Download - American College of Cardiology: Update
American College of Cardiology: Update
IL/WI Chapter MeetingLake Geneva
May, 2019
Richard J. Kovacs, MD, FACC
President, American College of Cardiology
Q.E. and Sally Russell Professor
Krannert Institute of Cardiology, Indiana University School of Medicine
Service Line Leader Cardiology
IU Health
Sports Quiz
Leadoff triple by the left fielder:
Kovacs: 3 chapter meetings in 24 hours – IL, WI, and Dominican
Republic
8
ACC’s Core Values are meaningful
Patient-CenteredTeamwork &
Collaboration
Professionalism &
Excellence
• Advocate on behalf of the
cardiovascular patient
population in promotion of
the public good
• Practice organizational
altruism – the safety and
needs of cardiovascular
patients are central to
everything we do
• Support and educate
patients and clinicians in the
practice of shared
decision-making
• Encourage the patient as
part of the care team
• Embrace diversity by
encouraging and supporting
different perspectives,
backgrounds, and thought
• Build strategic
partnerships
• Practice clear
communication and
transparent decision-
making
• Encourage a culture of
trust, respect, and safety
with all colleagues,
regardless of position or title
• Develop leaders and
individuals to enhance team
performance
• Promote a culture of
continuous improvement
and lifelong learning
• Be the trusted voice for
the cardiovascular
community
• Hold ourselves and our
profession to the highest
standards of evidence and
knowledge
• Constructively challenge the
status quo through
innovation
• Strive to achieve and
support balance and well-
being in our roles and
workplaces
Guidelines
• Currently a new Taskforce is working with
AHA to optimize joint guidelines.
• “Chunk” format is now the standard.
• Co-published with tools and apps
• Expert consensus pathways
2019 Primary Prevention Guidelines in New Format
Top 10 Take-Home
Messages
Recommendations
followed by limited text.
Modular arrangement
Take Home Message #2 - Shared Decision Making is Aligned with ACC Core Values
Team Based Patient Centered • Psychosocial
• Economic
• Cultural
• Health literacy
• Food access
• Environmental
• Sleep quality
• Family and social support
Top 10 Take Home Messages: #3
• Adults 40--75 years of age being evaluated for CVD prevention should undergo 10-year atherosclerotic cardiovascular disease risk estimation.
• Clinician–patient risk discussion before starting pharmacological therapy, such as antihypertensive therapy, statin, or aspirin
• Risk-enhancing factors and calcium scoring may help guide decisions about preventive interventions in select individuals
http://www.onlinejacc.org/sites/default/files/additional_assets/guidelines/Prevention-Guidelines-Made-Simple.pdf
Top 10 Take Home Messages: #3
• Adults 40--75 years of age being evaluated for CVD prevention should undergo 10-year atherosclerotic cardiovascular disease risk estimation.
• Clinician–patient risk discussion before starting pharmacological therapy, such as antihypertensive therapy, statin, or aspirin
• Risk-enhancing factors and calcium scoring may help guide decisions about preventive interventions in select individuals
http://www.onlinejacc.org/sites/default/files/additional_assets/guidelines/Prevention-Guidelines-Made-Simple.pdf
Top 10 Take Home Messages: #3
• Adults 40--75 years of age being evaluated for CVD prevention should undergo 10-year atherosclerotic cardiovascular disease risk estimation.
• Clinician–patient risk discussion before starting pharmacological therapy, such as antihypertensive therapy, statin, or aspirin
• Risk-enhancing factors and calcium scoring may help guide decisions about preventive interventions in select individuals
http://www.onlinejacc.org/sites/default/files/additional_assets/guidelines/Prevention-Guidelines-Made-Simple.pdf
Take Home Message #7 - Tobacco
• All adults should be assessed at every healthcare visit for
tobacco use
• Those who use tobacco should be assisted and strongly
advised to quit
http://www.onlinejacc.org/sites/default/files/additional_assets/guidelines/Prevention-Guidelines-Made-Simple.pdf
Take Home Message #7 - Tobacco
• All adults should be assessed at every healthcare visit for
tobacco use
• Those who use tobacco should be assisted and strongly
advised to quit
http://www.onlinejacc.org/sites/default/files/additional_assets/guidelines/Prevention-Guidelines-Made-Simple.pdf
ACC Expert Consensus Decision
Pathway JACC Dec. 2018
• 35+ sessions• Three channels:
o Hot Topicso Guidelineso Interprofessional
• CME/CNE/MOC/CPE credit
• Watch live or on demand for 30 days• Live chat with other ACC.19
Anywhere attendees• Submit questions for the faculty using
same tool used by live audience in New Orleans—interact as one!
Can't Attend ACC.19? Participate Virtually with ACC.19 Anywhere!
Don’t let time constraints, budget cuts, or scheduling prevent you from experiencing
ACC.19! ACC.19 Anywhere brings the meeting to you.
Late-Breaking Clinical Trial Sessions
• All LBCT sessions with “America’s Got Talent” panel table set-up
• Opening LBCT session features Apple Heart Study
Digital Disruption at Our Doorstep—Implications for Clinicians and Patients
• Moderated by Dr John Rumsfeld• 6 “all-star” panelists• Tech representatives from Apple, Amazon• Former FDA Commissioner• Patient Advocate
[email protected] Studio
• FIT Jeopardy Competition• Newlywed Game• Vascular Shark Tank• Ask the EP Experts• Meet the Ischemic Heart Disease Legends
Theater SessionsPartner DemonstrationsInnovation Challenges: AI Solutions & Digitally Enabled Medical DevicesBooth
#146
Research at ACC.19
• 3,143 Abstracts accepted for oral and poster presentations
• 21 LBCTs (5 sessions)• 15 Featured Clinical Research
Trials (3 sessions)
Education at ACC.19
• 1,520 Faculty from around the world providing education
• 363 Education sessions• 11 Pathways • 15 Guideline-related sessions
Practice-Changing Science at ACC.19
• Opening LBCT session featured Apple Heart Study
• PARTNER 3
• TAVR/SAVR in Patients with Low Risk of
Surgical Mortality
• AUGUSTUS
• CLEAR Wisdom
• DECLARE
• PANACHE
• REDUCE-IT
• INFINITY
• ALCOHOL-AF
• Depression in
ACS and Heart
Failure
Results of a Large-scale, App-based Study to
Identify Atrial Fibrillation Using a Smartwatch:
The Apple Heart Study
Mintu Turakhia MD MAS and Marco Perez MDon behalf of the Apple Heart Study Investigators
Decline in Cardiovascular Mortality, Volume: 120, Issue: 2, Pages: 366-380, DOI: (10.1161/CIRCRESAHA.116.309115)
We Face a Common Foe, but Different
Manifestations of the Problem
Global Burden of Disease Shift U.S. Decline in CV Mortality Slowing
Our Chapters in Low and Middle
Income Countries Need Solutions
WHO. Hearts: technical package for cardiovascular disease management in primary health care. 2016 (http://www.who.int)
Which US Citizens are not
represented on this map?
Citizens of the US
Territories:
Puerto Rico
Guam
American Samoa
Which US Citizens are not
represented on this map?
Citizens of the US
Territories:
Puerto Rico 3.2 Million!
Guam
American Samoa
2013:
5-Year Strategic Plan Launched
2014:
Governance Transformation
Discussions Began
2015:
Governance Transformation
Plan and Principles Approved
2016-2018:
Governance Transformation
Plan Implementation
Begins
2018 – 2023:
Launch New Strategic Plan and Reassess Governance
Along the Way
Implementing the ACC’s
Governance Transformation