Journal of the American College of Cardiology




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doi : 10.1016/S0735-1097(21)05262-1

Volume 78, Issue 2, 13 July 2021, Page e7

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Contents

doi : 10.1016/S0735-1097(21)05325-0

Volume 78, Issue 2, 13 July 2021, Pages e9-e12

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Effect of Ejection Fraction on Clinical Outcomes in Patients Treated With Omecamtiv Mecarbil in GALACTIC-HF

John R.TeerlinkMDaRafaelDiazMDbG. MichaelFelkerMD, MHScJohn J.V.McMurrayMDdMarcoMetraMDeScott D.SolomonMDfTorBiering-S?rensenMD, PhD, MPHgMichaelB?hmMDhDianaBondermanMDiJames C.FangMDjDavid E.LanfearMDkMayannaLundMDlShin-ichiMomomuraMDmEileenO'MearaMDnPiotrPonikowskiMD, PhDoJindrichSpinarMD, PhDpJose H.Flores-ArredondoMDqBrian L.ClaggettPhDfStephen B.HeitnerMDrStuartKupferMDrSiddique A.AbbasiMDqFady I.MalikMD, PhDron behalf of theGALACTIC-HF Investigators

doi : 10.1016/j.jacc.2021.04.065

Volume 78, Issue 2, 13 July 2021, Pages 97-108

In GALACTIC-HF (Global Approach to Lowering Adverse Cardiac outcomes Through Improving Contractility in Heart Failure) (n = 8,256), the cardiac myosin activator, omecamtiv mecarbil, significantly reduced the primary composite endpoint (PCE) of time-to-first heart failure event or cardiovascular death in patients with heart failure and reduced ejection fraction (EF) (?35%).

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Omecamtiv Mecarbil: A Personalized Treatment for Patients With Severely Impaired Ejection Fraction?

Jo?o PedroFerreiraMD, PhD

doi : 10.1016/j.jacc.2021.04.077

Volume 78, Issue 2, 13 July 2021, Pages 109-111

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Transesophageal Echocardiography in Patients Undergoing Coronary Artery Bypass Graft Surgery

Thomas S.MetkusMDaDylanThibaultMSbMichael C.GrantMDcVinayBadhwarMDdJeffrey P.JacobsMDeJenniferLawtonMDfSean M.O'BrienPhDbVinodThouraniMDgZachary K.WegermannMDhBrittanyZwischenbergerMDiRobertHigginsMDe

doi : 10.1016/j.jacc.2021.04.064

Volume 78, Issue 2, 13 July 2021, Pages 112-122

The impact of utilization of intraoperative transesophageal echocardiography (TEE) at the time of isolated coronary artery bypass grafting (CABG) on clinical decision making and associated outcomes is not well understood.

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Improving CABG Mortality Further: Striving Toward Perfection?

AbrahamSonnyMDabcLeeJosephMD, MSde

doi : 10.1016/j.jacc.2021.05.009

Volume 78, Issue 2, 13 July 2021, Pages 123-125

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Ablation Versus Drug Therapy for Atrial Fibrillation in Racial and Ethnic Minorities

Kevin L.ThomasMDaHussein R.Al-KhalidiPhDaAdam P.SilversteinMSaKristi H.MonahanRNbTristram D.BahnsonMDaJeanne E.PooleMDcDaniel B.MarkMD, MPHaDouglas L.PackerMDbCABANA Investigators

doi : 10.1016/j.jacc.2021.04.092

Volume 78, Issue 2, 13 July 2021, Pages 126-138

Rhythm control strategies for atrial fibrillation (AF), including catheter ablation, are substantially underused in racial/ethnic minorities in North America.

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Catheter Ablation Is Better Than Drugs for Treatment of AF in Racial and Ethnic Minorities?

Andrea M.RussoMD

doi : 10.1016/j.jacc.2021.05.008

Volume 78, Issue 2, 13 July 2021, Pages 139-141

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Finerenone Reduces New-Onset Atrial Fibrillation in Patients With Chronic Kidney Disease and Type 2 Diabetes

GerasimosFilippatosMDaGeorge L.BakrisMDbBertramPittMDcRajivAgarwalMD, MSdPeterRossingMDefLuis M.RuilopeMDghiJavedButlerMDjCarolyn S.P.LamMBBS, PhDkPeterKolkhofPhDlLukeRobertsMBBS, PhDmChristophTastoPhDnAmerJosephMBBSoStefan D.AnkerMDpFIDELIO-DKD Investigators

doi : 10.1016/j.jacc.2021.04.079

Volume 78, Issue 2, 13 July 2021, Pages 142-152

Patients with chronic kidney disease (CKD) and type 2 diabetes (T2D) are at risk of atrial fibrillation or flutter (AFF) due to cardiac remodeling and kidney complications. Finerenone, a novel, selective, nonsteroidal mineralocorticoid receptor antagonist, inhibited cardiac remodeling in preclinical models.

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Do Mineralocorticoid Receptor Antagonists Suppress Atrial Fibrillation/Flutter??

