Dr. Valentin Fuster talks with experts about the practice-changing elements from today’s trials: Radial Artery Versus Saphenous Vein for Coronary Bypass Surgery at Long-Term Follow-Up, PRECOMBAT, E3: A Randomized Controlled Trial Evaluating the Efficacy and Safety of E-Cigarettes for Smoking Cessation (E3), and CIAO-ISCHEMIA.
A long-standing resource for busy cardiovascular professionals in need of key takeaways on top clinical trials released during Cardiology’s most relevant meetings, ACC Cardiology Hour is an expert roundtable hosted by JACC Editor-in-Chief Valentin Fuster, MD, PhD, MACC. In this installment, Dr. Fuster is joined by David H. Adams, MD, FACC; Roxana Mehran, MD, FACC; Vivek Y. Reddy, MD; and Anu Lala, MD, FACC, in trial-by-trial commentary on top Late-Breaking Clinical Trials released during ACC.20/WCC Virtual. Watch for expert perspectives and context on VICTORIA, VOYAGER PAD, POPular TAVI, PARTNER 3, PRONOMOS, SPYRAL HTN-OFF MED Pivotal, Radial Artery Versus Saphenous Vein for Coronary Bypass Surgery at Long-Term Follow-Up, PRECOMBAT, E3 and CIAO-ISCHEMIA.
Hear from Professors Xiong Lijuan and Zheng Xin of Wuhan Union Hospital's Nosocomial Infection Department on preventing nosocomial infection and avoiding clustered outbreaks in medical staff. For more COVID-19 resources and information, visit ACC's COVID-19 Hub at ACC.org/COVID19.
Hear from Dr. Shang of Wuhan Union Hospital's Department of Critical Care Medicine about care for critical patients with COVID-19, including his experience using anti-viral treatment and supportive care. Learn more and obtain additional COVID-19 resources by visiting ACC's COVID-19 Hub at ACC.org/COVID19.
Hear a case discussion led by Dr. Wang Xiaorong of Wuhan Union Hospital's Department of Respiratory and Critical Care Medicine and others about a COVID-19 patient. For more COVID-19 resources and information, visit ACC's COVID-19 Hub at ACC.org/COVID19.
Hear from Wuhan Union Hospital Nursing Department Deputy Director Luo Jian alongside Liu Minjie and Xiong Danli about nursing care for COVID-19 patients. Learn more and obtain additional resources by visiting ACC's COVID-19 Hub at ACC.org/COVID19.
Dr. Akshay Khandelwal provides an overview of Henry Ford Hospital's work to fight COVID-19 in the Detroit epicenter, including going to a block model schedule for many physicians and ensuring the entire care team – physicians, residents, fellows, and advanced practice providers – focus on their wellness to avoid burnout. Dr. Khandelwal also highlights what he wishes he'd known a month ago, such as more widespread testing, that COVID-19 can masquerade as other cardiovascular syndromes, built a virtual care platform in advance, and also, that he should have gotten a haircut. The ACC has established a COVID-19 Hub at https://www.acc.org/COVID19, which is updated daily to provide the most recent and relevant clinical guidance, clinical perspectives, and more.
Dr. Sean Pinney provides an overview of Mount Sinai Health System's efforts to combat COVID-19 in New York City, including the importance of systemic anticoagulation as "now more than ever we're beginning to realize that COVID illness is really a thrombotic disorder." He also tells us that if he'd known a month ago what he knows now, he wishes they'd organized proning teams sooner – teams of nurses and assistants who can go through the mechanics of turning over patients while on a ventilator as there are a number of technical challenges he'd never considered. The ACC has established a COVID-19 Hub at https://www.acc.org/COVID19, which is updated daily to provide the most recent and relevant clinical guidance, clinical perspectives, and more.
Dr. April Stempien-Otero provides an overview of how the University of Washington has handled the COVID-19 outbreak in Seattle over the last 41+ days, including having "doff-icers" who ensure staff safely and correctly dons and doffs their personal protective equipment. Dr. Stempien-Otero also highlights UW resources for hospital systems preparing for COVID-19 at http://covid-19.uwmedicine.org. The ACC has established a COVID-19 Hub at https://www.acc.org/COVID19, which is updated daily to provide the most recent and relevant clinical guidance, clinical perspectives, and more.
