Mark H. Drazner, Biykem Bozkurt, Leslie T. Cooper, Niti R. Aggarwal, Cristina Basso, Nicole M. Bhave, Alida L.P. Caforio, Vanessa M. Ferreira, Bettina Heidecker, Amy R. Kontorovich, Pilar Martín, Gregory A. Roth, Jennifer E. Van Eyk
{"title":"2024 ACC Expert Consensus Decision Pathway on Strategies and Criteria for the Diagnosis and Management of Myocarditis: A Report of the American College of Cardiology Solution Set Oversight Committee","authors":"Mark H. Drazner, Biykem Bozkurt, Leslie T. Cooper, Niti R. Aggarwal, Cristina Basso, Nicole M. Bhave, Alida L.P. Caforio, Vanessa M. Ferreira, Bettina Heidecker, Amy R. Kontorovich, Pilar Martín, Gregory A. Roth, Jennifer E. Van Eyk","doi":"10.1016/j.jacc.2024.10.080","DOIUrl":"https://doi.org/10.1016/j.jacc.2024.10.080","url":null,"abstract":"<h2>Section snippets</h2><section><section><h2>Solution Set Oversight Committee</h2>Nicole M. Bhave, MD, FACC, <em>Chair</em>Niti R. Aggarwal, MD, FACCKatie Bates, ARNP, DNPJohn P. Erwin <span>iii</span>, MD, FACCMartha Gulati, MD, MS, FACCDharam J. Kumbhani, MD, SM, FACCGurusher S. Panjrath, MBBS, FACCBarbara Wiggins, PharmD, FACCMegan Coylewright, MD, MPH, FACC, <em>Ex Officio</em></section></section><section><section><h2>Table of Contents</h2><ul><li><span></span><span>Top 10 Key Takeaway Points<!-- --> <!-- -->3</span></li><li><span>1.</span><span>Introduction<!-- --> <!-- -->4</span></li><li><span>2.</span><span>Assumptions and Proposed Definitions<!-- --> <!-- -->4<ul><li><span>2.1.</span><span>General Clinical Assumptions<!-- --> <!-- -->4</span></li><li><span>2.2.</span><span>Definitions<!-- --> <!-- -->5</span></li></ul></span></li><li><span>3.</span><span>Pathway Summary Graphic<!-- --> <!-- -->5<ul><li><span></span><span>Figure 1. The Evaluation and Management of Clinically Suspected Myocarditis Described as a 5-Step Care Pathway<!-- --> <!-- -->6</span></li></ul></span></li><li><span>4.</span><span>Description, Rationale, and Implication of Pathway<!-- --> <!-- -->7<ul><li><span>4.1.</span><span>Diagnosis of Myocarditis<!-- --> <!-- -->7<ul><li><span>4.1.1.</span><span>Clinical Symptoms<!-- --> <!-- -->7<ul><li><span></span><span>Figure 2. Three Classic Presentations of Myocarditis<!-- --> <!-- -->8</span></li></ul></span></li></ul></span></li><li><span>4.2.</span><span>Diagnostic Testing<!-- --> <!-- -->7<ul><li><span>4.2.1.</span><span>Electrocardiogram<!-- --> <!-- -->7</span></li><li><span>4.2.2.</span><span>Echo and Strain Echocardiography<!-- --> <!-- -->7</span></li><li><span>4.2.3.</span><span>Circulating Cardiac Troponin<!-- --> <!-- -->7</span></li><li><span>4.2.4.</span><span></span></li></ul></span></li></ul></span></li></ul></section></section><section><section><h2>Top 10 Key Takeaway Points</h2><ul><li><span>1.</span><span>Clinicians need to be aware of the 3 classic presentations of myocarditis: chest pain, heart failure (HF)/shock, and/or symptoms related to arrhythmia (eg, presyncope or syncope). In a young person, the history of an antecedent viral infection, or other risk factors that define stage A at-risk for myocarditis, followed by any of these cardiovascular symptoms should raise the suspicion of this diagnosis.</span></li><li><span>2.</span><span>High-sensitivity cardiac troponin (hs-cTn) is a common diagnostic test in patients with</span></li></ul></section></section><section><section><section><h2>General Clinical Assumptions</h2><ul><li><span>1.</span><span>The principal focus of this ECDP is on adults with acute myocarditis. For information on myocarditis in the pediatric population, the reader is referred to the “2021 AHA Scientific Statement on Diagnosis and Management of Myocarditis in Children.”<sup>1</sup> This ECDP does not address conditions with chronic inflammatory infiltrates of the myocardium, as","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"19 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obesity-Related Heart Failure With Preserved Ejection Fraction: Weighing the Benefit of Finerenone","authors":"Amanda R. Vest, Andrew J. Sauer","doi":"10.1016/j.jacc.2024.11.033","DOIUrl":"https://doi.org/10.1016/j.jacc.2024.11.033","url":null,"abstract":"<h2>Section snippets</h2><section><section><h2>Funding Support and Author Disclosures</h2>Dr Vest has received research grant funding from the National Heart, Lung, and Blood Institute (grant R01HL167113) and the National Center for Advancing Translational Sciences (grant RC2TR004377). Dr Sauer has