FrédéricBouissetMDa?EdouardGerbaudMD, PhDb?VincentBataillePhDacPierreCosteMD, PhDbEtiennePuymiratMD, PhDdLoicBelleMD, PhDeClémentDelmasMDaGuillaumeCaylaMD, PhDfPascalMotreffMD, PhDgGillesLemesleMD, PhDhNadiaAissaouiMD, PhDiDidierBlanchardMDjFrançoisSchieleMD, PhDkTabassomeSimonMD, PhDlNicolasDanchinMD, PhDdJeanFerrièresMD, PhDaFAST-MI Investigators
doi : 10.1016/j.jacc.2021.07.039
Volume 78, Issue 13, 28 September 2021, Pages 1291-1305
The optimal management of patients with ST-segment elevation myocardial infarction (STEMI) presenting late—>12 hours following symptom onset—is still under debate.
AdnanKastratiMDabJ.J.CoughlanMB, BChaGjinNdrepepaMDa
doi : 10.1016/j.jacc.2021.08.001
Volume 78, Issue 13, 28 September 2021, Pages 1306-1308
Alexander I.PapolosMDaBenjamin B.KenigsbergMDaDavid D.BergMDbCarlos L.AlviarMDcErinBohulaMD, PhDbJames A.BurkeMD, PhDdAnthony P.CarnicelliMDeSunit-PreetChaudhryMDfStavrosDrakosMD, PhDgDaniel A.GerberMDhJianpingGuoMASbJames M.HorowitzMDcJason N.KatzMDeEllen C.KeeleyMDiThomas S.MetkusMDjJoseNativi-NicolauMDgJeffrey R.SnellMDkShashank S.SinhaMDlWayne J.TymchakMDmSeanVan DiepenMDmDavid A.MorrowMDb?Christopher F.BarnettMDa?on behalf of theCritical Care Cardiology Trials Network Investigators
doi : 10.1016/j.jacc.2021.07.044
Volume 78, Issue 13, 28 September 2021, Pages 1309-1317
Single-center studies suggest that implementation of multidisciplinary cardiogenic shock (CS) teams is associated with improved CS survival.
Perwaiz M.MerajMDaWilliam W.O’NeillMDb
doi : 10.1016/j.jacc.2021.07.041
Volume 78, Issue 13, 28 September 2021, Pages 1318-1320
James L.JanuzziJr.MDabcFaiezZannadMD, PhDdStefan D.AnkerMD, PhDeJavedButlerMD, MPHfGerasimosFilippatosMDgStuart J.PocockPhDhJoão PedroFerreiraMDiNaveedSattarMDjSubodhVermaMD, PhDkOlaVedinMD, PhDlJanetSchneeMDmTomokoIwataMScnDanCottonMScmMiltonPackerMDopEMPEROR-Reduced Trial Committees and Investigators
doi : 10.1016/j.jacc.2021.07.046
Volume 78, Issue 13, 28 September 2021, Pages 1321-1332
The relationship between the benefits of empagliflozin in heart failure with reduced ejection fraction (HFrEF) and N-terminal pro–B-type natriuretic peptide (NT-proBNP) has not been reported.
Jonathan W.CunninghamMD, MPHaPeder L.MyhreMD, PhDb
doi : 10.1016/j.jacc.2021.07.045
Volume 78, Issue 13, 28 September 2021, Pages 1333-1336
MichaelBöhmMDaStefan D.AnkerMD, PhDbJavedButlerMD, MPH, MBAcGerasimosFilippatosMDdJoão PedroFerreiraMD, PhDeStuart J.PocockPhDfFelixMahfoudMDaMartinaBrueckmannMDghWaheedJamalMDgAnne PernilleOfstadMD, PhDiElkeSchülerDipl.MathjPiotrPonikowskiMDkChristophWannerMDlFaiezZannadMD, PhDeMiltonPackerMDmnEMPEROR-Reduced Trial Committees and Investigators
doi : 10.1016/j.jacc.2021.07.049
Volume 78, Issue 13, 28 September 2021, Pages 1337-1348
Empagliflozin reduces the risk of cardiovascular death or heart failure (HF) hospitalization in patients with reduced ejection fraction. Its interplay with systolic blood pressure (SBP) is not known.
