Poll Results: Institutional Minimal Multidisciplinary Heart Team Requirements

Apr 08, 2022   |  Jesse Fitzpatrick, MD; Wayne B. Batchelor, MD, FACC; Seema Pursnani, MD, MPH, FACC; Victoria Vaughan Dickson, PhD, RN; Gwen Bernacki, MD; Ashok Krishnaswami, MBBS, MAS, FACC

Poll

The poll question revolves around the clinical scenario of man with a chronological age of 92 years with severe low gradient aortic stenosis.

Clinical Topics: Arrhythmias and Clinical EP, Cardiac Surgery, Cardiovascular Care Team, Geriatric Cardiology, Heart Failure and Cardiomyopathies, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Valvular Heart Disease, Implantable Devices, Aortic Surgery, Cardiac Surgery and Arrhythmias, Cardiac Surgery and Heart Failure, Cardiac Surgery and VHD, Acute Heart Failure, Interventions and Imaging, Interventions and Structural Heart Disease, Computed Tomography, Echocardiography/Ultrasound, Nuclear Imaging

Keywords: Aged, Aged, 80 and over, Transcatheter Aortic Valve Replacement, Aortic Valve, Anesthesiologists, Constriction, Pathologic, Coronary Vessels, Follow-Up Studies, Palliative Care, Patient Discharge, Stroke Volume, Urinary Retention, Aortic Valve Stenosis, Cardiac Catheterization, Stents, Heart Failure, Tomography, X-Ray Computed, Hospital Administrators, Renal Insufficiency, Chronic, Physician Assistants, Nurse Practitioners, Echocardiography, Emergency Service, Hospital, Referral and Consultation, Heart Block, Surveys and Questionnaires, Pacemaker, Artificial, Surgeons, Hospitals

What Matters Most Among Structural Heart Disease Experts?

Apr 06, 2022   |  Jesse Fitzpatrick, MD; Wayne B. Batchelor, MD, FACC; Seema Pursnani, MD, MPH, FACC; Victoria Vaughan Dickson, PhD, RN; Gwen Bernacki, MD; Ashok Krishnaswami, MBBS, MAS, FACC

Expert Analysis

Each author with particular expertise and members of the cardiovascular team in their respective institutions were asked to comment on what they felt was important to this case or an overall approach to patients having severe aortic stenosis who...

Clinical Topics: Cardiac Surgery, Geriatric Cardiology, Heart Failure and Cardiomyopathies, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Valvular Heart Disease, Aortic Surgery, Cardiac Surgery and Heart Failure, Cardiac Surgery and VHD, Acute Heart Failure, Interventions and Imaging, Interventions and Structural Heart Disease, Angiography, Computed Tomography, Nuclear Imaging, Sleep Apnea

Keywords: Aged, Quality of Life, Activities of Daily Living, Transcatheter Aortic Valve Replacement, Palliative Care, Frail Elderly, Patient Participation, Benchmarking, Cardiovascular Diseases, Coronary Angiography, Coronary Vessels, Decision Making, Shared, Depression, Femoral Artery, Geriatricians, Multimorbidity, Patient Preference, Personal Satisfaction, Polypharmacy, Psychosocial Support Systems, Aging, Delirium, Patient-Centered Care, Dementia, Heart Failure, Prognosis, Renal Replacement Therapy, Multimodal Imaging, Hospitalization, Risk Assessment, Aortic Valve Stenosis, Patient Care Planning, Geriatrics, Cognition, Tomography, X-Ray Computed

Poll: Institutional Minimal Multidisciplinary Heart Team Requirements

Mar 17, 2022   |  Jesse Fitzpatrick, MD; Wayne B. Batchelor, MD, FACC; Seema Pursnani, MD, MPH, FACC; Victoria Vaughan Dickson, PhD, RN; Gwen Bernacki, MD; Ashok Krishnaswami, MBBS, MAS, FACC

Poll

A 92-year-old man presents to the emergency department with 3 weeks of progressive dyspnea on exertion and orthopnea.

