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Official account representing the ACC's #JACCJournals , one of the most widely read & most impactful CV journal programs in the world. @ACCinTouch #JACC

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@JACCJournals
JACC Journals
4 days
Incoming #JACC Editor-in-Chief Dr. @hmkyale shares his vision, strategy, & goals for the journal. He welcomes authors & readers to join JACC & be part of the change, improvement, & elevation of CV health & outcomes globally. #Cardiology #CardioX
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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
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New ACC/AHA/HFSA clinical guideline provides patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with #HeartFailure . Get the details in #JACC : #ClinicalGuidelines #HFrEF #CardioTwitter
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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
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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
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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 .
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A first-in-human clinical trial of minimally invasive transapical beating-heart septal myectomy for HCM! See the details: #JACC #cvHCM #LVOT #CardioTwitter
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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
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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
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Are you up to date on understanding pulmonary hypertension in #HFpEF and #HFrEF ? Brush up with #JACC : #cvPH
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#Clopidogrel monotherapy following 1-month #DAPT is associated with numerically lower rate of composite CV outcomes and significantly ⬇️ CV events compared with #aspirin monotherapy following 12-month DAPT. #JACC #PCI #STOPDAPT2 @HirotWatanabeMD
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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
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Step-by-step distal radial artery access technique with videos in #JACCINT : . #anatomyclass #snuffbox #RadialFirst
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#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.
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Focal atrial tachycardia from the right atrial appendage is often misdiagnosed as sinus tach. This #ECG shows negative & notched p waves in leads V1-V2 compared to sinus. #ECGChallenge #JACCCaseReports #CardioTwitter @GordonHo_EP @VivekReddyMD @Albouaini
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Management of electrical storm: beta-blockade, sedation, antiarrhythmics and more! See the latest in this week’s #JACC review: #ACCCriticalCare #EPeeps #CardioTwitter
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Left bundle branch vs biventricular pacing as the initial implant strategy for cardiac resynchronization therapy! Spoiler: Less #HeartFailure hospitalization with #LBBAP ! #JACCCEP #EPeeps #epCRT #CardioTwitter @jcdiaz1234 @paulzei @CarlosMatosMD
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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:
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#JACCCaseReports #DaVinci corner: Anatomy and physiology of intrinsic cardiac autonomic nervous system. Learn more or listen to the podcast here: #OpenAccess #CardioTwitter #MedTwitter @MDTolgaAksu @DrAJRestrepo @jacabreracardio @Dr_Santangeli
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#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
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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
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#Clopidogrel monotherapy was assoc w/ better thrombotic & bleeding outcomes than #aspirin monotherapy, regardless of clinical risk & relative ischemia/bleeding risk in pts undergoing #PCI & 6-18 months of DAPT w/out clinical events. #JACC #HOSTEXAM
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LBBAP significantly reduced primary outcome of death or #heartfailure hospitalization compared to biventricular pacing in a large observational study of 1,778 patients. #JACC #LVEF #CardioTwitter @hisdoc1 @kennethellenbo1 @jerin3590 @Mishalmumtaz_
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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
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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
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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
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ICYMI: #JACCCEP reports on one more algorithm for wide complex #tachycardia . The Basel algorithm is special because it is simple, and it uses clinical information. #EPeeps #CardioTwitter #ECG #EKG #cvEP
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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
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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
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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
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The new epidemic: ATTR Cardiac #Amyloidosis : Current and Emerging Treatment Strategies Follow/share this #JACCCardioOnc #Tweetorial ! 🧵 1/
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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
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#JACCINT Video of transcatheter laceration of aortic leaflets to prevent coronary obstruction during #TAVR : #BASILICA @nih_nhlbi @emoryhealthcare
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Pragmatic guidance for treating #HFpEF . Great algorithmic figures for diagnosis and management. #JACCHF #CardioTwitter @akshaydesaimd @lamcardio
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A 32 y/o ♂️ w/ PMH of unprovoked PE and #STEMI ➡️ heterozygous prothrombin mutation (G20210A) ➡️ on #DOAC ➡️ presented w/ exertional dyspnea ➡️ #whyCMR : 2 LV thrombi ➡️ surgical thrombectomy + vitamin K antagonist. #JACCCaseReports #CardioTwitter
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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
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#JACCCaseReports #MondayQuiz A 70-year-old Japanese man was admitted with worsening #dyspnea . What would you do next? Vote below & stay tuned for the answer this Wed., 10/6! #CardioTwitter #CMR #cardiooncology #CardioOnc
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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:
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#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
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We're excited to announce Dr. @BiykemB from @bcmhouston as the next editor-in-chief of #JACCHF , beginning July 2022. Read more about her accomplishments & plans to build on the legacy of current EiC Dr. @coconnormd : #JACCJournals #CardioTwitter
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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
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(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 .