Gerald V.NaccarelliMDaEdward J.FilipponeMDbAndrewFoyMDa

doi : 10.1016/j.jacc.2021.04.080

Volume 78, Issue 2, 13 July 2021, Pages 153-155

no abstract

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Progression of Early Subclinical Atherosclerosis (PESA) Study: JACC Focus Seminar 7/8

BorjaIbanezMD, PhDabc?AntonioFern?ndez-OrtizMD, PhDacd?LeticiaFern?ndez-FrieraMD, PhDaceInésGarc?a-LunarMD, PhDacfVicenteAndrésPhDacValent?nFusterMD, PhDag

doi : 10.1016/j.jacc.2021.05.011

Volume 78, Issue 2, 13 July 2021, Pages 156-179

Atherosclerosis starts early in life and progresses silently for decades. Considering atherosclerosis as a “systemic disease” invites the use of noninvasive methodologies to detect disease in various regions before symptoms appear. The PESA-(Progression of Early Subclinical Atherosclerosis) CNIC-SANTANDER study is an ongoing prospective cohort study examining imaging, biological, and behavioral parameters associated with the presence and progression of early subclinical atherosclerosis. Between 2010 and 2014, PESA enrolled 4,184 asymptomatic middle-aged participants who undergo serial 3-yearly follow-up examinations including clinical interviews, lifestyle questionnaires, sampling, and noninvasive imaging assessment of multiterritorial subclinical atherosclerosis (carotids, iliofemorals, aorta, and coronaries). PESA tracks the trajectories of atherosclerosis and associated disorders from early stages to the transition to symptomatic phases. A joint venture between the CNIC and the Santander Bank, PESA is expected to run until at least 2029, and its significant contributions to date are presented in this review paper.

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Improving Terminology to Describe Coronary Artery Procedures: JACC Review Topic of the Week

TorstenDoenstMD, PhDaRobert O.BonowMD, PhDbDeepak L.BhattMD, MPHcVolkmarFalkMD, PhDdMarioGaudinoMD, PhDe

doi : 10.1016/j.jacc.2021.05.010

Volume 78, Issue 2, 13 July 2021, Pages 180-188

Coronary artery disease (CAD) is treated with medical therapy with or without percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). The latter 2 options are commonly referred to as “myocardial revascularization” procedures. We reason that this term is inappropriate because it is suggestive of a single treatment effect of PCI and CABG (ie, the reestablishment of blood flow to ischemic myocardium) and obscures key mechanisms, such as the improvement in coronary flow capability in the absence of ongoing ischemia, the reperfusion in the presence of ischemia, and the prevention of myocardial infarction from CAD progression. We review the current evidence on the topic and suggest the use of a purely descriptive terminology (“invasive treatment by PCI or CABG”) which has the potential to improve clinical decision making and guide future trial design.

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Is it Time for Sex-Specific Guidelines for Cardiovascular Disease?

Ersilia M.DeFilippisMDaHarriette G.C.Van SpallMD, MPHbcd

doi : 10.1016/j.jacc.2021.05.012

Volume 78, Issue 2, 13 July 2021, Pages 189-192

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Inhibition of Angiopoietin-Like Protein 3 With Evinacumab in Subjects With High and Severe Hypertriglyceridemia

ZahidAhmadMDRobertPordyMDDaniel J.RaderMDDanielGaudetMD, PhDShaziaAliPharmDClaudiaGonzaga-JaureguiPhDManish P.PondaMD, MSBradShumelMDPoulabiBanerjeePhDRichard L.DunbarMD

doi : 10.1016/j.jacc.2021.04.091

Volume 78, Issue 2, 13 July 2021, Pages 193-195

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Race/Ethnicity and Prevalence of Aortic Stenosis by Echocardiography in the Multi-Ethnic Study of Atherosclerosis

Matthew J.CzarnyMDSanjiv J.ShahMDSeamus P.WheltonMD, MPHMichael J.BlahaMD, MPHMichael Y.TsaiPhDRimskyDenisMD, MPH, MBAAlainBertoniMD, MPHWendy S.PostMD, MS

doi : 10.1016/j.jacc.2021.04.078

Volume 78, Issue 2, 13 July 2021, Pages 195-197

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Carotid Intraplaque Hemorrhage and Cardiovascular Events: Are Antithrombotic Therapies the Missing Piece of the Puzzle?

VictorAboyansMD, PhDLucieChastaingtMDJulienMagnePhDPhilippeLacroixMD

doi : 10.1016/j.jacc.2021.03.343

Volume 78, Issue 2, 13 July 2021, Pages 197-198

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Reply: Carotid Intraplaque Hemorrhage and Cardiovascular Events: Are Antithrombotic Therapies the Missing Piece of the Puzzle?

DanielBosMD, PhDMeike W.VernooijMD, PhDMaryamKavousiMD, PhDAadvan der LugtMD, PhD

doi : 10.1016/j.jacc.2021.04.081

Volume 78, Issue 2, 13 July 2021, Pages 198-200

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