Journal of the American College of Cardiology




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Audio Summary

doi : 10.1016/S0735-1097(21)07924-9

Volume 78, Issue 22, 30 November 2021, Page e181

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Contents

doi : 10.1016/S0735-1097(21)07926-2

Volume 78, Issue 22, 30 November 2021, Pages e183-e186

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Contemporary Management of Severe Symptomatic Aortic Stenosis

MarcEugèneMDabPiotrDuchnowskiMDcBernardPrendergastMD, PhDdOlafWendlerMDeCécileLarochefJean-LucMoninMD, PhDgYannickJobicMDhBogdan A.PopescuMD, PhDiJeroen J.BaxMD, PhDjAlecVahanianMDbBernardIungMDab

doi : 10.1016/j.jacc.2021.09.864

Volume 78, Issue 22, 30 November 2021, Pages 2131-2143

There were gaps between guidelines and practice when surgery was the only treatment for aortic stenosis (AS).

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Referral for Intervention in Severe Symptomatic Aortic Stenosis: Some Progress But Further Room for Improvement?

Patrick T.O’GaraMDYee-PingSunMDSiddharth M.PatelMD

doi : 10.1016/j.jacc.2021.09.865

Volume 78, Issue 22, 30 November 2021, Pages 2144-2146

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Life Expectancy After Surgical Aortic Valve Replacement

AndreasMartinssonMD, PhDabSusanne J.NielsenPhDbcMilanMilojevicMD, PhDdeBjörnRedforsMD, PhDabElmirOmerovicMD, PhDabTheisTønnessenMD, PhDfgTomasGudbjartssonMD, PhDhiGöranDellgrenMD, PhDbcAndersJeppssonMD, PhDbc

doi : 10.1016/j.jacc.2021.09.861

Volume 78, Issue 22, 30 November 2021, Pages 2147-2157

Surgical risk, age, perceived life expectancy, and valve durability influence the choice between surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation. The contemporaneous life expectancy after SAVR, in relation to surgical risk and age, is unknown.

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Can TAVR Match the Excellent Survival After SAVR in Younger, Low-Risk Patients??

NatalieGlaserMD, PhD

doi : 10.1016/j.jacc.2021.09.860

Volume 78, Issue 22, 30 November 2021, Pages 2158-2160

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Trends in Transcatheter and Surgical Aortic Valve Replacement Among Older Adults in the United States

MakotoMoriMDab?AakritiGuptaMD, MSbc?YunWangPhDbdTorstenVahlMDcTamimNazifMDcAjay J.KirtaneMD, SMcIsaacGeorgeMDeCelina M.YongMD, MBA, MScfgOyereOnumaMD, MSchSusheelKodaliMDcArnarGeirssonMDaMartin B.LeonMDcHarlan M.KrumholzMD, SMbij

doi : 10.1016/j.jacc.2021.09.855

Volume 78, Issue 22, 30 November 2021, Pages 2161-2172

Recent trends, including survival beyond 30 days, in aortic valve replacement (AVR) following the expansion of indications for transcatheter aortic valve replacement (TAVR) are not well-understood.

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Aortic Valve Replacement and Patient-Centered Implementation: To Boldly Go Where No Device Has Gone Before?

SreekanthVemulapalliMDabcVinod H.ThouraniMDd

doi : 10.1016/j.jacc.2021.09.856

Volume 78, Issue 22, 30 November 2021, Pages 2173-2176

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Assessing Cardiac Amyloidosis Subtypes by Unsupervised Phenotype Clustering Analysis

LouisBonnefousPhDabcdMouniraKharoubiPhD (c)bcdeMélanieBézardPhD (c)bcdeSilviaOghinaMDbcdeFabienLe BrasMDbcfElsaPoullotMDbgValérieMolinier-FrenkelMD, PhDbdgPascaleFanenMD, PhDbdhJean-FrançoisDeuxMD, PhDbcdiVincentAudardMD, PhDbcdjEmmanuelIttiMD, PhDbcdkThibaudDamyMD, PhDbcdel?EtienneAudureauMD, PhDad?

doi : 10.1016/j.jacc.2021.09.858

Volume 78, Issue 22, 30 November 2021, Pages 2177-2192

Cardiac amyloidosis (CA) is a set of amyloid diseases with usually predominant cardiac symptoms, including light-chain amyloidosis (AL), hereditary variant transthyretin amyloidosis (ATTRv), and wild-type transthyretin amyloidosis (ATTRwt). CA are characterized by high heterogeneity in phenotypes leading to diagnosis delay and worsened outcomes.

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Phenotype Mapping in Cardiac Amyloidosis?

