Journal of the American College of Cardiology




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doi : 10.1016/S0735-1097(21)06177-5

Volume 78, Issue 16, 19 October 2021, Page e121

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Contents

doi : 10.1016/S0735-1097(21)06179-9

Volume 78, Issue 16, 19 October 2021, Pages e123-e126

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Modeling the Recommended Age for Initiating Coronary Artery Calcium Testing Among At-Risk Young Adults

OmarDzayeMD, MPH, PhDaAlexander C.RazaviMD, MPH, PhDabZeina A.DardariMSaLeslee J.ShawPhDcDaniel S.BermanMDdMatthew J.BudoffMDeMichael D.MiedemaMD, MPHfKhurramNasirMD, MPH, MScgAlanRozanskiMDhJohn A.RumbergerMD, PhDiCarl E.OrringerMDjSidney C.SmithJr.MDkRonBlanksteinMDlSeamus P.WheltonMD, MPHaMartin BødtkerMortensenMD, PhDamMichael J.BlahaMD, MPHa

doi : 10.1016/j.jacc.2021.08.019

Volume 78, Issue 16, 19 October 2021, Pages 1573-1583

There are currently no recommendations guiding when best to perform coronary artery calcium (CAC) scanning among young adults to identify those susceptible for developing premature atherosclerosis.

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Finding the Right Age for CAC Testing: How Low Should You Go??

Tasneem Z.NaqviMD, MMMaTamar S.PolonskyMD, MSCIb

doi : 10.1016/j.jacc.2021.08.027

Volume 78, Issue 16, 19 October 2021, Pages 1584-1586

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Prevalence and Prognostic Implications of Diabetes With Cardiomyopathy in Community-Dwelling Adults

Matthew W.SegarMD, MSabMuhammad ShahzebKhanMD, MSccKershaw V.PatelMDdJavedButlerMD, MPH, MBAeW.H. WilsonTangMDfMuthiahVaduganathanMD, MPHgCarolyn S.P.LamMB, BS, PhDhSubodhVermaMD, PhDiDarren K.McGuireMD, MHScabAmbarishPandeyMD, MSCSa

doi : 10.1016/j.jacc.2021.08.020

Volume 78, Issue 16, 19 October 2021, Pages 1587-1598

Diabetes is associated with abnormalities in cardiac remodeling and high risk of heart failure (HF).

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Diabetes With Cardiomyopathy: At the Juncture of Knowledge and Prevention?

Vanita R.ArodaMDabPam R.TaubMDcAna MariaStantonMDab

doi : 10.1016/j.jacc.2021.08.026

Volume 78, Issue 16, 19 October 2021, Pages 1599-1602

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Distinct Features of Probands With Early Repolarization and Brugada Syndromes Carrying SCN5A Pathogenic Variants

Zhong-HeZhangMDab?HectorBarajas-MartínezPhDcde?HaoXiaMD, PhDabBianLiPhDfgJohn A.CapraPhDhJeromeClatotPhDiGan-XiaoChenMDabXiuChenMDabBoYangMD, PhDabHongJiangMD, PhDabGaryTseMD, PhDjkYoshiyasuAizawaMD, PhDlMichael H.GollobMDmMelvinScheinmanMDnCharlesAntzelevitchPhDcdeDanHuMD, PhDab

doi : 10.1016/j.jacc.2021.08.024

Volume 78, Issue 16, 19 October 2021, Pages 1603-1617

Two major forms of inherited J-wave syndrome (JWS) are recognized: early repolarization syndrome (ERS) and Brugada syndrome (BrS).

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J-Wave Syndromes, SCN5A, and Cardiac Conduction Reserve: Two Sides of the Same Coin??

Elijah R.BehrMA, MBBS, MD

doi : 10.1016/j.jacc.2021.09.003

Volume 78, Issue 16, 19 October 2021, Pages 1618-1620

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Proteomics-Enabled Deep Learning Machine Algorithms Can Enhance Prediction of Mortality

MatthiasUnterhuberMDa?Karl-PatrikKresojaMDa?Karl-PhilippRommelMDaChristianBeslerMDaAndreaBaragettiPhDbNoraKlötingDr.cdUtaCeglarekDr.eMatthiasBlüherMDcdMarkusScholzDr.fgAlberico L.CatapanoPhDbHolgerThieleMDaPhilippLurzMD, PhDa

doi : 10.1016/j.jacc.2021.08.018

Volume 78, Issue 16, 19 October 2021, Pages 1621-1631

Individualized risk prediction represents a prerequisite for providing personalized medicine.

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When Natural Peptides Meet Artificial Intelligence to Improve Risk Prediction?

