Making Progress in Social Media and Medicine: Engagement at ACC.16

Campbell headshotThis post was authored by Kevin R. Campbell, MD, FACC, assistant professor of medicine, University of North Carolina, division of cardiology, and a presenter at ACC.16.

I was amazed by the uptick in Social media engagement at ACC.16. While 75 percent of all fortune 500 companies are represented and active on twitter, doctors have been quite slow to enter into the social media space. Many of us have who have pioneered social media in medicine have often felt like Dr. Sisyphus as we push the “Social Boulder” up the hill in order to show our colleagues the value of digital engagement. However, it appears that finally the tide is turning.

From the very outset of the meeting the hashtag #ACC16 began trending. Just in time for the annual sessions, the ACC recently created and published a Cardiology Hashtag Ontology reference guide in order to bring together the broad topics within cardiovascular disease so that common subjects of discussion can be easily identified, searched and catalogued. Continue reading

ACC.16 Video Highlights – Day 3

See more insightful interviews on the hottest topics and Late-Breaking Clinical Trials from the last day of ACC.16 on the ACC’s ACC.16 YouTube Playlist. For comprehensive coverage of the meeting from the fellow perspective, see the full list of FITs on the GO videos on ACC’s FITs on the Go YouTube Playlist. The FITs on the GO video blog provides an FIT perspective of the meeting, featuring interviews with top experts and cardiovascular leaders on news and events taking place at ACC.16. Highlights from the third day include:

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Special Issue of JACC: Cardiovascular Imaging Highlights Value of CV Imaging in Women

LESLEE_SHAW_HEADSHOTThis post was authored by Leslee J. Shaw, PhD, FACC, associate editor of JACC: Cardiovascular Imaging and a member of ACC’s Cardiovascular Disease in Women Committee.

For decades, we have heard all of the statistics that more women are dying of coronary heart disease than men. This early finding from the mid-1980s has continued to unfurl with additional data on unique biologic differences coupled with quality of care differences between women and men. All of these factors disadvantage women and illustrate the sizeable gap in knowledge relating to heart disease for females.

If the goals of our health care system are to provide high-quality care for all, then for half the population, we have truly failed! Is this too much of a nihilist’s perspective? Maybe, as gains have been made. We have gained tremendous insight into sex-specific differences over the past decade based on evidence from research using cardiovascular imaging.

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Who Cares About Lifestyle … I Want Science!

FreemanThis post was authored by Andrew Freeman, MD, FACC (@heartcuredoc)

I have definitely heard people question the importance of lifestyle before. Exercise up until recently was considered “alternative” medicine, and diet was considered an adjunct to pills. However, very good data and research are now showing that once seemingly innocent things – diet, exercise, smoking cessation and now even mindfulness – are proving to be as potent or more potent for the vast majority of diseases that we treat.

The clincher here is this: How many of us actually “cure” disease? The answer: Mostly none of us. The pills and procedures we do usually palliate, remediate, or slow progression of disease, but almost none of what we do cures the underlying problem.

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2016 ACC/Merck Fellows Honored During 35th Anniversary Reception

The ACC/Merck Fellowship Program celebrated its 35th anniversary on April 2 during the ACC.16 Merck Awards Reception. This unique program has provided support to four fellows in training (FITs) seeking to launch careers in cardiovascular research. Over the past 35 years, Merck has generously offered almost 200 fellowships.

In selecting applications, proposals addressing cardiovascular disease and cardiometabolic disorders are encouraged, as well as proposals focusing on clinically relevant outcomes as a result of the metabolic syndrome, diabetes or obesity. Preference for one award is given to applicants focusing on disparities of care since despite increased attention to health disparities at the national, state and community levels, relatively little progress has been made in achieving the vision of eliminating racial and ethnic health disparities.

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ACC’s First Leadership Academy Cohort Presents Capstone Projects at ACC.16

This post was authored by Rosanne Nelson, an ACC staff member focused on member leadership development and the facilitator of ACC’s Leadership Academy.

Two years ago, a diverse group of 14 early career and Fellows-in-Training members of the ACC came together as strangers in a room. Each had been appointed to Cohort I of the College’s inaugural Leadership Academy program, the ACC program serves to meet our early career / FIT members where they need to be met, and supports leadership challenges in diverse practice areas. Few in the room during our initial meeting knew what to expect. As the leadership development program facilitator, I too was experiencing this program for the first time, and even upon our first meeting, I was amazed by their thirst for knowledge, and humbled by their admission of wanting to ‘lead better.’ As such, we set off to learn and lead together. Admittedly, the path was not as clear at the start. However, this group was eager, open, and honest about what they needed. Thus, a recipe for success was well underway. Continue reading

The Battle Begins at ACC.16

Using a popular game-style teaching technique, state ACC chapter teams – made up of three fellows in training (FITs) – will have the opportunity to showcase their clinical knowledge at the inaugural Inter-State FIT Jeopardy Competition at ACC.16. FIT Jeopardy is a friendly competition that promotes a healthy rivalry between state chapter FIT teams, fosters FIT engagement in their local state chapter and provides educational value to the contestants and audience.

Each round of the competition is chaired by Nkechinyere Ijioma, MD, editor-in-chief of the FIT Section Page on ACC.org, and Gautam Kumar, MD, FACC, and includes three to four judges. Over 25 state chapter teams competed in the preliminary rounds, including teams from VA, KY, MD/DC, Canada, FL, CT, LA, NJ, IA, MN, WI, GA, MO, AL, MS, CA, OR, MA, IL, MI, OH, PA, IN, KS, TX, WV, SD. During the semi-final round tomorrow, the seven winning teams from the preliminary rounds will compete to determine who will move on to the final round. Continue reading

Exciting News on TAVR; Tempered by Unanswered Questions

Svensson_LarsThis post was authored by Lars G. Svensson, MBBCH, PhD, FACC, chair of the Sydell and Arnold Miller Family Heart and Vascular Institute at Cleveland Clinic in Cleveland, OH.

There are few procedures that show a benefit for patients relieving symptoms, saving lives, and improving long-term survival as aortic valve replacement (AVR). Indeed, the advent of transcatheter aortic valve replacement (TAVR) hailed a new era for valve replacement.

In 2001, Alain Cribier, MD, FACC, pioneered human implantation of percutaneous aortic valve replacement via the femoral vein, however this proved to be too high risk. The transapical approach was then implemented with a moderate risk, but shortly thereafter the transfemoral arterial approach was developed with considerably lower mortality although with complications. For example, there was about a 20 percent failure rate from failure to implant, embolization and severe perivalvular regurgitation. Nevertheless, studies in high-risk patients (PARTNER cohort A and PARTNER cohort B) showed excellent outcomes for TAVR with equivalence to open surgery.

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