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Guduguntla V, Bonow RO. Management Challenges for Bioprosthetic Aortic Valve Failure. JAMA Cardiol 2024; 9:639-640. [PMID: 38776100 DOI: 10.1001/jamacardio.2024.1041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/11/2024]
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O'Gara PT, Guduguntla V, Bonow RO. Osteosarcopenia and Mortality After Transcatheter Aortic Valve Replacement. JAMA Cardiol 2024; 9:618-619. [PMID: 38748416 DOI: 10.1001/jamacardio.2024.1018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/11/2024]
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Bonow RO. JAMA Cardiology-The Year in Review, 2023. JAMA Cardiol 2024; 9:415-417. [PMID: 38506885 DOI: 10.1001/jamacardio.2024.0340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
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Jneid H, Chikwe J, Arnold SV, Bonow RO, Bradley SM, Chen EP, Diekemper RL, Fugar S, Johnston DR, Kumbhani DJ, Mehran R, Misra A, Patel MR, Sweis RN, Szerlip M. 2024 ACC/AHA Clinical Performance and Quality Measures for Adults With Valvular and Structural Heart Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Performance Measures. J Am Coll Cardiol 2024; 83:1579-1613. [PMID: 38493389 DOI: 10.1016/j.jacc.2023.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/18/2024]
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Jneid H, Chikwe J, Arnold SV, Bonow RO, Bradley SM, Chen EP, Diekemper RL, Fugar S, Johnston DR, Kumbhani DJ, Mehran R, Misra A, Patel MR, Sweis RN, Szerlip M. 2024 ACC/AHA Clinical Performance and Quality Measures for Adults With Valvular and Structural Heart Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Performance Measures. Circ Cardiovasc Qual Outcomes 2024; 17:e000129. [PMID: 38484039 DOI: 10.1161/hcq.0000000000000129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/18/2024]
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Bibbins-Domingo K, Flanagin A, Sietmann C, Bonow RO, Navar AM, Shinkai K, Roberson ML, Ayanian JZ, Ponce N, Inouye SK, Durant RW, Simon MA, Rivara FP, Vela M, Josephson SA, Rawls A, Disis MLN, Florez N, Bressler NM, Scott AW, Piccirillo JF, Osazuwa-Peters N, Christakis DA, Duncan AF, Öngür D, Bagot KS, Kibbe MR, Backhus LM, Malani PN. Advancing Equity at the JAMA Network-Self-Reported Demographics of Editors and Editorial Board Members. JAMA 2024; 331:837-839. [PMID: 38334991 DOI: 10.1001/jama.2024.1709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/10/2024]
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Mehta CK, Liu TX, Bonnell L, Habib RH, Kaneko T, Flaherty JD, Davidson CJ, Thomas JD, Rigolin VH, Bonow RO, Pham DT, Johnston DR, McCarthy PM, Malaisrie SC. Age-Stratified Surgical Aortic Valve Replacement for Aortic Stenosis. Ann Thorac Surg 2024:S0003-4975(24)00068-7. [PMID: 38286202 DOI: 10.1016/j.athoracsur.2024.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 01/22/2024] [Accepted: 01/23/2024] [Indexed: 01/31/2024]
Abstract
BACKGROUND The management of aortic stenosis has evolved to stratification by age as reflected in recent societal guidelines. We evaluated age-stratified surgical aortic valve replacement (SAVR) trends and outcomes in patients with bicuspid aortic valve (BAV) or tricuspid aortic valve (TAV) from The Society of Thoracic Surgeons Adult Cardiac Surgery Database. METHODS This cohort included adults (≥18 years) undergoing SAVR for severe aortic stenosis between July 2011 and December 2022. Comparisons were stratified by age (<65 years, 65-79 years, ≥80 years) and BAV or TAV status. Primary end points included operative mortality, composite morbidity and mortality, and permanent stroke. Observed to expected ratios by The Society of Thoracic Surgeons predicted risk of mortality were calculated. RESULTS In total, 200,849 SAVR patients (55,326 BAV [27.5%], 145,526 TAV [72.5%]) from 1238 participating hospitals met study criteria. Annual SAVR volumes decreased by 45% (19,560 to 10,851) during the study period. The decrease was greatest (96%) for patients ≥80 years of age (4914 to 207). The relative prevalence of BAV was greater in younger patients (<65 years, 69,068 [49.5% BAV]; 65-79 years, 104,382 [19.1% BAV]; ≥80 years, 27,399 [4.5% BAV]). The observed mortality in <80-year-old BAV patients (<65 years, 1.08; 65-79 years, 1.21; ≥80 years, 3.68) was better than the expected mortality rate (<65 years, 1.22; 65-79 years, 1.54; ≥80 years, 3.14). CONCLUSIONS SAVR volume in the transcatheter era has decreased substantially, particularly for patients ≥80 years old and for those with TAV. Younger patients with BAV have better than expected outcomes, which should be carefully considered during shared decision-making in the treatment of aortic stenosis. SAVR should remain the preferred therapy in this population.