Clinical Topics: Arrhythmias and Clinical EP, Cardiac Surgery, Cardiovascular Care Team, Dyslipidemia, Geriatric Cardiology, Heart Failure and Cardiomyopathies, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Prevention, Valvular Heart Disease, Atherosclerotic Disease (CAD/PAD), Implantable Devices, EP Basic Science, Aortic Surgery, Cardiac Surgery and Arrhythmias, Cardiac Surgery and Heart Failure, Cardiac Surgery and VHD, Statins, Acute Heart Failure, Interventions and Coronary Artery Disease, Interventions and Imaging, Interventions and Structural Heart Disease, Interventions and Vascular Medicine, Echocardiography/Ultrasound, Hypertension, Sleep Apnea

Keywords: Aged, 80 and over, Transcatheter Aortic Valve Replacement, Activities of Daily Living, Allopurinol, Carvedilol, Creatinine, Furosemide, Lisinopril, Thyroxine, Aortic Valve, Atrioventricular Block, Stroke Volume, Accidental Falls, Anesthesiologists, Arthroplasty, Replacement, Knee, Caregivers, Coronary Artery Disease, Diabetic Foot, Frailty, Hyperlipidemias, Liver Function Tests, Physical Exertion, Polymyalgia Rheumatica, Prostatic Hyperplasia, Systolic Murmurs, Aortic Valve Stenosis, Electrocardiography, Echocardiography, Heart Failure, Hospital Administrators, Renal Insufficiency, Chronic, Emergency Service, Hospital, Natriuretic Peptides, Nurse Practitioners, Lower Extremity, Chronic Disease, Hypothyroidism, Cardiomyopathies, Osteoarthritis, Hypertension, Hemoglobins, Dyspnea, Dementia

ACC.21 Interventional Trial Take-Aways

Jun 29, 2021   |  George W. Vetrovec, MD, MACC; Mirvat A. Alasnag, MBBS, FACC; Pinak Bipin Shah, MD, FACC; Matthew William Sherwood, MD, MHS, FACC; Shea Elizabeth Hogan, MD, FACC; Ajay J. Kirtane, MD, FACC; Wayne B. Batchelor, MD, FACC

Expert Analysis

The American College of Cardiology's 70th Annual Scientific Session & Expo (ACC.21) Virtual had remarkable content and really reflected how quickly and successfully virtual technology has progressed.

Clinical Topics: Acute Coronary Syndromes, Anticoagulation Management, Arrhythmias and Clinical EP, Cardiac Surgery, Cardiovascular Care Team, Dyslipidemia, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Prevention, Stable Ischemic Heart Disease, Valvular Heart Disease, Atherosclerotic Disease (CAD/PAD), Anticoagulation Management and ACS, EP Basic Science, Aortic Surgery, Cardiac Surgery and Arrhythmias, Cardiac Surgery and SIHD, Cardiac Surgery and VHD, Lipid Metabolism, Nonstatins, Novel Agents, Statins, Interventions and ACS, Interventions and Coronary Artery Disease, Interventions and Imaging, Interventions and Structural Heart Disease, Interventions and Vascular Medicine, Angiography, Nuclear Imaging, Hypertension, Chronic Angina

Keywords: ACC21, ACC Annual Scientific Session, Transcatheter Aortic Valve Replacement, Fibrinolytic Agents, Spironolactone, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Calcium Channel Blockers, Ischemic Attack, Transient, Peripheral Arterial Disease, Aspirin, Blood Pressure, Coronary Artery Disease, Renal Artery, Aortic Valve, Diuretics, Angiotensins, Prevalence, Confidence Intervals, Standard of Care, Calcium Channels, Follow-Up Studies, Brain Ischemia, Stroke, Thrombosis, Myocardial Infarction, Hypertension, Ischemia, Embolism, Lower Extremity, Aortic Valve Stenosis, Aortic Valve Stenosis, Risk Factors, Kidney Diseases, Angiography, Drug Combinations, Hospitals, Insurance Coverage, Anticoagulants, Angiotensin Receptor Antagonists, Venous Thrombosis, Denervation, Tomography, Reference Standards, Vitamin K, Pharmaceutical Preparations, Platelet Aggregation Inhibitors, Acute Coronary Syndrome, Acute Coronary Syndrome, Percutaneous Coronary Intervention, Paclitaxel, United States Food and Drug Administration, Coronary Restenosis, Cardiac Catheterization, Genetic Testing, Genotype, Decision Making, Stents