NicolasGirerdMD, PhD
doi : 10.1016/j.jacc.2021.07.050
Volume 78, Issue 13, 28 September 2021, Pages 1349-1351
Marco GiuseppeDel BuonoMDaRocco A.MontoneMD, PhDbMassimilianoCamilliMDaSalvatoreCarbonePhDcdJagatNarulaMD, PhDeCarl J.LavieMDfGiampaoloNiccoliMD, PhDgFilippoCreaMDab
doi : 10.1016/j.jacc.2021.07.042
Volume 78, Issue 13, 28 September 2021, Pages 1352-1371
Coronary microvascular dysfunction (CMD) encompasses several pathogenetic mechanisms involving coronary microcirculation and plays a major role in determining myocardial ischemia in patients with angina without obstructive coronary artery disease, as well as in several other conditions, including obstructive coronary artery disease, nonischemic cardiomyopathies, takotsubo syndrome, and heart failure, especially the phenotype associated with preserved ejection fraction. Unfortunately, despite the identified pathophysiological and prognostic role of CMD in several conditions, to date, there is no specific treatment for CMD. Due to the emerging role of CMD as common denominator in different clinical phenotypes, additional research in this area is warranted to provide personalized treatments in this “garden variety” of patients. The purpose of this review is to describe the pathophysiological mechanisms of CMD and its mechanistic and prognostic role across different cardiovascular diseases. We will also discuss diagnostic modalities and the potential therapeutic strategies resulting from recent clinical studies.
Andrew C.T.HaMD, MScabDeepak L.BhattMD, MPHcJames T.RutkaMD, PhDadS. ClaiborneJohnstonMD, PhDeC. DavidMazerMDafSubodhVermaMD, PhDaf
doi : 10.1016/j.jacc.2021.07.048
Volume 78, Issue 13, 28 September 2021, Pages 1372-1384
Dual antiplatelet therapy (DAPT) with acetylsalicylic acid and a P2Y12 inhibitor is an established therapy for a broad spectrum of patients with cardiovascular disease. The ischemic benefit of DAPT is partially offset by its increased bleeding risk, with intracranial hemorrhage (ICH) being the most serious complication. Although uncommon (0.2%-0.3% annually), its cumulative burden can be substantial given the number of patients afflicted by cardiovascular disease worldwide. Patients with a history of stroke or transient ischemic attack harbor a particularly high risk for ICH when treated with DAPT. Prediction rules may assist clinicians when weighing the risk/benefit ratio of prescribing DAPT for patients with stroke/transient ischemic attack in the nonacute, ambulatory setting. Currently, there are no reversal agents that can rapidly and effectively reverse the effect of P2Y12 inhibitors in routine practice, although a reversal agent for ticagrelor is under clinical investigation.
Randall C.ThompsonMDaTimothy M.BatemanMDaRonBlanksteinMDbMarcelo F.Di CarliMDbBobakHeydariMD, MPHcJudyHungMDdRaymond Y.KwongMD, MPHbJonathan R.LindnerMDefKoenNiemanMD, PhDgSharmilaDorbalaMD, MPHb
doi : 10.1016/j.jacc.2021.07.043
Volume 78, Issue 13, 28 September 2021, Pages 1385-1389
Ming HaoGuoMDThin XuanVoMD, MScKyraHorsthuisKenzaRahmouniMDAun-YeongChongMDDavidGlineurMD, PhDMarcRuelMD, MPH
doi : 10.1016/j.jacc.2021.07.040
Volume 78, Issue 13, 28 September 2021, Pages 1390-1391
Edward A.El-AmMDAliAhmadMDAngelaDispenzieriMDMarthaGroganMDVuyisile T.NkomoMD, MPH
doi : 10.1016/j.jacc.2021.06.051
Volume 78, Issue 13, 28 September 2021, Page e87
WaelAlqarawiMDF. DanielRamirezMD, MScDavid H.BirnieMBChB, MDMouhannad M.SadekMD
doi : 10.1016/j.jacc.2021.06.052
Volume 78, Issue 13, 28 September 2021, Pages e89-e90
AntonyLurieBMScJiaWangMScJeff S.HealeyMD, MScJorge A.WongMD, MPH
doi : 10.1016/j.jacc.2021.07.037
Volume 78, Issue 13, 28 September 2021, Pages e91-e92
Christine M.GasperettiMD
doi : 10.1016/j.jacc.2021.07.038
Volume 78, Issue 13, 28 September 2021, Pages e93-e94
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