#ACC21
Join us now - Prevention and Health Promotion and the year in review. Dr. Donna Polk presenting.
acc21.virtual-acc.org/topic-essentia…
#ACC21
The "Covid 19" weight gain?
#ACC21
Yes, the "covid 19" weight gain did occur. How do we combat it though? why did it occur?
#ACC21
Covid restrictions to reduce cases via large group gatherings impacted our usual #exercise routines.
#ACC21
Like any disruptive event, covid impacted/accelerated other parts of healthcare. #cardiacrehab #telehealth @iamritu
#ACC21
What changed in lipid therapy, more specifically, our knowledge in statin use in 2020? #Statinwise #Sampson - Those with statin myalgias, can be reinitiated on statins long-term. #Nocebo like statin myalgias, is just as real.
#ACC21
We know weight loss can be difficult, it carries many many stigmas, and also can contribute to amplification of other chronic disease states. Semaglutide was shown to help reduce weight. #GLP1Ra
#ACC21
Intensive BP management to <120 vs <140, how did this impact cognition and dementia development?
- No difference in probable dementia.
But,
- Mild cog impairment and mild cog+probable dementia did have protection.
#ACC21
Dr. Polk summarizes that the lessons learned and provides opportunities for us to improve on prevention.
#ACC21
Next up Dr. @mchonig - CV and Renal outcomes across glycemic spectrum.
acc21.virtual-acc.org/topic-essentia…
#ACC21
1st, remember that there is a well-established association of CVD and Renal disease with Type 2 DM.
What is the risk of cardiorenal outcomes though across the glycemic continuum/spectrum (beyond T2DM)?
#ACC21
Great visuals and tables on the HR for incident outcomes . N=46,911 and 14% developed incident T2DM.
#ACC21
For the full results, characteristics, please watch Dr. @mchonig full presentation. Below are the summary and implications.
#ACC21
Are there sex differences in genetic risk for HTN?
Dr. Aittokallio up now.
acc21.virtual-acc.org/topic-essentia…
Thoughts? @AnastasiaSMihai @jbrianbyrd @Hragy @hswapnil @DrMarthaGulati
#ACC21
Finland population. Polygenic risk scores for blood pressure.
@skathire @pnatarajanmd
#ACC21
Results and Conclusions.
PRS may help communicate risk to our patients, prioritize pharmacotherapy vs lifestyle interventions alone.
#ACC21
Next up @DrKene. Don't miss this very interesting evaluation of Alcohol on CVD! Is ETOH protective or Harmful?
I will try to come back to this as my talk is next.
acc21.virtual-acc.org/topic-essentia…
#ACC21
History of EtOH use. It's been used throughout our human history. A J-shaped curve - a little is good, but a lot....
#ACC21
Love the approach and hypothesis here. Is the benefit of EtOH mediated by its anxiolytic properties?
#ACC21
Methods. MGH Biobank, surveys, and ICD mining
#ACC21
Methods, continued. ICD Dx mined and imaging
#ACC21
Results - Moderate alcohol associated with lower MACE, lower stress.
#ACC21
As noted in previous post, moderate EtOH associated with lower MACE and lower stress associated neural activity. This provides nuance on why/how EtOH associates with decrease MACE.
Important question - can we parse weekend drinkers vs daily drinkers in this data?
#ACC21
Next up: Dr. @paragchevli - Metabolomics in atherosclerosis from the diabetes heart study.
#ACC21
Well, you heard the sub-study results of #STRENGTHtrial. We hope to provide nuance to the Omega 3 CVOT trials. Recognizing that there appears to be a difference from EPA-only vs EPA/DHA mixed preparation trials.
#ACC21
Lots of controversy in OM3. We looked at circulating serum levels of EPA and DHA, unadjusted/adjusted for one another and adjusted for comorbidities.
#aCC21
A reminder of the EPA and DHA doses in contemporary CVOT in OM3 and outcomes.
#ACC21
N = 987 from the INSPIRE Registry. All undergoing coronary angiography.
#ACC21
Results - 1
#ACC21
Results - 2
#ACC21
Happening now - our @intermountain data on EPA and DHA impacts on one another and MACE.
acc21.virtual-acc.org/topic-essentia…
#ACC21
Dr. Audry Chacin-Suarez up next!
acc21.virtual-acc.org/topic-essentia…
#ACC21
Does an increase in peak Vo2 in #CardiacRehab associate with lower MACE?
#ACC21
Great presentation by @audrychacin
#CardiacRehab resulting in an increase in peak %Vo2 from pre to post rehab resulted in a decrease in MACE. Not surprising, those with the greatest change had the greatest reduction in risk.
#ACC21
My apologies, here is the conclusion slide. @audrychacin
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