Tomasz J.GuzikMD, PhDabChinthanieRamasundarahettigeMSccdNanaPogosovaMD, PhDePatricioLopez-JaramilloMD, PhDfLeanneDyalBSc, MSccdScott D.BerkowitzMDgEvaMuehlhoferMD, PhDhDeepak L.BhattMD, MPHiKeith A.A.FoxMB, ChBjSalimYusufMD, DPhilcdJohn W.EikelboomMBBS, MSccd
doi : 10.1016/j.jacc.2020.11.061
Volume 77, Issue 5, 9 February 2021, Pages 511-525
Direct oral anticoagulants are administered in fixed doses irrespective of body weight, but guidelines recommend against their use in patients with extremes of body weight.
KarlynMartinMD, MSaSadiya S.KhanMD, MScbc
doi : 10.1016/j.jacc.2020.12.005
Volume 77, Issue 5, 9 February 2021, Pages 526-528
HideyukiKawashimaMDabKuniakiTakahashiMDaMasafumiOnoMDabHironoriHaraMDaRutaoWangMDbcChaoGaoMDbcFaisalSharifMD, PhDbMichael J.MackMDdDavid R.HolmesMDeMarie-ClaudeMoriceMDfStuart J.HeadMD, PhDgArie PieterKappeteinMD, PhDgDaniel J.F.M.ThuijsMDgMilanMilojevicMD, PhDghThiloNoackMDiFriedrich-WilhelmMohrMD, PhDiPiroze M.DavierwalaMDiPatrick W.SerruysMD, PhDbj…YoshinobuOnumaMD, PhDb
doi : 10.1016/j.jacc.2020.11.055
Volume 77, Issue 5, 9 February 2021, Pages 529-540
The long-term clinical benefit after percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) in patients with total occlusions (TOs) and complex coronary artery disease has not yet been clarified.
Jeffrey W.MosesMDMeghaPrasadMD, MS
doi : 10.1016/j.jacc.2020.12.008
Volume 77, Issue 5, 9 February 2021, Pages 541-543
Juan M.PericàsMD, PhD, MPHa?JaumeLlopisMD, PhDab?EugeneAthanMB, BS Honours, MPH, MDcMartaHern?ndez-MenesesMDaMargaret M.HannanMD, MRCPI, MRCPathdDavid R.MurdochMD, MSceZeinaKanafaniMD, MSfTomasFreibergerMD, PhDghJacobStrahilevitzMDiNuriaFern?ndez-HidalgoMD, MsC, PhDjCristianeLamasMRCP, PhDkEmanueleDurante-MangoniMD, PhDlPierreTattevinMD, PhDmFranciscoNacinovichMDnVivian H.ChuMD, MHSoJosé M.Mir?MD, PhDaInternational Collaboration on Endocarditis (ICE) Investigators?
doi : 10.1016/j.jacc.2020.11.062
Volume 77, Issue 5, 9 February 2021, Pages 544-555
Infective endocarditis (IE) in people who inject drugs (PWID) is an emergent public health problem.
Larry M.BaddourMDaMartin H.ThornhillMBBS, BDS, PhDbMark J.DayerMBBS, PhDc
doi : 10.1016/j.jacc.2020.11.058
Volume 77, Issue 5, 9 February 2021, Pages 556-558
AlizaHussainMDaWenshengSunMSbcAnitaDeswalMD, MPHdJames A.de LemosMDeJohn W.McEvoyMB BCh MHSfRon C.HoogeveenPhDbcKunihiroMatsushitaMD, PhDfDavidAguilarMDgBiykemBozkurtMD, PhDahSalim S.ViraniMD, PhDabhAmil M.ShahMD, MPHiElizabethSelvinPhD, MPHfChiadiNdumuleMD, PhDfChristie M.BallantyneMDabcVijayNambiMD, PhDabch
doi : 10.1016/j.jacc.2020.11.063
Volume 77, Issue 5, 9 February 2021, Pages 559-571
Although intensive blood pressure reduction has cardiovascular benefits, the absolute benefit is greater in those at higher cardiovascular disease (CVD) risk.
Martin A.AlpertMD
doi : 10.1016/j.jacc.2020.12.006
Volume 77, Issue 5, 9 February 2021, Pages 572-574
Rozh H.Al-MashhadiMD, PhDabcAhmed L.Al-MashhadiMDacZahra P.NasrMScaMartin B?dtkerMortensenMD, PhDacEsmeralda A.LewisMScdEmilioCamafeitaPhDdeKristianRavloMDaZheerAl-MashhadiMDafDaniel W.Kj?rMD, PhDgJohanPalmfeldtPhDaPeterBieMD, DMScihJesper M.JensenMD, PhDcBjarne L.N?rgaardMD, PhDcErlingFalkMD, DMSciacJes?sV?zquezPhDdeJacob F.BentzonMD, PhDacdf
doi : 10.1016/j.jacc.2020.11.059
Volume 77, Issue 5, 9 February 2021, Pages 575-589
The mechanisms by which hypertension accelerates coronary artery disease are poorly understood. Patients with hypertension often have confounding humoral changes, and to date, no experimental models have allowed analysis of the isolated effect of pressure on atherosclerosis in a setting that recapitulates the dimensions and biomechanics of human coronary arteries.
