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Showing papers in "Journal of the American College of Cardiology in 2013"



Journal ArticleDOI
TL;DR: The 2017-18 FAHA/FACC/FAHA Education and Research Grants will be focused on advancing the profession’s understanding of central nervous system disorders and the management of post-traumatic stress disorder.

4,556 citations


Journal ArticleDOI
TL;DR: In this article, a new paradigm for heart failure with preserved ejection fraction (HFPEF) development is proposed, which identifies a systemic proinflammatory state induced by comorbidities as the cause of myocardial structural and functional alterations.

2,246 citations



Journal ArticleDOI
TL;DR: Early diagnosis of PAH remains difficult, and screening programs in asymptomatic patients are feasible only in high-risk populations, particularly in patients with systemic sclerosis, for whom recent data suggest that a combination of clinical assessment and pulmonary function testing has a higher predictive value than echocardiography alone.

1,372 citations


Journal ArticleDOI
TL;DR: FFR derived from CTA was demonstrated as superior to measures of CTA stenosis severity for determination of lesion-specific ischemia, and a review on the scientific principles that underlie this technology is presented.

951 citations


Journal ArticleDOI
TL;DR: The burden of disease among the elderly due to severe AS is substantial, and the number of candidates for transcatheter aortic valve replacement (TAVR) candidates is estimated to be approximately 290,000.

866 citations


Journal ArticleDOI
TL;DR: An updated consensus document reviews the available evidence and proposes cutoff values for high and low on-treatment platelet reactivity to ADP that might be used in future investigations of personalized antiplatelet therapy and proposes a therapeutic window concept for P2Y12 inhibitor therapy.

817 citations


Journal ArticleDOI
TL;DR: A nonfasting remnant cholesterol increase of 1 mmol/l (39 mg/dl) is associated with a 2.8-fold causal risk for ischemic heart disease, independent of reduced HDL cholesterol, which implies that elevated cholesterol content of triglyceride-rich lipoprotein particles causes ischeMIC heart disease.

796 citations


Journal ArticleDOI
TL;DR: The STOP AF trial demonstrated that cryoballoon ablation is a safe and effective alternative to antiarrhythmic medication for the treatment of patients with symptomatic paroxysmal AF, for whom at least one antiarrHythmic drug has failed, with risks within accepted standards for ablation therapy.

748 citations


Journal ArticleDOI
TL;DR: In the real-world, post-approval experience in Europe, patients undergoing the MitraClip therapy are high-risk, elderly patients, mainly affected by functional MR, and in this patient population, the MitRAClip procedure is effective with low rates of hospital mortality and adverse events.


Journal ArticleDOI
TL;DR: Colchicine 0.5 mg/day administered in addition to statins and other standard secondary prevention therapies appeared effective for the prevention of cardiovascular events in patients with stable coronary disease.

Journal ArticleDOI
TL;DR: The increasing prevalence of abdominal obesity, particularly among female adults, highlights the urgency of addressing abdominal obesity as a healthcare priority and the use of therapies for MetS components aligns with favorable trends in their prevalence.


Journal ArticleDOI
TL;DR: This document is a compilation of the current American College of Cardiology Foundation/American Heart Association practice guideline recommendations for atrial fibrillation (AF) from the “ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation”.


Journal ArticleDOI
TL;DR: Management strategies that when properly implemented may help reduce HF rehospitalizations and include adopting a mechanistic approach to cardiac abnormalities, treating noncardiac comorbidities, increasing utilization of evidence-based therapies, and improving care transitions, monitoring, and disease management are highlighted.

Journal ArticleDOI
TL;DR: The current treatment algorithm may be divided into 3 main areas: 1) general measures, supportive therapy, referral strategy, acute vasoreactivity testing and chronic treatment with calcium channel blockers; 2) initial therapy with approved PAH drugs; and 3) clinical response to the initial therapy, combination therapy, balloon atrial septostomy, and lung transplantation.

Journal ArticleDOI
TL;DR: Results support the concept that OSA exacerbates the cardiometabolic risk attributed to obesity and the metabolic syndrome, and recognition and treatment of OSA may decrease the cardiovascular risk in obese patients.

Journal ArticleDOI
TL;DR: In this article, the safety and efficacy of left atrial appendage closure with the Watchman device was evaluated in nonvalvular atrial fibrillation (AF) patients ineligible for warfarin therapy.

Journal ArticleDOI
TL;DR: In this paper, a change in terminology and a new definition of pulmonary hypertension due to LHD was proposed, and the authors suggest to abandon "out-of-proportion" PH and to distinguish "isolated post-capillary PH" from "post-CAPillary PH with a precapillary component" based on the pressure difference between diastolic pulmonary artery pressure and pulmonary artery wedge pressure.

Journal ArticleDOI
TL;DR: Endurance exercise and frequent exercise increase the risk of VT/VF, HF, and ARVD/C in desmosomal mutation carriers and support exercise restriction for these patients.

Journal ArticleDOI
TL;DR: Noncontrast 3DE was the most reproducible technique for LVEF and LV volume measurements over 1 year of follow-up and had the best intra- and inter-observer as well as test-retest variability.

Journal ArticleDOI
TL;DR: Symptomatic CO following TAVI was a rare but life-threatening complication that occurred more frequently in women, in patients receiving a balloon-expandable valve, and in those with a previous surgical bioprosthesis, highlighting the importance of anticipating and preventing the occurrence of this complication.

Journal ArticleDOI
TL;DR: Visceral adiposity is associated with incident cardiovascular disease and cancer after adjustment for clinical risk factors and generalized adiposity, and these findings support the growing appreciation of a pathogenic role of ectopic fat.

Journal ArticleDOI
TL;DR: The "severe PH group" includes only a minority of chronic lung disease patients who are suspected of having strong general vascular abnormalities accompanying the parenchymal disease and with evidence of an exhausted circulatory reserve rather than an exhausted ventilatory reserve underlying the limitation of exercise capacity.

Journal ArticleDOI
TL;DR: In this article, the authors identified the risk of sudden cardiac death associated with obstructive sleep apnea (OSA) and proposed a risk stratification for SCD, a major cause of mortality.

Journal ArticleDOI
TL;DR: The basic concepts that hold true for whatever technology measures coronary physiology directly and reliably are clarified, here focusing on positron emission tomography and its interplay with intracoronary measurements.