Jean-SébastienHulotMD, PhDabPaulCloptonMSc

doi : 10.1016/j.jacc.2021.08.043

Volume 78, Issue 16, 19 October 2021, Pages 1632-1634

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Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review

Azita H.TalasazPharmDabcParhamSadeghipourMDdMaryamAghakouchakzadehPharmDaIsaacDreyfusMDeHessamKakavandPharmDaHamidAriannejadMDbAakritiGuptaMD, MSefgMahesh V.MadhavanMD, MSefBenjamin W.Van TassellPharmDchDavidJimenezMD, PhDiManuelMonrealMD, PhDjMuthiahVaduganathanMD, MPHkJohnFanikosRPh, MBAlDave L.DixonPharmDchGregoryPiazzaMD, MSkSahil A.ParikhMDefDeepak L.BhattMD, MPHkGregory Y.H.LipMDmnGregg W.StoneMDfoHarlan M.KrumholzMD, SMgpqPeterLibbyMDkSamuel Z.GoldhaberMDkBehnoodBikdeliMD, MSfgk

doi : 10.1016/j.jacc.2021.08.021

Volume 78, Issue 16, 19 October 2021, Pages 1635-1654

Coronavirus disease-2019 (COVID-19) is associated with systemic inflammation, endothelial activation, and multiorgan manifestations. Lipid-modulating agents may be useful in treating patients with COVID-19. These agents may inhibit viral entry by lipid raft disruption or ameliorate the inflammatory response and endothelial activation. In addition, dyslipidemia with lower high-density lipoprotein cholesterol and higher triglyceride levels portend worse outcomes in patients with COVID-19. Upon a systematic search, 40 randomized controlled trials (RCTs) with lipid-modulating agents were identified, including 17 statin trials, 14 omega-3 fatty acids RCTs, 3 fibrate RCTs, 5 niacin RCTs, and 1 dalcetrapib RCT for the management or prevention of COVID-19. From these 40 RCTs, only 2 have reported preliminary results, and most others are ongoing. This paper summarizes the ongoing or completed RCTs of lipid-modulating agents in COVID-19 and the implications of these trials for patient management.

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Stress Cardiac Magnetic Resonance Myocardial Perfusion Imaging: JACC Review Topic of the Week

Amit R.PatelMDabMichaelSalernoMD, PhD, MScdeRaymond Y.KwongMD, MPHfAmitaSinghMDaBobakHeydariMDgChristopher M.KramerMDcd

doi : 10.1016/j.jacc.2021.08.022

Volume 78, Issue 16, 19 October 2021, Pages 1655-1668

Stress cardiovascular magnetic resonance imaging (CMR) is a cost-effective, noninvasive test that accurately assesses myocardial ischemia, myocardial viability, and cardiac function without the need for ionizing radiation. There is a large body of literature, including randomized controlled trials, validating its diagnostic performance, risk stratification capabilities, and ability to guide appropriate use of coronary intervention. Specifically, stress CMR has shown higher diagnostic sensitivity than single-photon emission computed tomography imaging in detecting angiographically significant coronary artery disease. Stress CMR is particularly valuable for the evaluation of patients with moderate to high pretest probability of having stable ischemic heart disease and for patients known to have challenging imaging characteristics, including women, individuals with prior revascularization, and those with left ventricular dysfunction. This paper reviews the basics principles of stress CMR, the data supporting its clinical use, the added-value of myocardial blood flow quantification, and the assessment of myocardial function and viability routinely obtained during a stress CMR study.

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Eligibility for SGLT2 Inhibitors in Heart Failure Without the Race Coefficient for Kidney Function Estimation

JananiRangaswamiMDKevin BryanLoMDMuthiahVaduganathanMD, MPHRoy O.MathewMD

doi : 10.1016/j.jacc.2021.08.025

Volume 78, Issue 16, 19 October 2021, Pages 1669-1670

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Preventing Bleeding With Direct-Acting Oral Anticoagulants

Janice B.SchwartzMDScott C.KoganMDMargaret C.FangMD, MPH

doi : 10.1016/j.jacc.2021.06.056

Volume 78, Issue 16, 19 October 2021, Page e127

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Reply: Preventing Bleeding With Direct-Acting Oral Anticoagulants

AntonioGómez-OutesMD, PhD, MSCPauAlcubillaMDRamónLecumberriMD, PhDGonzaloCalvo-RojasMD, PhDEmilioVargas-CastrillónPhD

doi : 10.1016/j.jacc.2021.07.059

Volume 78, Issue 16, 19 October 2021, Page e129

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