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Guduguntla V, Bonow RO. High-Sensitivity Troponin in Pulmonary Embolism Risk Stratification-Proceed With Caution. JAMA Cardiol 2024; 9:71. [PMID: 37991786 DOI: 10.1001/jamacardio.2023.4363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2023]
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Delgado V, Ajmone Marsan N, Bonow RO, Hahn RT, Norris RA, Zühlke L, Borger MA. Degenerative mitral regurgitation. Nat Rev Dis Primers 2023; 9:70. [PMID: 38062018 DOI: 10.1038/s41572-023-00478-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/31/2023] [Indexed: 12/18/2023]
Abstract
Degenerative mitral regurgitation is a major threat to public health and affects at least 24 million people worldwide, with an estimated 0.88 million disability-adjusted life years and 34,000 deaths in 2019. Improving access to diagnostic testing and to timely curative therapies such as surgical mitral valve repair will improve the outcomes of many individuals. Imaging such as echocardiography and cardiac magnetic resonance allow accurate diagnosis and have provided new insights for a better definition of the most appropriate timing for intervention. Advances in surgical techniques allow minimally invasive treatment with durable results that last for ≥20 years. Transcatheter therapies can provide good results in select patients who are considered high risk for surgery and have a suitable anatomy; the durability of such repairs is up to 5 years. Translational science has provided new knowledge on the pathophysiology of degenerative mitral regurgitation and may pave the road to the development of medical therapies that could be used to halt the progression of the disease.
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Udelson JE, Fonarow GC, Bonow RO. Realigning Priorities in the Evaluation and Management of Patients With Heart Failure. JAMA Cardiol 2023; 8:1163-1164. [PMID: 37878287 DOI: 10.1001/jamacardio.2023.3900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
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Yancy CW, O'Gara PT, Bonow RO. Regulatory Oversight of Cardiovascular Devices-Why We Care. JAMA Cardiol 2023; 8:1182. [PMID: 37878318 DOI: 10.1001/jamacardio.2023.3903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
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Ranard LS, Bonow RO, Nishimura R, Mack MJ, Thourani VH, Bavaria J, O'Gara PT, Bax JJ, Blanke P, Delgado V, Leipsic J, Lang RM, Michelena HI, Cavalcante JL, Vahl TP, Leon MB, Rigolin VH. Imaging Methods for Evaluation of Chronic Aortic Regurgitation in Adults: JACC State-of-the-Art Review. J Am Coll Cardiol 2023; 82:1953-1966. [PMID: 37940233 DOI: 10.1016/j.jacc.2023.08.051] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 08/21/2023] [Indexed: 11/10/2023]
Abstract
A global multidisciplinary workshop was convened to discuss the multimodality diagnostic evaluation of aortic regurgitation (AR). Specifically, the focus was on assessment tools for AR severity and analyzing evolving data on the optimal timing of aortic valve intervention. The key concepts from this expert panel are summarized as: 1) echocardiography is the primary imaging modality for assessment of AR severity; however, when data is incongruent or incomplete, cardiac magnetic resonance may be helpful; 2) assessment of left ventricular size and function is crucial in determining the timing of intervention; 3) recent evidence suggests current cutpoints for intervention in asymptomatic severe AR patients requires further scrutiny; 4) left ventricular end-systolic volume index has emerged as an additional parameter that has promise in guiding timing of intervention; and 5) the role of additional factors (including global longitudinal strain, regurgitant fraction, and myocardial extracellular volume) is worthy of future investigation.
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Yancy CW, O'Gara PT, Bonow RO. A Tribute to William C. Roberts, MD, 1932-2023. JAMA Cardiol 2023; 8:901. [PMID: 37672267 DOI: 10.1001/jamacardio.2023.2853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/07/2023]
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Day SM, Udelson JE, Bonow RO. Long-Term Efficacy and Safety of Mavacamten in Symptomatic Patients With Obstructive Hypertrophic Cardiomyopathy. JAMA Cardiol 2023; 8:978. [PMID: 37639276 DOI: 10.1001/jamacardio.2023.3357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA 2023; 330:923-924. [PMID: 37594877 DOI: 10.1001/jama.2023.14719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA Psychiatry 2023:2808637. [PMID: 37594887 DOI: 10.1001/jamapsychiatry.2023.3277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA Ophthalmol 2023:2808662. [PMID: 37594881 DOI: 10.1001/jamaophthalmol.2023.4021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA Intern Med 2023:2808638. [PMID: 37594891 DOI: 10.1001/jamainternmed.2023.4474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA Neurol 2023:2808773. [PMID: 37594882 DOI: 10.1001/jamaneurol.2023.3068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA Otolaryngol Head Neck Surg 2023:2808700. [PMID: 37594890 DOI: 10.1001/jamaoto.2023.2746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA Dermatol 2023:2808699. [PMID: 37594883 DOI: 10.1001/jamadermatol.2023.3212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA Oncol 2023:2808718. [PMID: 37594876 DOI: 10.1001/jamaoncol.2023.3619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA Cardiol 2023:2808661. [PMID: 37594888 DOI: 10.1001/jamacardio.2023.2857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA Pediatr 2023:2808717. [PMID: 37594885 DOI: 10.1001/jamapediatrics.2023.3437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
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Galbraith A, Flanagin A, Carroll AE, Ayanian JZ, Bonow RO, Bressler N, Christakis D, Disis MLN, Inouye SK, Josephson A, Öngür D, Piccirillo JF, Shinkai K, Bibbins-Domingo K. JAMA Network Call for Papers on Health and the 2024 US Election. JAMA HEALTH FORUM 2023; 4:e233014. [PMID: 37594884 DOI: 10.1001/jamahealthforum.2023.3014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023] Open
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