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1. 2023 Atrial Fibrillation Guideline-at-a-Glance

Author

Bhave, Nicole M., Aggarwal, Niti R., Bates, Katie, Bozkurt, Biykem, Erwin, John P., III, Kumbhani, Dharam J., Panjrath, Gurusher S., Winter, David E., Coylewright, Megan, Wiggins, Barbara S., Cibotti-Sun, Morgane, and Moore, Mykela M.

Published
2024
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3. 2022 ACC Expert Consensus Decision Pathway on Cardiovascular Sequelae of COVID-19 in Adults: Myocarditis and Other Myocardial Involvement, Post-Acute Sequelae of SARS-CoV-2 Infection, and Return to Play: A Report of the American College of Cardiology Solution Set Oversight Committee

Author

Gluckman, Ty J., Bhave, Nicole M., Allen, Larry A., Chung, Eugene H., Spatz, Erica S., Ammirati, Enrico, Baggish, Aaron L., Bozkurt, Biykem, Cornwell, William K., III, Harmon, Kimberly G., Kim, Jonathan H., Lala, Anuradha, Levine, Benjamin D., Martinez, Matthew W., Onuma, Oyere, Phelan, Dermot, Puntmann, Valentina O., Rajpal, Saurabh, Taub, Pam R., and Verma, Amanda K.

Published
2022
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4. Assessing trends and variability in outpatient dual testing for chronic kidney disease with urine albumin and serum creatinine, 2009–2018: a retrospective cohort study in the Veterans Health Administration System

Author

Bhave, Nicole M, primary, Han, Yun, additional, Steffick, Diane, additional, Bragg-Gresham, Jennifer, additional, Zivin, Kara, additional, Burrows, Nilka R, additional, Pavkov, Meda E, additional, Tuot, Delphine, additional, Powe, Neil R, additional, and Saran, Rajiv, additional

Published
2024
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5. Aortic Aneurysms

Author

Bhave, Nicole M., Isselbacher, Eric M., Eagle, Kim A., Toth, Peter P., Series Editor, and Cannon, Christopher P., editor

Published
2019
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6. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 appropriate use criteria for multimodality imaging in the assessment of cardiac structure and function in nonvalvular heart disease: A report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and the Society of Thoracic Surgeons

Author

Doherty, John U., Kort, Smadar, Mehran, Roxana, Schoenhagen, Paul, Soman, Prem, Dehmer, Gregory J., Bashore, Thomas M., Bhave, Nicole M., Calnon, Dennis A., Carabello, Blase, Conte, John, Dickfeld, Timm, Edmundowicz, Daniel, Ferrari, Victor A., Hall, Michael E., Ghoshhajra, Brian, Mehrotra, Praveen, Naqvi, Tasneem Z., Reece, T. Brett, Starling, Randall C., Szerlip, Molly, Tzou, Wendy S., Wong, John B., Bailey, Steven R., Brown, Alan S., Daugherty, Stacie L., Dean, Larry S., Desai, Milind Y., Duvernoy, Claire S., Gillam, Linda D., Hendel, Robert C., Kramer, Christopher M., Lindsay, Bruce D., Manning, Warren J., Patel, Manesh R., Sachdeva, Ritu, Wann, L. Samuel, Winchester, David E., and Wolk, Michael J.

Published
2019
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7. ACC/AATS/AHA/ASE/ASNC/SCAI/SCCT/STS 2017 appropriate use criteria for coronary revascularization in patients with stable ischemic heart disease: A report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and Society of Thoracic Surgeons