Featured Science and Key Takeaways From TCT 2020 (Part 1)

Oct 28, 2020   |  George W. Vetrovec, MD, MACC; Mirvat A. Alasnag, MBBS, FACC; Peter C. Block, MD, FACC; Wayne B. Batchelor, MD, FACC

Expert Analysis

This two-part summary of late-breaking clinical trials from TCT 2020 is a slight departure from our usual trial summaries.

Clinical Topics: Arrhythmias and Clinical EP, Cardiac Surgery, Cardiovascular Care Team, Geriatric Cardiology, Heart Failure and Cardiomyopathies, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Stable Ischemic Heart Disease, Valvular Heart Disease, Atherosclerotic Disease (CAD/PAD), Atrial Fibrillation/Supraventricular Arrhythmias, Aortic Surgery, Cardiac Surgery and Arrhythmias, Cardiac Surgery and Heart Failure, Cardiac Surgery and SIHD, Cardiac Surgery and VHD, Acute Heart Failure, Heart Failure and Cardiac Biomarkers, Heart Transplant, Mechanical Circulatory Support, Interventions and Coronary Artery Disease, Interventions and Imaging, Interventions and Structural Heart Disease, Angiography, Echocardiography/Ultrasound, Nuclear Imaging, Chronic Angina, Mitral Regurgitation

Keywords: TCT20, Transcatheter Cardiovascular Therapeutics, Angina, Stable, Atrial Fibrillation, Cardiac Surgical Procedures, Constriction, Pathologic, Coronary Artery Bypass, Coronary Artery Disease, Drug-Eluting Stents, Fractional Flow Reserve, Myocardial, Ischemia, Myocardial Infarction, Myocardial Revascularization, Percutaneous Coronary Intervention, Quality of Life, Stroke, Thrombosis, Ultrasonography, Natriuretic Peptide, Brain, Kidney Failure, Chronic, Myocardial Revascularization, Transcatheter Cardiovascular Therapeutics, Adrenergic beta-Antagonists, Cardiac Surgical Procedures, Cardiomyopathies, Coronary Artery Bypass, Echocardiography, Geriatrics, Heart-Assist Devices, Heart Failure, Heart Transplantation, Heart Valve Diseases, Mitral Valve Insufficiency, Myocardial Infarction, Myocardial Ischemia, Natriuretic Peptide, Brain, Percutaneous Coronary Intervention, Pulmonary Disease, Chronic Obstructive, Stroke, Stroke Volume, Angina Pectoris, Angina, Stable, Angina, Unstable, Angiography, Coronary Restenosis, Drug-Eluting Stents, Myocardial Infarction, Percutaneous Coronary Intervention, Sirolimus, Stents, Thrombosis, Ultrasonography, Interventional

Aortic Valve Stenosis: Treatment Disparities in the Underserved

Nov 26, 2019   |  Wayne B. Batchelor, MD, FACC; Johny Nicolas, MD; Roxana Mehran, MD, FACC

Expert Analysis

Surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) are highly effective in treating patients with severe symptomatic aortic stenosis.

Clinical Topics: Cardiac Surgery, Cardiovascular Care Team, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Valvular Heart Disease, Aortic Surgery, Cardiac Surgery and VHD, Interventions and Imaging, Interventions and Structural Heart Disease, Angiography, Nuclear Imaging

Keywords: Angiography, Coronary Angiography, Transcatheter Aortic Valve Replacement, Aortic Valve, Cultural Competency, Life Expectancy, Quality Improvement, Dilatation, Quality of Life, Social Determinants of Health, Aortic Valve Stenosis, Heart Valve Prosthesis, Comorbidity, Physician-Patient Relations, Electronic Health Records, Primary Health Care, Decision Making, Insurance Coverage, Referral and Consultation, Health Services Accessibility, Health Personnel, Social Class, Aortic Valve Stenosis