Peter H.StoneMDa
doi : 10.1016/j.jacc.2020.12.007
Volume 77, Issue 5, 9 February 2021, Pages 590-592
Richard L.WeinbergMD, PhDaRobert D.BrookMDbMelvynRubenfireMDaKim A.EagleMDa
doi : 10.1016/j.jacc.2020.11.060
Volume 77, Issue 5, 9 February 2021, Pages 593-608
Omega-3 polyunsaturated fatty acids (PUFAs) are a key component of a heart-healthy diet. For patients without clinical atherosclerotic cardiovascular disease, 2 or more servings of fatty fish per week is recommended to obtain adequate intake of omega-3 PUFAs. If this not possible, dietary supplementation with an appropriate fish oil may be reasonable. Supplementation with omega-3 PUFA capsules serves 2 distinct but overlapping roles: treatment of hypertriglyceridemia and prevention of cardiovascular events. Marine-derived omega-3 PUFAs reduce triglycerides and have pleiotropic effects including decreasing inflammation, improving plaque composition and stability, and altering cellular membranes. Clinical trial data have shown inconsistent results with omega-3 PUFAs improving cardiovascular outcomes. In this paper, the authors provide an overview of PUFAs and a summary of key clinical trial data. Recent trial data suggest the use of prescription eicosapentaenoic acid ethyl ester for atherosclerotic cardiovascular disease event reduction in selected populations.
Albert E.RaiznerMDMiguel A.Qui?onesMD
doi : 10.1016/j.jacc.2020.12.009
Volume 77, Issue 5, 9 February 2021, Pages 609-619
Coenzyme Q10 (CoQ10) is a naturally occurring compound that is found in animals and all humans. It has a fundamental role in cellular energy production. Although it is produced in the body, tissue deficiency can occur due to medications such as statins, which inhibit the mevalonate pathway. The clinical syndromes of statin-associated muscle symptoms (SAMS) and some of the features observed in patients with heart failure (HF) may be related to blood and tissue deficiency of CoQ10. Numerous clinical trials of CoQ10 in SAMS have yielded conflicting results. Yet, the weight of evidence as reflected in meta-analyses supports the use of exogenous CoQ10 in SAMS. In patients with HF, large-scale randomized clinical trials are lacking, although one relatively contemporary trial, Q-SYMBIO, suggests an adjunctive role for CoQ10. The possibility that statin-related CoQ10 deficiency may play a role in patients with diastolic HF is an intriguing hypothesis that warrants further exploration.
Arrigo F.G.CiceroMD, PhDaFedericaFogacciMDcaAlbertoZambonMD, PhDb
doi : 10.1016/j.jacc.2020.11.056
Volume 77, Issue 5, 9 February 2021, Pages 620-628
The extracts of red yeast rice (RYR) are currently the most effective cholesterol-lowering nutraceuticals. This activity is mainly due to monacolin K, a weak reversible inhibitor of 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase, whose daily consumption causes a reduction in low-density lipoprotein (LDL)-cholesterol plasma levels up to 15% to 25% within 6 to 8 weeks. The decrease in LDL-cholesterol is accompanied by a proportional decrease in total and non–high-density lipoprotein cholesterol, plasma apolipoprotein B, and high-sensitivity C-reactive protein. Some trials suggest that RYR use is associated with improvement in endothelial function and arterial stiffness, whereas a long-term study supports its role in the prevention of cardiovascular events. Despite the statin-like mechanism of action, the risk related to 3 to 10 mg monacolin K taken per day is minimal (mild myalgia in previously severely statin-intolerant subjects). RYR could represent a therapeutic tool to support lifestyle improvement in managing mild to moderate hypercholesterolemia in low-risk patients, including those who cannot be treated with statins or other LDL-cholesterol–lowering therapies.
Dharam J.KumbhaniMD, SM, FACC(Chair, Writing Committee)Christopher P.CannonMD, FACC(Vice-Chair, Writing Committee)Craig J.BeaversPharmD, FACC(Writing Committee Member)Deepak L.BhattMD, MPH, FACC(Writing Committee Member)AdamCukerMD, MS(Writing Committee Member)Ty J.GluckmanMD, FACC(Writing Committee Member)Joseph E.MarineMD, FACC(Writing Committee Member)RoxanaMehranMD, FACC(Writing Committee Member)Steven R.MesseMD(Writing Committee Member)Nimesh S.PatelMD(Writing Committee Member)Benjamin E.PetersonMD, MPH(Writing Committee Member)KennethRosenfieldMD, FACC(Writing Committee Member)Sarah A.SpinlerPharmD, AACC(Writing Committee Member)Vinod H.ThouraniMD, FACC(Writing Committee Member)
doi : 10.1016/j.jacc.2020.09.011
Volume 77, Issue 5, 9 February 2021, Pages 629-658
AthenaPoppasMD, FACC(President, American College of Cardiology)
doi : 10.1016/j.jacc.2020.12.036
Volume 77, Issue 5, 9 February 2021, Pages 659-660
Allison H.OakesPhDSrinathAdusumalliMD, MScChristopher K.SniderMPHCharles A.L.RareshideMSMitesh S.PatelMD, MBA
doi : 10.1016/j.jacc.2020.11.057
Volume 77, Issue 5, 9 February 2021, Pages 661-662
AndrewD’SilvaMBBS, BSc, PhD
doi : 10.1016/j.jacc.2020.11.054
Volume 77, Issue 5, 9 February 2021, Pages 662-663
Jose A.de la ChicaMDInésGarc?a-LunarMD, PhDBelénOlivaMScValent?nFusterMD, PhDBorjaIb??ezMD, PhD
doi : 10.1016/j.jacc.2020.12.002
Volume 77, Issue 5, 9 February 2021, Pages 663-665
ShinichiFukuharaMDChan Tran N.NguyenBA
doi : 10.1016/j.jacc.2020.10.058
Volume 77, Issue 5, 9 February 2021, Pages 665-666
Sameer A.HirjiMD, MPHTsuyoshiKanekoMD
doi : 10.1016/j.jacc.2020.12.004
Volume 77, Issue 5, 9 February 2021, Page 666
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