Author

Patel, Manesh R., Calhoon, John H., Dehmer, Gregory J., Grantham, James Aaron, Maddox, Thomas M., Maron, David J., Smith, Peter K., Wolk, Michael J., Blankenship, James C., Bove, Alfred A., Bradley, Steven M., Dean, Larry S., Duffy, Peter L., Ferguson, T. Bruce, Jr, Grover, Frederick L., Guyton, Robert A., Hlatky, Mark A., Lazar, Harold L., Rigolin, Vera H., Rose, Geoffrey A., Shemin, Richard J., Tamis-Holland, Jacqueline E., Tommaso, Carl L., Wann, L. Samuel, Wong, John B., Doherty, John U., Bailey, Steven R., Bhave, Nicole M., Brown, Alan S., Daugherty, Stacie L., Desai, Milind Y., Duvernoy, Claire S., Gillam, Linda D., Hendel, Robert C., Kramer, Christopher M., Lindsay, Bruce D., Manning, Warren J., Sachdeva, Ritu, Winchester, David E., and Allen, Joseph M.

Published
2019
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9. Positron emission tomography myocardial perfusion imaging (PET MPI) findings predictive of post-liver transplant major adverse cardiac events

Author

Hughes, Dempsey L., primary, Pan, Jason, additional, Answine, Adeline R., additional, Sonnenday, Christopher J., additional, Waits, Seth A., additional, Kumar, Sathish S., additional, Menees, Daniel S., additional, Wanamaker, Brett, additional, Bhave, Nicole M., additional, Tincopa, Monica A., additional, Fontana, Robert J., additional, and Sharma, Pratima, additional

Published
2023
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11. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for Multimodality Imaging in Valvular Heart Disease: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons

Author

Doherty, John U., Kort, Smadar, Mehran, Roxana, Schoenhagen, Paul, Soman, Prem, Dehmer, Greg J., Doherty, John U., Schoenhagen, Paul, Amin, Zahid, Bashore, Thomas M., Boyle, Andrew, Calnon, Dennis A., Carabello, Blase, Cerqueira, Manuel D., Conte, John, Desai, Milind, Edmundowicz, Daniel, Ferrari, Victor A., Ghoshhajra, Brian, Mehrotra, Praveen, Nazarian, Saman, Brett Reece, T., Tamarappoo, Balaji, Tzou, Wendy S., Wong, John B., Doherty, John U., Dehmer, Gregory J., Bailey, Steven R., Bhave, Nicole M., Brown, Alan S., Daugherty, Stacie L., Dean, Larry S., Desai, Milind Y., Duvernoy, Claire S., Gillam, Linda D., Hendel, Robert C., Kramer, Christopher M., Lindsay, Bruce D., Manning, Warren J., Mehrotra, Praveen, Patel, Manesh R., Sachdeva, Ritu, Samuel Wann, L., Winchester, David E., Wolk, Michael J., Allen, Joseph M., Rating Panel Members, and Appropriate Use Criteria Task Force

Published
2017
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16. ACC/AATS/AHA/ASE/EACTS/HVS/SCA/SCAI/SCCT/SCMR/STS 2017 Appropriate use criteria for the treatment of patients with severe aortic stenosis: A report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Valve Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons

Author

Bonow, Robert O, Brown, Alan S, Gillam, Linda D, Kapadia, Samir R, Kavinsky, Clifford J, Lindman, Brian R, Mack, Michael J, Thourani, Vinod H, Dehmer, Gregory J, Bonow, Robert O, Lindman, Brian R, Beaver, Thomas M, Bradley, Steven M, Carabello, Blase A, Desai, Milind Y, George, Isaac, Green, Philip, Holmes, David R, Jr, Johnston, Douglas, Leipsic, Jonathon, Mick, Stephanie L, Passeri, Jonathan J, Piana, Robert N, Reichek, Nathaniel, Ruiz, Carlos E, Taub, Cynthia C, Thomas, James D, Turi, Zoltan G, Doherty, John U, Dehmer, Gregory J, Bailey, Steven R, Bhave, Nicole M, Brown, Alan S, Daugherty, Stacie L, Dean, Larry S, Desai, Milind Y, Duvernoy, Claire S, Gillam, Linda D, Hendel, Robert C, Kramer, Christopher M, Lindsay, Bruce D, Manning, Warren J, Mehrotra, Praveen, Patel, Manesh R, Sachdeva, Ritu, Wann, L Samuel, Winchester, David E, and Allen, Joseph M

