American College of Cardiology: Update

American College of Cardiology: Update

IL/WI Chapter MeetingLake Geneva

May, 2019

Richard J. Kovacs, MD, FACC

President, American College of Cardiology

Q.E. and Sally Russell Professor

Krannert Institute of Cardiology, Indiana University School of Medicine

Service Line Leader Cardiology

IU Health

Sports Quiz

Sports Quiz

Leadoff triple by the left fielder:

Kovacs: 3 chapter meetings in 24 hours – IL, WI, and Dominican

Republic

Our MissionTo Transform Cardiovascular Care

&

Improve Heart Health

8

ACC’s Core Values are meaningful

Patient-CenteredTeamwork &

Collaboration

Professionalism &

Excellence

• Advocate on behalf of the

cardiovascular patient

population in promotion of

the public good

• Practice organizational

altruism – the safety and

needs of cardiovascular

patients are central to

everything we do

• Support and educate

patients and clinicians in the

practice of shared

decision-making

• Encourage the patient as

part of the care team

• Embrace diversity by

encouraging and supporting

different perspectives,

backgrounds, and thought

• Build strategic

partnerships

• Practice clear

communication and

transparent decision-

making

• Encourage a culture of

trust, respect, and safety

with all colleagues,

regardless of position or title

• Develop leaders and

individuals to enhance team

performance

• Promote a culture of

continuous improvement

and lifelong learning

• Be the trusted voice for

the cardiovascular

community

• Hold ourselves and our

profession to the highest

standards of evidence and

knowledge

• Constructively challenge the

status quo through

innovation

• Strive to achieve and

support balance and well-

being in our roles and

workplaces

Looking at ACC’s “Big 3”

• Practice Guidelines

• Annual Meeting

• JACC Journals

Guidelines

• Currently a new Taskforce is working with

AHA to optimize joint guidelines.

• “Chunk” format is now the standard.

• Co-published with tools and apps

• Expert consensus pathways

2019 Primary Prevention Guidelines in New Format

Top 10 Take-Home

Messages

Recommendations

followed by limited text.

Modular arrangement

Take Home Message #2 - Shared Decision Making is Aligned with ACC Core Values

Team Based Patient Centered • Psychosocial

• Economic

• Cultural

• Health literacy

• Food access

• Environmental

• Sleep quality

• Family and social support

Central Illustration Allows for Easy Communication of

Key Concepts

Top 10 Take Home Messages: #3

• Adults 40--75 years of age being evaluated for CVD prevention should undergo 10-year atherosclerotic cardiovascular disease risk estimation.

• Clinician–patient risk discussion before starting pharmacological therapy, such as antihypertensive therapy, statin, or aspirin

• Risk-enhancing factors and calcium scoring may help guide decisions about preventive interventions in select individuals

http://www.onlinejacc.org/sites/default/files/additional_assets/guidelines/Prevention-Guidelines-Made-Simple.pdf











Take Home Message #7 - Tobacco

• All adults should be assessed at every healthcare visit for

tobacco use

• Those who use tobacco should be assisted and strongly

advised to quit


Take Home Message #7 - Tobacco

• All adults should be assessed at every healthcare visit for

tobacco use

• Those who use tobacco should be assisted and strongly

advised to quit


ACC Expert Consensus Decision

Pathway JACC Dec. 2018

ACC.19 in NEW ORLEANS!

• 35+ sessions• Three channels:

o Hot Topicso Guidelineso Interprofessional

• CME/CNE/MOC/CPE credit

• Watch live or on demand for 30 days• Live chat with other ACC.19

Anywhere attendees• Submit questions for the faculty using

same tool used by live audience in New Orleans—interact as one!

Can't Attend ACC.19? Participate Virtually with ACC.19 Anywhere!

Don’t let time constraints, budget cuts, or scheduling prevent you from experiencing

ACC.19! ACC.19 Anywhere brings the meeting to you.

Lounge and Learn Pavilion

The “Street Plan” Intersections

Lead to Interactions

Late-Breaking Clinical Trial Sessions

• All LBCT sessions with “America’s Got Talent” panel table set-up

• Opening LBCT session features Apple Heart Study

Digital Disruption at Our Doorstep—Implications for Clinicians and Patients

• Moderated by Dr John Rumsfeld• 6 “all-star” panelists• Tech representatives from Apple, Amazon• Former FDA Commissioner• Patient Advocate

[email protected] Studio

• FIT Jeopardy Competition• Newlywed Game• Vascular Shark Tank• Ask the EP Experts• Meet the Ischemic Heart Disease Legends

Theater SessionsPartner DemonstrationsInnovation Challenges: AI Solutions & Digitally Enabled Medical DevicesBooth

#146

Overview

• ACC.19 Late Breaking Clinical Trials

• New 2019 ACC/AHA Primary Prevention Guidelines

Research at ACC.19

• 3,143 Abstracts accepted for oral and poster presentations

• 21 LBCTs (5 sessions)• 15 Featured Clinical Research

Trials (3 sessions)

Education at ACC.19

• 1,520 Faculty from around the world providing education

• 363 Education sessions• 11 Pathways • 15 Guideline-related sessions

Practice-Changing Science at ACC.19

• Opening LBCT session featured Apple Heart Study

• PARTNER 3

• TAVR/SAVR in Patients with Low Risk of

Surgical Mortality

• AUGUSTUS

• CLEAR Wisdom

• DECLARE

• PANACHE

• REDUCE-IT

• INFINITY

• ALCOHOL-AF

• Depression in

ACS and Heart

Failure

Results of a Large-scale, App-based Study to

Identify Atrial Fibrillation Using a Smartwatch:

The Apple Heart Study

Mintu Turakhia MD MAS and Marco Perez MDon behalf of the Apple Heart Study Investigators

FACC in NEW ORLEANS!

JACC is leading!

Where we have challenges:

Decline in Cardiovascular Mortality, Volume: 120, Issue: 2, Pages: 366-380, DOI: (10.1161/CIRCRESAHA.116.309115)

We Face a Common Foe, but Different

Manifestations of the Problem

Global Burden of Disease Shift U.S. Decline in CV Mortality Slowing

Our Chapters in Low and Middle

Income Countries Need Solutions

WHO. Hearts: technical package for cardiovascular disease management in primary health care. 2016 (http://www.who.int)

Which US Citizens are not

represented on this map?



Citizens of the US

Territories:

Puerto Rico

Guam

American Samoa



Citizens of the US

Territories:

Puerto Rico 3.2 Million!

Guam

American Samoa

Socioeconomic disadvantage disproportionally

influencing the care of women and minorities

How Diverse is Cardiology?

4

18

2013:

5-Year Strategic Plan Launched

2014:

Governance Transformation

Discussions Began

2015:


Plan and Principles Approved

2016-2018:


Plan Implementation

Begins

2018 – 2023:

Launch New Strategic Plan and Reassess Governance

Along the Way

Implementing the ACC’s


STRATEGIC GOALS

ACC Lifelong Learning 21st Century

ACC Lifelong Learning is Personalized:Asynchronous Education

THE CMP INTEGRATES LIFELONG LEARNING WITH ASSESSMENT

> 2,500 hospitals> 5,500 cardiologists> 45 million records

Documents

American College of Cardiology: Update