International Collaboration Key to ACC Mission “The need for the expertise and wisdom of ACC members worldwide is increasing at the same time we are experiencing a global epidemic in cardiovascular disease,” writes ACC President Richard A. Chazal, MD, FACC, in a leadership page published in JACC. With international membership the fastest growing member segment of the College, Chazal highlights the increasing number of opportunities for cardiovascular professionals around the world to share ideas and knowledge and make headway in achieving the College’s mission of transforming cardiovascular care and improving heart health. “Our chapters, along with partner societies around the globe, provide unique opportunities for bilateral transmission of science,” he writes. Additionally, he cites the value in bringing together domestic and international members to share research and best practices and to network with their counterparts in other countries. However, Chazal notes that “great need exists … in areas where there is less infrastructure and less advancement in science. Regions of the world that have been significantly affected by war, poverty, and economic and political turmoil are in need of education and training to care for their populations.” “When physicians graduate from medical school, we take an oath that in part says we ‘will prevent disease whenever [we] can’ and will ‘remember that [we] remain a member of society with special obligations to all my fellow human beings,’” Chazal writes. “In addition to our daily jobs of treating our own patients, the ACC’s chapters around the world provide us all with additional opportunities to fulfill this oath (and the College’s mission) on a much broader and increasingly global level.” Just Announced: ACC.17 Late-Breaking Clinical Trials FOURIER, SURTAVI, EINSTEIN, CHOICE, LEVO-CTS and SPIRE 1 and SPIRE 2 are among the 23 Late- Breaking Clinical Trials (LBCTs) being presented at ACC.17 in Washington, DC, March 17-19. Results from these trials will be presented during five LBCT Sessions on Friday, Saturday and Sunday. Experts will be on hand to discuss the outcomes of each trial and the impacts on clinical practice. In addition, ACC.17 will feature three Featured Clinical Research Sessions and two LBCT Deep Dive Sessions where attendees can get even more of the latest science, interpretive analyses of data and learn how to translate the science into practice. ACC.17 attendees can also take part in three half-day Intensives targeting new and growing areas in cardiovascular practice. This year’s Intensives will focus on “Teaching With Intent: Secrets From the Masters;” “Health Equity’s Long Journey: Are We There Yet?;” and “Palliative Care for the 99 Percent.” Get the details at ACCScientificSession.org. New in ACC Clinical Documents New Guidance Issued For Nonvalvular Afib Patients Taking Anticoagulants A new decision pathway for the management of patients with nonvalvular atrial fibrillation (AFib) who are taking anticoagulants and need surgery was published Jan. 9 in the Journal of the American College of Cardiology. The document provides guidance to physicians on the overall decision to keep a patient chronically on an anticoagulant by examining whether anticoagulation is warranted based on overall thrombotic risk; the decision to take the patient off an anticoagulant temporarily; how to temporarily stop the use of vitamin K antagonists and directacting oral anticoagulants; if “bridging” a patient before, during and after surgery is the best choice; and more. “With this new decision pathway, physicians will be able to make better-informed decisions, and this will contribute to improved patient outcomes,” said John U. Doherty, MD, FACC, chair of the writing committee ACC/AHA Special Report Looks at Clinical Practice Guideline Implementation Strategies A special ACC/American Heart Association report published in the Journal of the American College of Cardiology assesses evidence-based strategies for effectively implementing clinical practice guidelines. The National Heart, Lung, and Blood Institute Implementation Science Work Group systematically reviewed available implementation science research on four intervention strategies: (1) reminders, (2) educational outreach visits, (3) audit and feedback, and (4) provider incentives. Results found educational outreach visits and audit and feedback strategies were generally effective for improving process of care and clinical outcomes, while provider incentives and reminders showed mixed effectiveness. Additionally, the work group noted that multifaceted interventions were more effective than a single intervention strategy. Going forward, the authors suggest that “additional research is needed on intervention effectiveness, with special emphasis on improving methods and study designs, increasing the use of pragmatic trials, leveraging electronic clinical data, and evaluating cost effectiveness of interventions.” Read the full report at onlineJACC.org. Notable News In Memoriam: Sylvan Lee Weinberg, MD, MACC ACC Past President Sylvan Lee Weinberg, MD, MACC, a renowned cardiologist, educator and writer passed away on Jan. 17, 2017 in Dayton, OH. He was 93 years old. While still in cardiology practice, Weinberg served as president of the ACC from 1993 to 1994. “Sylvan Weinberg was a role model for an entire generation of clinical cardiologists,” said ACC President Richard A. Chazal, MD, FACC. “I first met him when he served as a visiting professor at Indiana University in the 1980s. His ACC career included a highly successful term as president, but also a 15-year legacy as an editor of ACCEL. His ability to balance a practice career, academics and service to the College is a tribute to his intellect and character.” Weinberg was predeceased by his wife, Joan, and is survived by his two children Andrew and Leslie, and granddaughters Paige Weinberg and Hannah Weinberg. Thomas Joseph Quinn, Mphil, Becomes Fellow of the ACC Thomas Joseph Quinn, Mphil, FACC, associate dean for research and director for health and social care research at the Faculty of Health, Social Care and Education at Kingston University and St. George’s, University of London, recently received the designation of Fellow of the ACC (FACC). Quinn is well known for his work in cardiovascular care, especially in the management of patients with acute heart conditions. He becomes one of the few nurses to receive the FACC designation. “I see it as an achievement and recognition for all cardiac nurses – this is as much for the staff nurses I worked with in the 1980s as it is for me now as a professor of nursing,” stated Quinn. Judy E. Tingley, DNP, MPH, RN, AACC, Named VP & CEO of Erlanger Heart and Lung Institute Judy E. Tingley, DNP, MPH, RN, AACC, has been named vice president and chief executive officer of Erlanger Health System’s new Heart and Lung Institute. In her new role, Tingley will lead the overall operations of the Institute, quality improvement, program development and clinical education efforts. She previously served as chief operating officer of HeartSource, a joint program of the divisions of cardiology and cardiothoracic surgery at Columbia University Medical Center in New York City. Tingley currently serves as a member of ACC’s Science and Quality Steering Committee, Clinical Policy Approval Committee, Surviving Acute MI Workgroup, Patient Navigator Program Task Force and the Society of Thoracic Surgeon’s (STS) Task Force on Quality Initiatives. She is also the founding chair of the New York State STS Regional Data Management Workgroup. Indian Health Care Facility Named International Center of Excellence The ACC has named Apollo Gleneagles Hospitals, Kolkata, as an International Center of Excellence. The recognition is the first for an Indian health care facility. The ACC International Centers of Excellence program recognizes institutions outside of the United States for their commitment to high standards of medical practice and dedication to providing quality cardiovascular care. “International Centers of Excellence are committed to the improvement of heart health in their communities and seek ways to improve the care they provide,” said ACC President Richard A. Chazal, MD, FACC. ACC Past President Featured in “Eating You Alive” Kim Allan Williams Sr., MD, MACC, immediate past president of the ACC, was among dozens of other physicians and researchers featured in the recent documentary, “Eating You Alive.” The documentary focuses on how a whole-foods, plant-based diet might be the solution to the chronic conditions afflicting more Americans each day. Learn more on EatingYouAlive.com.
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