & future directions ➡️
#vhdAS
#CardioTwitter
HFpEF is an increasingly common cause of exercise intolerance linked to
#obesity
& sedentary behavior. Despite advances in understanding of pathophysiological mechanisms, Dx, & Tx,
#HFpEF
remains under-recognized. Further research is needed!
#JACC
#SGLT2i
ICYMI: Is Sacubitril/Valsartan safe and effective in reducing risk of
#CVD
death in
#HFrEF
patients? A new
#JACCHF
state-of-the-art review looks at neprilysin inhibition five years after PARADIGM-HF. Read more:
@mvaduganathan
Mitral valve prolapse (MVP) is considered benign but a recent suggestion of an arrhythmic form raises doubt. A new
#JACC
study determined ventricular arrhythmia prevalence, severity, phenotypical context, & independent impact on outcome in patients w/ MVP.
#JACCHF
just published a special issue dedicated to the topic of
#heartfailure
and
#diabetes
.
The issue includes studies on topics such as "
#Empagliflozin
-Induced Changes in Epicardial Fat: The Centerpiece for Myocardial Protection?" Check it out here:
In
#AFib
patients with CHA2DS2-VASc scores of 0 to 2, newly diagnosed cancer is associated with an increased incidence of stroke, transient
#ischemic
attack, or systemic ATE compared with matched controls without cancer.
#JACCCardioOnc
#CardioOnc
#cvCoag
#DOACs
have revolutionized the mgmt of anticoagulation for pts as the gold standard for many disease processes. But not always
When are DOACs not the most appropriate agent? Read more in this crucial piece for providers across
#Medicine
.
#JACC
#cvCoag
Coronary microvascular dysfunction is a leading cause of adverse outcome after
#cvAMI
and it's a target for novel therapies. This is a state-of-the-art overview about pressure-wire and angiography-derived methods to assess CMD in the cath-lab.
#JACCIMG
#JACCCEP
: Are DOACs safe/effective for all BMIs? YES!
This study of >36,000 pts shows that
#DOAC
are safer & more effective than
#warfarin
across *all* BMIs, from underweight (
#BMI
<18.5) to severely obese (BMI>40), with ↓er stroke, bleeding & mortality.
#AFib
can impair ventricular function over time in up to 50% of patients.
AF-induced
#cardiomyopathy
mechanisms include systemic inflammation, oxidative and metabolic stress, cardiomyocyte calcium mishandling, & structural remodeling.
#JACCHF
@XWehrens
CTCA could be used to define the optimal fluoroscopic viewing angles of the coronary arteries to assist operators w/ coronary angiography & staged
#PCI
procedures, according to
#JACCINT
research presented during
#PCReCourse
. Learn more:
Part II of
#JACC
State-Of-The-Art Review!
The Tx of
#ANOCA
can be complex & challenging for providers across
#Cardiology
. Part 2 of this review focuses on important management considerations & research initiatives.
#CardioTwitter