Published
2018
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18. Fulminant Myocarditis Following SARS-CoV-2 Infection

Author

Rajpal, Saurabh, primary, Kahwash, Rami, additional, Tong, Matthew S., additional, Paschke, Kelly, additional, Satoskar, Anjali A., additional, Foreman, Beth, additional, Allen, Larry A., additional, Bhave, Nicole M., additional, Gluckman, Ty J., additional, and Fuster, Valentin, additional

Published
2022
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19. Contributors

Author

Abbas, Amr E., primary, Abdelmoneim, Sahar S., additional, Abraham, Theodore, additional, Acquatella, Harry, additional, Adams, David B., additional, Addetia, Karima, additional, Afilalo, Jonathan, additional, Agarwal, Vikram, additional, Agmon, Yoram, additional, Ahmed, Mohamed, additional, Alviar, Carlos, additional, Anderson, Bonita, additional, Argulian, Edgar, additional, Asch, Federico M., additional, Aurigemma, Gerard P., additional, Axsom, Kelly, additional, Badano, Luigi P., additional, Balakrishnan, Revathi, additional, Banerji, Sourin, additional, Bangalore, Sripal, additional, Bansal, Manish, additional, Bartel, Thomas, additional, Baumann, Rebecca Lynn, additional, Baumgartner, Helmut, additional, Beigel, Roy, additional, Belcik, J. Todd, additional, Belohlavek, Marek, additional, Benenstein, Ricardo, additional, Berkowitz, Eric, additional, Bhave, Nicole M., additional, Biviano, Angelo, additional, Blank, Nimrod, additional, Bonow, Robert O., additional, Burstow, Darryl J., additional, Byrd, Benjamin, additional, Carerj, Scipione, additional, Carroll, John D., additional, Chadderdon, Scott, additional, Chaliki, Hari P., additional, Chan, Kwan-Leung, additional, Chaudhry, Farooq A., additional, Chidsey, Geoff, additional, Churzidse, Sofia, additional, Coll, Blai, additional, Cui, Vivian W., additional, Cusma-Picconne, Maurizio, additional, Dahou, Abdellaziz, additional, Dal-Bianco, Jacob P., additional, Daneshvar, Daniel A., additional, Daubert, Melissa A., additional, Davidoff, Ravin, additional, DeCara, Jeanne M., additional, Delgado-Montero, Antonia, additional, Dellefave-Castillo, Lisa, additional, Desai, Ankit A., additional, DeSouza, Kavit A., additional, Doherty, Bryan, additional, Donnino, Robert, additional, Douglas, Pamela S., additional, Dudzinski, David M., additional, Dulgheru, Raluca, additional, Dumesnil, Jean G., additional, Elkayam, Uri, additional, Erbel, Raimund, additional, Erenberg, Francine, additional, Evangelista, Arturo A., additional, Feinstein, Steven B., additional, Ferreira, Beatriz, additional, Foster, Elyse, additional, Freed, Benjamin H., additional, Gardin, Julius M., additional, Gill, Edward A., additional, Gillam, Linda, additional, Giovannone, Steven, additional, Goldberger, Mark, additional, Goldstein, Steven A., additional, Gorcsan, John, additional, Gorla, Riccardo, additional, Grapsa, Julia, additional, Grawe, Erin S., additional, Gruner, Christiane, additional, Gupta, Pooja, additional, Gurudevan, Swaminatha, additional, Hahn, Rebecca T., additional, Han, Yuchi, additional, Hellawell, Jennifer L., additional, Hillier, Samuel D., additional, Hoit, Brian D., additional, Humes, Richard, additional, Jagadeesan, Vikrant, additional, Jain, Sonia, additional, Janosi, Alexander, additional, Kahn, Peter A., additional, Kaul, Sanjiv, additional, Khandheria, Bijoy K., additional, Kim, Gene H., additional, Kim, Michael S., additional, Kimura, Bruce J., additional, King, Mary Etta, additional, Kireyev, Dmitry, additional, Kirkpatrick, James N., additional, Klein, Allan L., additional, Kohli, Payal, additional, Korcarz, Claudia E., additional, Kort, Smadar, additional, Kosmala, Wojciech, additional, Koulogiannis, Konstantinos, additional, Koutsogeorgis, Ilias, additional, Kremkau, Frederick W., additional, Krieger, Eric V., additional, Kronzon, Itzhak, additional, Kutnick, Richard T., additional, Lai, Wyman, additional, Lambert, Stephane, additional, Lancellotti, Patrizio, additional, Lang, Roberto M., additional, Lee, Alex Pui-Wai, additional, Lee, Ming