New HF Guideline Focused Update The ACC, along with the American Heart Association and the Heart Failure Society of America, have released part two of a two-part focused update to the 2013 ACCF/AHA Guideline for the Management of Heart Failure. The first focused update, published in May 2016, introduced guidance on new pharmacological therapies for patients in Stage C heart failure with reduced ejection fraction. This second part incorporates the guidance from part one, and includes a new figure that puts new heart failure pharmacotherapies in context with previous therapies. In addition, the guideline includes a revision to the sections on biomarkers, including recommendations for the prevention, diagnosis and prevention or added risk stratification of heart failure; updates on heart failure with preserved ejection fraction; new data on important comorbidities including sleep apnea, anemia and hypertension; and new insights regarding prevention. Read more on ACC.org. New Recommendations Focus on Radiation Safety in Children In children with congenital and acquired heart disease, cardiac imaging using ionizing radiation is essential for accurate diagnosis and safe intervention, but exposure can lead to potential radiation-related risks such as cancer. Recommendations to encourage informed imaging to achieve appropriate study quality at the lowest achievable radiation dose were published May 7 in JACC: Cardiovascular Imaging. The position statement, created by the Image Gently Alliance, was endorsed by the ACC. Call For Nominations: ACC Vice President and Trustees The ACC’s Nominating Committee is seeking recommendations for the positions of ACC vice president and Board of Trustees members. All recommendations must be received by July 3. Each Trustee will serve up to a three-year term. The vice president serves a one-year term, and is thereafter eligible to assume the position of the president. To serve as vice president, an individual must have first served at least one term on the Board of Trustees. Scan the QR code to learn more about the nomination process and submit your recommendations. ‘The Resilient Heart’ Debuts on Big Screen “The Resilient Heart“ starring Valentin Fuster, MD, MACC, recently made its big-screen debut. The film follows Fuster to Eldoret (Kenya), Bogota, Grenada, Madrid and Harlem and highlights ways science, medicine, research, education and compassion can improve the health of populations around the world. The movie is available on Amazon Prime. In Memoriam: Alan T. Hirsch, MD, FACC Alan T. Hirsch, MD, FACC, a leading pioneer in the field of vascular medicine passed away last month at the age of 62. Hirsch was responsible for critical contributions to improving the understanding of vascular biology and to the development of new diagnostic and therapeutic approaches for vascular disease. Hirsch graduated from Harvard University in 1976 and earned his medical degree at the University of California, San Francisco. He completed fellowships at Beth Israel Hospital and Brigham and Women’s Hospital in Boston. At the University of Minnesota, he was a professor of medicine and director of the Vascular Medicine Program at the Lillehei Heart Institute. “Dr. Hirsch was a highly-regarded and accomplished clinician investigator focused on improving outcomes for patients suffering from a variety of vascular diseases,” write Gregory Piazza, MD, MS, FACC, chair of ACC Peripheral Vascular Disease Section, and Herbert D. Aronow, MD, MPH, FACC, immediate past chair of the PVD Section, in an ACC.org piece. “Perhaps best known for his tireless passion and determination, Dr. Hirsch was a master clinician to his patients, committed advocate to the vascular medicine community, and beloved mentor to countless junior colleagues, trainees, and students. … As we remember Dr. Hirsch and carry on his legacy, we will continue to be inspired by the example that he set for us all as clinicians, investigators, advocates, and educators.” Military Leadership Model for Health Care? In a recent Leadership Page published in the Journal of the American College of Cardiology, A. Allen Seals, MD, FACC, immediate-past chair of the ACC’s Board of Governors and Mark Hertling, a retired U.S. Army lieutenant general, describe how hospitals can use a military training model to improve leadership and competency in physicians. “In the U. S. military – like in medicine – life or death scenarios are often presented,” they write. “Similarly, in the military as it is in medicine, it is a requirement of leaders to bring a group of differentially skilled individuals together as a high-performing team to succeed in a mission.” Seals and Hertling focus on the characteristics of an effective leader, noting that “effective leaders must first understand themselves and understand those around them.” Next, they suggest that effective leaders need to master being both a strong team builder and a strong team player. “The military uses 7 characteristics to define effective teams: trust, standards, accountability, confidence, teamwork, challenge, and rewards,” they write. “In a similar manner, a physician leader must understand how these characteristics contribute to high-performing teams, and then embrace the responsibilities inherent in each of these areas.” Outside of leadership characteristics, Seals and Hertling also note the importance of organizational competencies. “As the ACC continues its charge to transform cardiovascular care and improve heart health, a strong foundation of leaders is critical to help the College accomplish its mission and to provide value to its members as they grow and become more effective, empowered leaders,” they write. JACC Leadership Page: Cardiologists Without Borders Hadley Wilson, MD, FACC, chair of ACC’s Board of Governors, reflects on his experiences serving on medical missions in Central America and the Caribbean in a recent Leadership Page in the Journal of the American College of Cardiology. He discusses the two types of cardiovascular outreach: 1) the general medical mission trip; and 2) a structured, collaborative, educational program connecting institutions. Wilson encourages those looking for a professional challenge, leadership or growth opportunity to sign up for an outreach trip and enjoy the journey. “Remember that by helping to save one life, you validate the ripple effect and prove that we can all be cardiologists without borders,” he writes. Read more at OnlineJACC.org.
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