Journal of the American College of Cardiology




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doi : 10.1016/S0735-1097(20)38224-3

Volume 77, Issue 5, 9 February 2021, Page e199

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Contents

doi : 10.1016/S0735-1097(21)00066-8

Volume 77, Issue 5, 9 February 2021, Pages e201-e204

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Rivaroxaban Plus Aspirin in Obese and Overweight Patients With Vascular Disease in the COMPASS Trial

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.

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Dual Antithrombotic Therapy Targeting Residual Risk for Atherosclerotic Cardiovascular Disease: Does Body Mass Index Matter??

KarlynMartinMD, MSaSadiya S.KhanMD, MScbc

doi : 10.1016/j.jacc.2020.12.005

Volume 77, Issue 5, 9 February 2021, Pages 526-528

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Mortality 10 Years After Percutaneous or Surgical Revascularization in Patients With Total Coronary Artery Occlusions

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.

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Are All Total Occlusions Created Equal?: Striving for Complete Revascularization While Differentiating Apples From Oranges?

Jeffrey W.MosesMDMeghaPrasadMD, MS

doi : 10.1016/j.jacc.2020.12.008

Volume 77, Issue 5, 9 February 2021, Pages 541-543

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Prospective Cohort Study of Infective Endocarditis in People Who Inject Drugs

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.

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Injection Drug Use: A Minor Criterion With Major Implications for Patients With Infective Endocarditis?

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

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Association of NT-ProBNP, Blood Pressure, and Cardiovascular Events: The ARIC Study

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.

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Natriuretic Peptides as Predictors of Cardiovascular Events and All-Cause Mortality?

Martin A.AlpertMD

doi : 10.1016/j.jacc.2020.12.006

Volume 77, Issue 5, 9 February 2021, Pages 572-574

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Local Pressure Drives Low-Density Lipoprotein Accumulation and Coronary Atherosclerosis in Hypertensive Minipigs

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.

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Systemic Arterial Hypertension: Innovative Methods to Elucidate Mechanisms of Atherosclerosis and Arterial Restructuring?

Peter H.StoneMDa

doi : 10.1016/j.jacc.2020.12.007

Volume 77, Issue 5, 9 February 2021, Pages 590-592

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Cardiovascular Impact of Nutritional Supplementation With Omega-3 Fatty Acids: JACC Focus Seminar

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.

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Coenzyme Q10 for Patients With Cardiovascular Disease: JACC Focus Seminar

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.

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Red Yeast Rice for Hypercholesterolemia: JACC Focus Seminar

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.

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2020 ACC Expert Consensus Decision Pathway for Anticoagulant and Antiplatelet Therapy in Patients With Atrial Fibrillation or Venous Thromboembolism Undergoing Percutaneous Coronary Intervention or With Atherosclerotic Cardiovascular Disease: A Report of the American College of Cardiology Solution Set Oversight Committee

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

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2020: A Year to Remember—And From Which to Learn

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

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Variation in Cardiologist Statin Prescribing by Clinic Appointment Time

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

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Physical Activity–Related Left Ventricular Trabeculation: More Uncertainty Than Ever

AndrewD’SilvaMBBS, BSc, PhD

doi : 10.1016/j.jacc.2020.11.054

Volume 77, Issue 5, 9 February 2021, Pages 662-663

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Reply: Physical Activity-Related Left Ventricular Trabeculation: More Uncertainty Than Ever

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

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Surgical Explantation of Transcatheter Aortic Bioprostheses and Concurrent Other Cardiac Procedures

ShinichiFukuharaMDChan Tran N.NguyenBA

doi : 10.1016/j.jacc.2020.10.058

Volume 77, Issue 5, 9 February 2021, Pages 665-666

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Reply: Surgical Explantation of Transcatheter Aortic Bioprostheses and Concurrent Other Cardiac Procedures

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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