Sum, additional, Lerakis, Stamatios, additional, Lessick, Jonathan, additional, Lester, Steven J., additional, Leung, Steve W., additional, LeVen, Florent, additional, Levine, Robert A., additional, Li, Qin, additional, Lima, Fabio, additional, Lindner, Jonathan R., additional, Lopez, Leo, additional, Magne, Julien, additional, Mahjoub, Haifa, additional, Mangion, Judy R., additional, Mankad, Sunil V., additional, Maragiannis, Dimitrios, additional, Marcoff, Leo, additional, Martin, Randolph P., additional, Marwick, Thomas H., additional, Massabuau, Pierre, additional, Mathur, Moses, additional, McCully, Robert, additional, McGee, Edwin C., additional, McNally, Elizabeth, additional, Mehta, Sudhir Ken, additional, Mendelson, Todd, additional, Mikati, Issam A., additional, Modesto, Karen, additional, Monaghan, Mark, additional, Mookadam, Farouk, additional, Moonen, Marie, additional, Mukherjee, Monica, additional, Müller, Silvana, additional, Mulvagh, Sharon L., additional, Muraru, Denisa, additional, Murtagh, Gillian, additional, Nagueh, Sherif F., additional, Naqvi, Tasneem Z., additional, Nathan, Sandeep, additional, Negishi, Kazuaki, additional, Nihoyannopoulos, Petros, additional, Nkomo, Vuyisile T., additional, Oechslin, Erwin, additional, Olson, Joan, additional, Palios, John, additional, Parikh, Gaurav, additional, Patel, Amit R., additional, Patel, Amit V., additional, Patel, Aneet, additional, Patel, Anupa, additional, Paterick, Timothy E., additional, Payvandi, Laila A., additional, Pedrizzetti, Gianni, additional, Pellikka, Patricia A., additional, Perk, Gila, additional, Peters, Ferande, additional, Phelan, Dermot, additional, Pibarot, Philippe, additional, Picard, Michael H., additional, Plana, Juan Carlos, additional, Popovic, Zoran B., additional, Porter, Thomas, additional, Pun, Shawn C., additional, Qasim, Atif N., additional, Quader, Nishath, additional, Quinones, Miguel A., additional, Rahko, Peter S., additional, Rakowski, Harry, additional, Rao, Rajeev V., additional, Reiken, Joseph, additional, Reisner, Shimon A., additional, Retzer, Elizabeth M., additional, Rigolin, Vera H., additional, Roberson, David A., additional, Rodgers, Keith, additional, Roper, Damian, additional, Rosenhek, Raphael, additional, Ross, Eleanor, additional, Roy, R. Raina, additional, Ruberg, Frederick L., additional, Rudski, Lawrence G., additional, Ruiz, Carlos, additional, Salcedo, Ernesto E., additional, Sanborn, Danita M. Yoerger, additional, Sardana, Vrinda, additional, Saric, Muhamed, additional, Schiller, Nelson B., additional, Schinkel, Arend F.L., additional, Schwartzenberg, Shmuel S., additional, Sengupta, Partho P., additional, Shah, Pravin M., additional, Shanewise, Jack S., additional, Shernan, Stanton K., additional, Shih, Jeffrey A., additional, Siegel, Robert J., additional, Siriwardena, Maithri, additional, Siu, Samuel, additional, Solomon, Scott D., additional, Sorrell, Vincent L., additional, Spencer, Kirk T., additional, Spiegel, Denise, additional, John Sutton, Martin St., additional, Stein, James H., additional, Stergiopoulos, Kathleen, additional, Supariwala, Azhar A., additional, Szmitko, Paul E., additional, Tajouri, Tanya H., additional, Takeuchi, Masaaki, additional, Tan, Timothy C., additional, Thomas, James D., additional, Tighe, Dennis A., additional, Todaro, Maria C., additional, Tower-Rader, Albree, additional, Tsang, Michael Y.C., additional, Tsang, Teresa S.M., additional, Tsang, Wendy, additional, Tunick, Paul A., additional, Vignon, Philippe, additional, Wafsy, Meagan M., additional, Wald, Rachel, additional, Ward, R. Parker, additional, Watanabe, Nozomi, additional, Wei, Kevin, additional, Weissman, Neil J., additional, Welsch, Mariko, additional, Wiegers, Susan, additional, Williams, Lynne, additional, Woo, Anna, additional, Wuttichaipradit, Chanwit, additional, Xie, Feng, additional, Yingchoncharoen, Teerapat, additional, Yu, Cheuk-Man, additional, Yu, Zoe, additional, Zhao, Qiong, additional, Zito, Concetta, additional, and Zoghbi, William A., additional

