American College of Cardiology Profile picture
Nov 2, 2022 12 tweets 5 min read Read on X
Check out the top 10🔑points from the🆕2022 ACC/@American_Heart Guideline for the Diagnosis & Management of #AorticDisease

🧵Thread below 👇 #CardioTwitter Image
Because outcomes for patients w/ #aorticdisease are enhanced at programs w/ ⬆️ volumes, experienced practitioners & extensive management capabilities, Multidisciplinary Aortic Team care is considered in determining the appropriate⏰of intervention.
Shared Decision-Making (SDM) is encouraged to determine the optimal medical, endovascular & open surgical therapies. In pregnant patients w/ #aorticdisease SDM is🔑when considering CV risks of pregnancy, diameter thresholds for prophylactic aortic #cvSurg & mode of delivery.
CT, MRI & echocardiographic imaging of patients w/ #aorticdisease should follow recommended approaches for image acquisition, measurement & reporting of relevant aortic dimensions & frequency of surveillance before/after intervention. Image
At centers w/ Multidisciplinary Aortic Teams & experienced surgeons, the threshold for surgical intervention for sporadic aortic root & ascending aortic aneurysms has been ↘️ from 5.5 to 5.0 cm & ↘️ in scenarios among patients w/ heritable thoracic aortic aneurysms. Image
In patients significantly smaller or taller than avg, surgical thresholds may incorporate indexing of the aortic root or ascending aortic diameter to patient body surface area or height, or aortic cross-sectional area to patient height.
Rapid aortic root growth or ascending aortic aneurysm growth is defined as ≥0.5 cm in 1 year or ≥0.3 cm per year in 2 consecutive years for those w/ sporadic aneurysms & ≥0.3 cm in 1 year for those w/ heritable thoracic #aorticdisease or bicuspid aortic valve.
In patients undergoing aortic root replacement surgery, valve-sparing aortic root replacement is reasonable if the valve is suitable for repair & performed by experienced surgeons in a Multidisciplinary Aortic Team.
Patients w/ acute type A aortic dissection should be considered for transfer to a high-volume aortic center to improve survival. The operative repair of type A aortic dissection should entail at least an open distal anastomosis rather than a supracoronary interposition graft. Image
There is an ↗️ role for thoracic endovascular aortic repair in the mgmt of uncomplicated type B aortic dissection. Clinical trials of repair of thoracoabdominal aortic aneurysms w/ endografts are reporting results suggesting endovascular repair is an option for patients.
In patients w/ aneurysms of the aortic root, ascending aorta, or those w/ aortic dissection, screening of first-degree relatives with aortic imaging is recommended. Image
This #ClinicalGuideline provides guidance for clinicians on the diagnosis, genetic evaluation & family screening, medical therapy, endovascular & surgical treatment & long-term surveillance of patients w/ #aorticdisease. Read in full: jacc.org/doi/10.1016/j.… Image

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More from @ACCinTouch

May 16
The 2024 ACC/AHA/Multisociety PAD Guideline provides recommendations to guide clinicians in the treatment of patients w/ lower extremity PAD across its multiple clinical presentation subsets.

🧵PAD is a common CVD associated w/ increased risk of amputation, myocardial infarction, #stroke & death, quality of life, walking performance & functional statusImage
This guideline defines 4 clinical subsets of PAD:

1⃣ Asymptomatic PAD
2⃣ Chronic symptomatic PAD
3⃣ Chronic limb-threatening ischemia
4⃣ Acute limb ischemia Image
Detection of PAD in most patients is accomplished through the history, physical examination & resting ankle-brachial index Image
Read 9 tweets
Sep 22, 2022
September is #AFibAwarenessMonth!
A🧵on the basics of #AFib

#ACCEP #EPeeps #CardioTwitter
#AFib is the most common sustained heart rhythm problem in the world. 🌎
#AFib increases the risk of #stroke & #heartfailure. It causes symptoms like fatigue, dizziness & shortness of breath and can reduce patients’ quality of life.
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Aug 30, 2022
ACC & @American_Heart released a 🆕report outlining key data elements & definitions for #ChestPain & acute myocardial infarction (#MI) based on the 2021 ACC/AHA Chest Pain Guideline. Take🏠Points in🧵Below ⬇️ #cvAMI #ClinicalGuidelines #JACC @JACCJournals
@American_Heart @JACCJournals 1⃣ The #ACCClinicalDoc presents a clinical lexicon of data elements related to #ChestPain & #cvAMI, in context of how the terms are used in the 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR #ClinicalGuideline for the Evaluation and Diagnosis of Chest Pain: bit.ly/3CIBldf
2⃣ This lexicon follows the plans contained in the new #chestpain guideline and NOT all conceivable types and causes of chest pain are considered here. #ClinicalGuidelines @JACCJournals Image
Read 12 tweets
Apr 1, 2022
Check out Top 10🔑points from the 🆕ACC/@American_Heart/@HFSA Guideline for the Management of #HeartFailure #CardioTwitter #ClinicalGuidelines #ACC22

🧵Key Points👇
1⃣ Guideline-directed medical therapy for #HeartFailure w/ reduced ejection fraction #HFrEF now incorporates four medication classes that include #SGLT2i. #ClinicalGuidelines
2⃣ #SGLT2i have a Class of Recommendation 2a in #HFmrEF. Weaker recommendations (COR 2b) are made for ARNi, ACEi, ARB, MRA & beta blockers in this population. #ClinicalGuidelines
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Feb 22, 2020
(1/11) #ValveDiseaseDay #Tweetorial: Today is Heart Valve Disease Awareness Day and we’re sharing facts about heart valve disease. Follow along to learn more about what can occur when heart valves are diseased or damaged. @Lross246 @mirvatalasnag
@Lross246 @mirvatalasnag (2/11) #ValveDiseaseDay #Tweetorial: Facts about heart valve disease: affects >11 million Americans; 1/10 patients >75 y/o have moderate to severe heart valve disease; & 25k people in the U.S. die from heart valve disease annually. bit.ly/3bWaURr
@Lross246 @mirvatalasnag (3/11) #ValveDiseaseDay #Tweetorial: There are many barriers to treatment, some of the top contributors include access to SHD clinics, referral bias, socioeconomic issues & symptom recognition. #cvVHD
Read 11 tweets

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