received salary support for research activities from Saint Luke’s Mid America Heart Institute, a nonprofit academic research organization affiliated with the University of Missouri-Kansas City, that receives or has received funding from Bayer, CSL Vifor, Pfizer, Rivus, AstraZeneca,</section></section>","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"240 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Generalizability of the Mass General Brigham Lp(a) Registry Study","authors":"Kazuo Komamura, Hiroshi Miyake, Koichi Kobayashi, Mitsunori Iwase","doi":"10.1016/j.jacc.2024.08.085","DOIUrl":"https://doi.org/10.1016/j.jacc.2024.08.085","url":null,"abstract":"No Abstract","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"85 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Florien S. van Royen, Roderick P. Venekamp, Patricia C.J.L. Bruijning-Verhagen, Frans H. Rutten
{"title":"Acute Respiratory Infections Fuel Cardiovascular Disease","authors":"Florien S. van Royen, Roderick P. Venekamp, Patricia C.J.L. Bruijning-Verhagen, Frans H. Rutten","doi":"10.1016/j.jacc.2024.10.079","DOIUrl":"https://doi.org/10.1016/j.jacc.2024.10.079","url":null,"abstract":"<h2>Section snippets</h2><section><section><h2>Funding Support and Author Disclosures</h2>The authors have reported that they have no relationships relevant to the contents of this paper to disclose.</section></section>","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"140 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Audio Summary","authors":"","doi":"10.1016/s0735-1097(24)10433-0","DOIUrl":"https://doi.org/10.1016/s0735-1097(24)10433-0","url":null,"abstract":"No Abstract","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"34 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Refining Health Interventions: Addressing Developmental Differences and Focusing on Creative Thinking in Children","authors":"Hanjun Ma, Jiangmi Mo, Zonglong He, Qunqiang Luo","doi":"10.1016/j.jacc.2024.08.086","DOIUrl":"https://doi.org/10.1016/j.jacc.2024.08.086","url":null,"abstract":"No Abstract","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"90 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving Outcome in Patients With Tricuspid Regurgitation: Look At the Kidneys and the Liver!","authors":"Marco Metra, Marianna Adamo, Javed Butler","doi":"10.1016/j.jacc.2024.09.1238","DOIUrl":"https://doi.org/10.1016/j.jacc.2024.09.1238","url":null,"abstract":"<h2>Section snippets</h2><section><section><h2>Funding Support and Author Disclosures</h2>Dr Metra has received consulting fees from Abbott Structural Heart, AstraZeneca, Bayer, Boehringer Ingelheim, Cytokinetics, Edwards Lifesciences, and Novo Nordisk. Dr Adamo has received consultant/speaker honoraria from Abbott Vascular and Edwards Lifesciences. Dr Butlar is a consultant for Abbott, American Regent, Amgen, Applied Therapeutic, AskBio, Astellas, AstraZeneca, Bayer, Boehringer Ingelheim, Boston Scientific, Bristol Myers Squibb, Cardiac Dimension, Cardiocell, Cardior, CSL Bearing,</section></section>","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"20 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adam N. Berman, David W. Biery, Brittany N. Weber, Deepak L. Bhatt
{"title":"REPLY: Generalizability of the Mass General Brigham Lp(a) Registry Study","authors":"Adam N. Berman, David W. Biery, Brittany N. Weber, Deepak L. Bhatt","doi":"10.1016/j.jacc.2024.09.1239","DOIUrl":"https://doi.org/10.1016/j.jacc.2024.09.1239","url":null,"abstract":"No Abstract","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"37 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Time-Varying Exposure to School-Based Health Promotion on Adiposity in Childhood","authors":"Ying Fang, Changlin Zhai, Haihua Pan","doi":"10.1016/j.jacc.2024.08.084","DOIUrl":"https://doi.org/10.1016/j.jacc.2024.08.084","url":null,"abstract":"No Abstract","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"211 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reply: Considerations on the SI! Program for Elementary Schools Trial","authors":"Gloria Santos-Beneit, Rodrigo Fernández-Jiménez, Valentin Fuster","doi":"10.1016/j.jacc.2024.09.1241","DOIUrl":"https://doi.org/10.1016/j.jacc.2024.09.1241","url":null,"abstract":"No Abstract","PeriodicalId":17187,"journal":{"name":"Journal of the American College of Cardiology","volume":"83 1","pages":""},"PeriodicalIF":24.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}