Published
2016
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20. In the right direction: A deep learning tool for assessment of right ventricular function.

Author

Fell, Katherine N. and Bhave, Nicole M.

Subjects
*VENTRICULAR ejection fraction, *PREDICTION models, *PULMONARY hypertension, *HEART physiology, *MAGNETIC resonance imaging, *DEEP learning, *RIGHT heart ventricle, *ECHOCARDIOGRAPHY
Abstract

The article presents the discussion on importance of accurate assessment of right ventricular (RV) function in pulmonary hypertension (PH) patients. Topics include highlighting challenges with current methods and introducing a deep learning (DL) approach to improve RV function assessment via transthoracic echocardiogram (TTE); and predict MRI-derived RV ejection fraction (RVEF) from 2D TTE images, and the potential of DL-predicted RVEF to detect severe RV dysfunction.

Published
2024
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23. ACC Health Policy Statement on Cardiovascular Disease Considerations for COVID-19 Vaccine Prioritization

Author

Driggin, Elissa, Morris, Alanna A., Maddox, Thomas M., Mullen, J. Brendan, Ferdinand, Keith C., Parikh, Sahil A., Kirkpatrick, James N., Philbin, Daniel M., Ky, Bonnie, Vaduganathan, Muthiah, Gluckman, Ty J., Gulati, Chair Martha, Aggarwal, Niti R., Kumbhani, Dharam J., Bhave, Nicole M., Krittanawong, Chayakrit, Dehmer, Gregory J., Sala-Mercado, Javier A., Gilbert, Olivia N., and Winchester, David W.

Subjects
medicine.medical_specialty, business.industry, MEDLINE, Health Policy Statement, Disease, 030204 cardiovascular system & hematology, medicine.disease, Obesity, Health care rationing, 03 medical and health sciences, 0302 clinical medicine, medicine, Professional association, 030212 general & internal medicine, Oversight Committee, Intensive care medicine, business, Risk assessment, Cardiology and Cardiovascular Medicine, Health policy
Abstract