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Take a deep dive into acute aortic syndromes and see how experts are diagnosing, treating, and preventing this high mortality entity: #JACC #AorticDisease #AortaEd #CardioTwitter @keaglemd
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No IV access? No problem. New calcium-channel blocker nasal spray effective in converting patients from SVT to sinus rhythm. #JACC
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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
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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
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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
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Do you understand right ventricle dysfunction? Brush up in this #JACC State-of-the-Art Review:
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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
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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
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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 :
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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
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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 .
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Oral #PCSK9i study suggests >60% sustained LDL reduction. Are you ready to switch from injectables? 🤔 #JACC #ASCVD #PCSK9 #CardioTwitter
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A 79 y/o female presented with acute #HeartFailure and new onset #AFib . TTE followed by TEE showed the markedly thickened atrial wall. #whyCMR and biopsy ➡️ giant cell #myocarditis with lone atrial involvement. #JACCCaseReports #CardioTwitter #OpenAccess
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How do you manage patients with worsening #HFrEF ? This review by @SJGreene_md , @JavedButler1 and team provides the latest evidence-based guidance for the medical management of this high-risk population. #JACC #CardioTwitter @ShelleyZieroth @DCRINews
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An interesting case of left anterior descending coronary artery pseudoaneurysms managed percutaneously with covered stents! #JACCINT #PCI @Pooh_Velagapudi
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3 years
Keep it simple in coronary #bifurcation ? In provisional stenting of coronary bifurcations, 5-year outcomes after simple crossover stenting vs side-branch opening were similar. #Korea #JACCAsia #ACCIntl #CardioTwitter #OpenAccess #cvMI
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#JACCCaseReports Clinical Quiz: A 22-year old Caucasian male presented with chest pain, nausea and loss of appetite. Subsequently, he suffered an acute renal injury, and was in respiratory failure type I. @jgrapsa @estefaniaos @MinnowWalsh @DavidFischman
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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
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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
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#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
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Earlier the better! Instituting #ECMO support early (shock to ECMO time <0.9 h) in patients with refractory cardiogenic shock was associated with lower mortality. #JACCINT #CS #CardioTwitter #MedTwitter
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#JACCCaseReports proudly welcomes Rafael Vidal-Pérez, MD, PhD ( @rafavidalperez ) as social media director.
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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
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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
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Novel technique of sequential deployment of covered stent and vascular plug effectively treats THV-related PVL - "Tootsie Roll" technique. #JACCINT #TMVR #THV #PVL
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#ESCCongress #JACC SimPub: Patients with longer-standing #HFrEF had worse clinical status and a higher rate of events, but the benefit of #eplerenone was consistent regardless of HFrEF duration. #HeartFailure #GDMT #CardioTwitter
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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.