Dr. David Dudzinski provides an overview of Massachusetts General Hospital's work to fight the COVID-19 epidemic in Boston, including converting outpatient cardiovascular services to telehealth and telephone to maintain CV care while reducing the risk of viral transmissions. On the in-patient side, MGH's cardiac ICU was the first non-MICU unit to convert entirely to a COVID unit and was at capacity by March 31. The ACC has established a COVID-19 Hub at https://www.acc.org/COVID19, which is updated daily to provide the most recent and relevant clinical guidance, clinical perspectives, and more.
Editor-in-Chief Julia Grapsa, MD, Ph.D., FACC, and Dr. Santhi Adigopula speak about the mini-focus issue on valvular heart disease & structural interventions. For more info: https://casereports.onlinejacc.org
Listen to part three of the COVID-19 and Cardiovascular Disease webinar series, held on April 9, to hear a conversation between Harlan Krumholz, MD, SM, FACC; Dipti Itchhaporia, MD, FACC; and a panel of global experts on COVID-19 treatment, the trajectory of the disease’s impact, and how medical professionals can combat burnout during these challenging times. Visit ACC's COVID-19 Hub at ACC.org/COVID19 for more resources and information.
Dr. Kim Eagle provides a weekly tip for clinicians on the front lines of the COVID-19 pandemic. This week’s tip covers the joint societal Consensus Statement on the Management of AMI Patients During COVID-19. Please visit the ACC COVID-19 Hub at https://www.acc.org/covid19 for additional resources and information.
Meet Ki Park, MD, MS, FACC, a clinical assistant professor of medicine and an interventional cardiologist at the University of Florida and Malcom Randall VA Medical Center in Gainesville, FL, who focuses on women's cardiovascular health. Learn more at http://TheHeartofIt.ACC.org
Dr. Kim Eagle provides a weekly tip for clinicians on the front lines of the COVID-19 pandemic. This week's tip covers two articles appearing in Circulation Research and JAMA Cardiology focusing on ACEI/ARB use in hospitalized patients with COVID-19. Please visit the ACC COVID-19 Hub at https://www.acc.org/covid19 for additional resources and information.
As ACC Board of Trustees member Edward Fry, MD, FACC, prepares to re-open non-emergent cardiovascular services in his hospital system in Indianapolis, IN, he stresses that patients will determine when and how we resume cardiovascular services and to recognize they will be looking for a trusted hand to help them through this very tumultuous and difficult time. He believes patients are looking only for the care they need in transparent, timely, and novel ways. For more resources visit http://www.ACC.org/COVID19.
ACC President Athena Poppas, MD, FACC, talks about how her hospital system, in Providence, Rhode Island, is part of statewide planning efforts with the Department of Health and included a coordinated approach for proceduralists, surgeons, and all hospital systems with the idea they would all do this simultaneously to re-open and begin semi-elective procedures. She believes this coordinated approach is important because they have the ability to test all patients pre-op and helps ensure adequate beds, ICU capacity, PPE, and personnel. Another important piece is incorporating shared decision-making and making sure good conversations are occurring so patients understand they can come back safely and making an assessment of risk to the patient versus treatment today or delaying treatment. For more resources visit http://www.ACC.org/COVID19.
Abhinav Goyal, MD, MHS, FACC, shares the lessons Emory Healthcare is learning as they “re-open” their doors in Atlanta, GA: 1) It takes more time and planning to ramp back up than to turn off the switch; 2) In case of another COVID-19 surge, a resilience plan is needed that will allow for ramping back up their COVID capacity and ramping back down elective cases; 3) Even in the midst of "re-opening," practice safety must continue to be paramount, including the use of proper PPE for COVID patients and social distance and masking in non-COVID areas. For more resources visit http://www.ACC.org/COVID19.
ACC CardioSmart Editor-in-Chief Martha Gulati, MD, FACC, says her hospital system in Phoenix, AZ, will continue to restrict visitors from the hospital and require all patients coming for elective procedures to have advanced testing to determine if they've been exposed to COVID-19. They will also take into consideration where patients will be going after the procedure, as those going to assisted living, rehabilitation, or other short term care facilities will need additional testing before they can leave the hospital. Currently, hospital floors are separated between COVID and non-COVID floors to protect patients; staff is also separated as a way to minimize the risk to everyone. For more resources visit http://www.ACC.org/COVID19.