The coronavirus disease 2019 (COVID-19) has had a devastating impact on healthcare systems around the world, with nearly 99 million cases and 2.1 million associated deaths as of January 2021 (1). As such, the rapid development and availability of multiple vaccines are welcome in the long and arduous fight against COVID-19. A coherent vaccine allocation policy promoting the greatest benefit for the greatest number would prioritize individuals with the highest risk for adverse outcomes of COVID-19 ahead of lower-risk populations. There are numerous factors that influence the risk for adverse outcomes in COVID-19, including the exposure risk for contracting COVID-19 and the clinical risk for adverse health outcomes with infection. The phased rollout of the vaccines by the Centers for Disease Control and Prevention (CDC) mirrors this framework by prioritizing older age groups and patients with significant medical comorbidities (2). The guidance specifies that during the Phase 1c allocation, all patients from 16 to 64 years of age with medical conditions that increase the risk for severe COVID-19 infection should receive the vaccine. Although the guidance specifies that heart conditions, hypertension, diabetes, obesity, and smoking are examples of such high-risk medical conditions, further delineation of varying levels of risk among patients with cardiovascular disease (CVD) is absent. As the largest professional society of cardiovascular (CV) professionals in the United States, the ACC aims to offer specific guidance about how CV conditions contribute to the risk for adverse outcomes with COVID-19 infection to inform its membership and the patients they serve. In this policy document, we: 1) outline the overall considerations of both exposure and clinical risk needed for vaccine allocation efforts; 2) present the specific evidence and risk considerations related to CVD and COVID-19; and 3) propose a schema of CV risk to incorporate into vaccine allocation decisions.

Published
2021

27. Effects of an Electronic Medical Record Intervention on Appropriateness of Transthoracic Echocardiograms: A Prospective Study

Author

Chen, Weihan, primary, Saxon, David T., additional, Henry, Michael P., additional, Herald, John R., additional, Holleman, Rob, additional, Zawol, Debbie, additional, Sivils, Stacy, additional, Kenaan, Mohamad A., additional, Kolias, Theodore J., additional, Gurm, Hitinder S., additional, and Bhave, Nicole M., additional

Published
2021
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29. Lipid sub-fractionation predicts worsening myocardial perfusion reserve in patients with low-density lipoprotein less than 100mg/dL: a regadenoson dardiac magnetic resonance study

Author

Narang Akhil, Yodwut Chattanong, Tarroni Giacomo, Estep Emily, Turner Kristen M, Freed Benjamin H, Bhave Nicole M, Corsi Cristiana, Davidson Michael H, Lang Roberto, Mor-Avi Victor, and Patel Amit R

Subjects
Diseases of the circulatory (Cardiovascular) system, RC666-701
Published
2012
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31. ACC/AHA/ASE/HRS/ISACHD/SCAI/SCCT/SCMR/SOPE 2020 Appropriate Use Criteria for Multimodality Imaging During the Follow-Up Care of Patients With Congenital Heart Disease

Author

Sachdeva, Ritu, primary, Valente, Anne Marie, additional, Armstrong, Aimee K., additional, Cook, Stephen C., additional, Han, B. Kelly, additional, Lopez, Leo, additional, Lui, George K., additional, Pickard, Sarah S., additional, Powell, Andrew J., additional, Bhave, Nicole M., additional, Sachdeva, Ritu, additional, Baffa, Jeanne M., additional, Banka, Puja, additional, Cohen, Scott B., additional, Glickstein, Julie S., additional, Kanter, Joshua P., additional, Kanter, Ronald J., additional, Kim, Yuli Y., additional, Kipps, Alaina K., additional, Latson, Larry A., additional, Lin, Jeannette P., additional, Parra, David A., additional, Rodriguez, Fred H., additional, Saarel, Elizabeth V., additional, Srivastava, Shubhika, additional, Stephenson, Elizabeth A., additional, Stout, Karen K., additional, Zaidi, Ali N., additional, Gluckman, Ty J., additional, Aggarwal, Niti R., additional, Dehmer, Gregory J., additional, Gilbert, Olivia N., additional, Kumbhani, Dharam J., additional, Price, Andrea L., additional, Winchester, David E., additional, Gulati, Martha, additional, Doherty, John U., additional, Daugherty, Stacie L., additional, Dean, Larry S., additional, Desai, Milind Y., additional, Gillam, Linda D., additional, and Mehrotra, Praveen, additional

Published
2020
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41. Considerations when measuring myocardial perfusion reserve by cardiovascular magnetic resonance using regadenoson