Frederick L.RubergMD

doi : 10.1016/j.jacc.2021.09.857

Volume 78, Issue 22, 30 November 2021, Pages 2193-2195

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Myocardial Bridging: Diagnosis, Functional Assessment, and Management: JACC State-of-the-Art Review

DavidSternheimMDa?David A.PowerMDa?RajeevSamtaniMDaAnapoornaKiniMDaValentinFusterMD, PhDabSaminSharmaMDa

doi : 10.1016/j.jacc.2021.09.859

Volume 78, Issue 22, 30 November 2021, Pages 2196-2212

Myocardial bridging (MB) is a congenital coronary anomaly in which a segment of the epicardial coronary artery traverses through the myocardium for a portion of its length. The muscle overlying the artery is termed a myocardial bridge, and the intramyocardial segment is referred to as a tunneled artery. MB can occur in any coronary artery, although is most commonly seen in the left anterior descending artery. Although traditionally considered benign in nature, increasing attention is being given to specific subsets of MB associated with ischemic symptomatology. The advent of contemporary functional and anatomic imaging modalities, both invasive and noninvasive, have dramatically improved our understanding of dynamic pathophysiology associated with MBs. This review provides a contemporary overview of epidemiology, pathobiology, diagnosis, functional assessment, and management of MBs.

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Hospital-Level Percutaneous Coronary Intervention Performance With Simulated Risk Avoidance

Ashwin S.NathanMD, MSabcdPratikManandharMSeDanielWojdylaPhDeAdamNelsonMBBS, PhDePaul N.FiorilliMDabcdStephenWaldoMDfghRobert W.YehMD, MScijSunil V.RaoMDekAlexander C.FanaroffMD, MHSabcPeter W.GroeneveldMD, MSbcTracy Y.WangMD, MScekJayGiriMD, MPHabce

doi : 10.1016/j.jacc.2021.09.862

Volume 78, Issue 22, 30 November 2021, Pages 2213-2217

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2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Writing Committee Members?MarthaGulatiMD, MS, FACC, FAHA(Chair)†Phillip D.LevyMD, MPH, FACC, FAHA(Vice Chair)†DebabrataMukherjeeMD, MS, FACC, FAHA(Vice Chair)†EzraAmsterdamMD, FACC†Deepak L.BhattMD, MPH, FACC, FAHA†Kim K.BirtcherMS, PharmD, AACC‡RonBlanksteinMD, FACC, MSCCT§JackBoydMD†Renee P.Bullock-PalmerMD, FACC, FAHA, FASE, FSCCT†TheresaConejoRN, BSN, FAHA?Deborah B.DiercksMD, MSc, FACC¶FedericoGentileMD, FACC#John P.GreenwoodMBChB, PhD, FSCMR, FACC??Erik P.HessMD, MSc†Steven M.HollenbergMD, FACC, FAHA, FCCP††Wael A.JaberMD, FACC, FASE‡‡HaniJneidMD, FACC, FAHA§§José A.JoglarMD, FAHA, FACC‡David A.MorrowMD, MPH, FACC, FAHA†Robert E.O’ConnorMD, MPH, FAHA†Michael A.RossMD, FACC†Leslee J.ShawPhD, FACC, FAHA, MSCCT†

doi : 10.1016/j.jacc.2021.07.052

Volume 78, Issue 22, 30 November 2021, Pages 2218-2261

This executive summary of the clinical practice guideline for the evaluation and diagnosis of chest pain provides recommendations and algorithms for clinicians to assess and diagnose chest pain in adult patients.

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2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Writing Committee Members?MarthaGulatiMD, MS, FACC, FAHA(Chair)†Phillip D.LevyMD, MPH, FACC, FAHA(Vice Chair)†DebabrataMukherjeeMD, MS, FACC, FAHA(Vice Chair)†EzraAmsterdamMD, FACC†Deepak L.BhattMD, MPH, FACC, FAHA†Kim K.BirtcherMS, PharmD, AACC‡RonBlanksteinMD, FACC, MSCCT§JackBoydMD†Renee P.Bullock-PalmerMD, FACC, FAHA, FASE, FSCCT†TheresaConejoRN, BSN, FAHA?Deborah B.DiercksMD, MSc, FACC¶FedericoGentileMD, FACC#John P.GreenwoodMBChB, PhD, FSCMR, FACC??Erik P.HessMD, MSc†Steven M.HollenbergMD, FACC, FAHA, FCCP††Wael A.JaberMD, FACC, FASE‡‡HaniJneidMD, FACC, FAHA§§José A.JoglarMD, FAHA, FACC‡David A.MorrowMD, MPH, FACC, FAHA†Robert E.O’ConnorMD, MPH, FAHA†Michael A.RossMD, FACC†Leslee J.ShawPhD, FACC, FAHA, MSCCT†

doi : 10.1016/j.jacc.2021.07.053

Volume 78, Issue 22, 30 November 2021, Pages e187-e285

This clinical practice guideline for the evaluation and diagnosis of chest pain provides recommendations and algorithms for clinicians to assess and diagnose chest pain in adult patients.

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The Evolution of the Quintuple Aim: Health Equity, Health Outcomes, and the Economy

DiptiItchhaporiaMD, FACC(President, American College of Cardiology)

doi : 10.1016/j.jacc.2021.10.018

Volume 78, Issue 22, 30 November 2021, Pages 2262-2264

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Heart Failure Biomarker Education: An Unmet Need in Cardiovascular Fellowship Training

Parul U.GandhiMDDonna M.WindishMD, MPH

doi : 10.1016/j.jacc.2021.09.863

Volume 78, Issue 22, 30 November 2021, Pages 2265-2266

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