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#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:
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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
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#JACCCaseReports #ECGChallenge : A young patient under general anesthesia for hemorrhagic #stroke develops the following #ECG . 👇 What do you think the Dx is & what would would you do next? #MedTwitter #STElevation #PRIS #STEMI @khaldountarakji @HafizaKMD
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Mechanical circulatory support devices may improve the management of post-MI ventricular septal rupture, but their peculiar interactions must be carefully examined. #JACCINT #VSR #MCS #cvAMI #CardioTwitter #MedTwitter
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#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
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For cardiogenic shock patients, novel criteria based on severity of hypotension, degree of hypoperfusion, and treatment intensity can identify those at risk for early mortality. #JACC #cvAMI #HeartFailure #CardiogenicSchock #CardioTwitter @NavinKapur4
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Patients w/ elevated triglycerides at ⬆️ risk for #ASCVD have the greatest risk of recurrent ASCVD events. @ACCinTouch just released clinical guidance on ASCVD risk reduction in patients w/ persistent #hypertriglyceridemia : #CardioTwitter #MedTwitter
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In asymptomatic patients, high-grade PVCs during recovery from exercise were associated w/ cardiovascular mortality, whereas those during exercise do not. #JACC #PVC #CVD #lipoprotein #SportsCardio @DrMarwanRefaat @SamiaMoraMD @CharbelGharios6 @rblument1
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Remember your PV loops? New insights into #Takotsubo syndrome hemodynamics may cast light on new therapeutic targets! #JACC #CardioTwitter @t_stiermaier @IngoEitel
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*** #JACCCEP State-of-the-Art Review *** @HRSonline President @AndrewKrahnMD , @HeartsinRhythm , & team provide a contemporary overview of the latent causes of cardiac arrest w/ practical recommendations for diagnosis & treatment. #EPeeps #CardioTwitter
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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
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How much do you know about the Ross procedure? Don’t miss this week’s State-of-the-Art Review in #JACC : . @IHamamsy @DLBHATTMD
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Coronary atherosclerotic plaque phenotypes associated w/ intracoronary hemodynamics. Learn more in this multinational #JACCIMG #cvCAD study utilizing #YesCCT , OCT, FFR, & pullback pressure gradients: #Atherosclerosis @MizukamiTakuya @ColletCarlos @DMunhoz
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#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.
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A 40-year-old female patient with eczema history presents with #heartfailure . What is the likely diagnosis? @NLAltmanMD et al. present their findings in #JACCCaseReports .
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Check out this practical guidance on the management of #HeartFailure -related #CardiogenicShock for your daily practice, now in #JACCHF : #CardioTwitter @Nikhil15 @vbluml @NavinKapur4 @BiykemB @NirUrielMD
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While #fluoroquinolone use is associated w/ risk of aortic dissection & #aneurysm , less is known about adverse events in patients already diagnosed w/ these conditions. Retrospective analysis of 30K+ in #JACC . #CardioTwitter #MedTwitter
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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:
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JACC Journals
24 days
#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
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JACC Journals
10 months
#SGLT2 inhibitors do it again? Data from Drs. @husam247 , @dineshpmcc1 , et al suggest SGLT2is may reduce the rate of #HeartFailure hospitalization after #anthracycline -containing #chemotherapy . #JACCCardioOnc #CardioOnc #SGLT2i #CVD #CardioTwitter
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JACC Journals
8 months
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
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JACC Journals
3 years
Ahead of EMPEROR-Preserved, in a new #JACCHF state-of-the-art review, Dr. Milton Packer differentiates pathophysiological mechanisms that drive #HFpEF vs. #HFrEF in #diabetes .
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JACC Journals
1 year
🆕 ACC/AHA #ClinicalGuidelines provides guidance for clinicians on the Dx, genetic evaluation & family screening, medical therapy, endovascular & surgical Tx, & long-term surveillance of patients w/ #AorticDisease . Get the details in #JACC : #AortaEd
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JACC Journals
6 years
Amid the busy #ESCCongress , take a minute to review the new Universal Definition of MI, released today by @ACCinTouch @American_Heart @escardio @worldheartfed . Published in #JACC :
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JACC Journals
3 years
Where is the coronary artery? This state-of-the-art review provides an overview of procedural considerations, catheter selection, and angiographic views of anomalous coronary arteries in the #cathlab . #JACCINT #CardioTwitter @HashimHayder @ron_waksman
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JACC Journals
1 year
#Dapagliflozin is safe and improves outcomes irrespective of baseline NT-proBNP concentrations in #HFmrEF or #HFpEF , with the greatest absolute benefit likely seen in patients with higher NT-proBNP concentrations. #JACCHF #DELIVER #SGLT2i #CardioTwitter
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JACC Journals
8 months
In #HFrEF , adding mineralocorticoid antagonists was always beneficial, and most beneficial the longer patients used them, a new #JACC study suggests: #CardioTwitter @UoGHeartFailure @PSJhund
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