Author

Bhave Nicole M, Freed Benjamin H, Yodwut Chattanong, Kolanczyk Denise, Dill Karin, Lang Roberto M, Mor-Avi Victor, and Patel Amit R

Subjects
Stress CMR, Regadenoson, Vasodilators, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Abstract Background Adenosine cardiovascular magnetic resonance (CMR) can accurately quantify myocardial perfusion reserve. While regadenoson is increasingly employed due to ease of use, imaging protocols have not been standardized. We sought to determine the optimal regadenoson CMR protocol for quantifying myocardial perfusion reserve index (MPRi) – more specifically, whether regadenoson stress imaging should be performed before or after rest imaging. Methods Twenty healthy subjects underwent CMR perfusion imaging during resting conditions, during regadenoson-induced hyperemia (0.4 mg), and after 15 min of recovery. In 10/20 subjects, recovery was facilitated with aminophylline (125 mg). Myocardial time-intensity curves were used to obtain left ventricular cavity-normalized myocardial up-slopes. MPRi was calculated in two different ways: as the up-slope ratio of stress to rest (MPRi-rest), and the up-slope ratio of stress to recovery (MPRi-recov). Results In all 20 subjects, MPRi-rest was 1.78 ± 0.60. Recovery up-slope did not return to resting levels, regardless of aminophylline use. Among patients not receiving aminophylline, MPRi-recov was 36 ± 16% lower than MPRi-rest (1.13 ± 0.38 vs. 1.82 ± 0.73, P = 0.001). In the 10 patients whose recovery was facilitated with aminophylline, MPRi-recov was 20 ± 24% lower than MPRi-rest (1.40 ± 0.35 vs. 1.73 ± 0.43, P = 0.04), indicating incomplete reversal. In 3 subjects not receiving aminophylline and 4 subjects receiving aminophylline, up-slope at recovery was greater than at stress, suggesting delayed maximal hyperemia. Conclusions MPRi measurements from regadenoson CMR are underestimated if recovery perfusion is used as a substitute for resting perfusion, even when recovery is facilitated with aminophylline. True resting images should be used to allow accurate MPRi quantification. The delayed maximal hyperemia observed in some subjects deserves further study. Trial registration ClinicalTrials.gov NCT00871260

Published
2012
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44. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

Author

Doherty, John U., primary, Kort, Smadar, additional, Mehran, Roxana, additional, Schoenhagen, Paul, additional, Soman, Prem, additional, Dehmer, Gregory J., additional, Doherty, John U., additional, Bashore, Thomas M., additional, Bhave, Nicole M., additional, Calnon, Dennis A., additional, Carabello, Blase, additional, Conte, John, additional, Dickfeld, Timm, additional, Edmundowicz, Daniel, additional, Ferrari, Victor A., additional, Hall, Michael E., additional, Ghoshhajra, Brian, additional, Mehrotra, Praveen, additional, Naqvi, Tasneem Z., additional, Reece, T. Brett, additional, Starling, Randall C., additional, Szerlip, Molly, additional, Tzou, Wendy S., additional, Wong, John B., additional, Bailey, Steven R., additional, Brown, Alan S., additional, Daugherty, Stacie L., additional, Dean, Larry S., additional, Desai, Milind Y., additional, Duvernoy, Claire S., additional, Gillam, Linda D., additional, Hendel, Robert C., additional, Kramer, Christopher M., additional, Lindsay, Bruce D., additional, Manning, Warren J., additional, Patel, Manesh R., additional, Sachdeva, Ritu, additional, Wann, L. Samuel, additional, Winchester, David E., additional, and Wolk, Michael J., additional

Published
2019
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45. Management of heart failure in patients with end-stage kidney disease on maintenance dialysis: a practical guide.

Author

Joseph, Megan S., Palardy, Maryse, and Bhave, Nicole M.

Abstract

End-stage kidney disease (ESKD) and heart failure (HF) often coexist and must be managed simultaneously. Multidisciplinary collaboration between nephrology and cardiology is critical when treating patients with such complicated physiology. There is no "one-size-fits-all" approach to the evaluation of patients with new left ventricular systolic dysfunction, and diagnostic testing should be adapted to an individual's risk factors. Guideline-directed medical therapy (GDMT) for systolic heart failure should be employed in these patients. While limited randomized data exist, observational data and post hoc analyses suggest that GDMT, including renin angiotensin aldosterone system inhibitors, is associated with improved cardiovascular outcomes and can be safely initiated at low doses with close monitoring of kidney function in this population. Volume status is typically managed through ultrafiltration, so close communication between cardiology and nephrology is necessary to achieve a patient's optimal dry weight and mitigate intradialytic hypotension. Patient education and engagement regarding sodium and fluid restriction is crucial, and symptom burden should be reassessed following changes to the dialysis regimen. [ABSTRACT FROM AUTHOR]

Published
2020
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47. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for Multimodality Imaging in Valvular Heart Disease

Author

Doherty, John U., primary, Kort, Smadar, additional, Mehran, Roxana, additional, Schoenhagen, Paul, additional, Soman, Prem, additional, Dehmer, Greg J., additional, Doherty, John U., additional, Amin, Zahid, additional, Bashore, Thomas M., additional, Boyle, Andrew, additional, Calnon, Dennis A., additional, Carabello, Blase, additional, Cerqueira, Manuel D., additional, Conte, John, additional, Desai, Milind, additional, Edmundowicz, Daniel, additional, Ferrari, Victor A., additional, Ghoshhajra, Brian, additional, Mehrotra, Praveen, additional, Nazarian, Saman, additional, Reece, T. Brett, additional, Tamarappoo, Balaji, additional, Tzou, Wendy S., additional, Wong, John B., additional, Dehmer, Gregory J., additional, Bailey, Steven R., additional, Bhave, Nicole M., additional, Brown, Alan S., additional, Daugherty, Stacie L., additional, Dean, Larry S., additional, Desai, Milind Y., additional, Duvernoy, Claire S., additional, Gillam, Linda D., additional, Hendel, Robert C., additional, Kramer, Christopher M., additional, Lindsay, Bruce D., additional, Manning, Warren J., additional, Patel, Manesh R., additional, Sachdeva, Ritu, additional, Wann, L. Samuel, additional, Winchester, David E., additional, Wolk, Michael J., additional, and Allen, Joseph M., additional

Published
2018
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48. ACC/AATS/AHA/ASE/EACTS/HVS/SCA/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for the Treatment of Patients With Severe Aortic Stenosis

Author

Bonow, Robert O., primary, Brown, Alan S., additional, Gillam, Linda D., additional, Kapadia, Samir R., additional, Kavinsky, Clifford J., additional, Lindman, Brian R., additional, Mack, Michael J., additional, Thourani, Vinod H., additional, Dehmer, Gregory J., additional, Bonow, Robert O., additional, Beaver, Thomas M., additional, Bradley, Steven M., additional, Carabello, Blase A., additional, Desai, Milind Y., additional, George, Isaac, additional, Green, Philip, additional, Holmes, David R., additional, Johnston, Douglas, additional, Leipsic, Jonathon, additional, Mick, Stephanie L., additional, Passeri, Jonathan J., additional, Piana, Robert N., additional, Reichek, Nathaniel, additional, Ruiz, Carlos E., additional, Taub, Cynthia C., additional, Thomas, James D., additional, Turi, Zoltan G., additional, Doherty, John U., additional, Bailey, Steven R., additional, Bhave, Nicole M., additional, Daugherty, Stacie L., additional, Dean, Larry S., additional, Duvernoy, Claire S., additional, Hendel, Robert C., additional, Kramer, Christopher M., additional, Lindsay, Bruce D., additional, Manning, Warren J., additional, Mehrotra, Praveen, additional, Patel, Manesh R., additional, Sachdeva, Ritu, additional, Wann, L. Samuel, additional, Winchester, David E., additional, and Allen, Joseph M., additional

Published
2018
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