1
|
Affiliation(s)
- Robert O Bonow
- Editor, JAMA Cardiology
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
| |
Collapse
|
2
|
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] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/18/2024]
|
3
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/18/2024]
Affiliation(s)
- Hani Jneid
- ACC/AHA Joint Committee on Clinical Data Standards liaison
- Society for Cardiovascular Angiography and Interventions representative
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
4
|
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] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/10/2024]
Affiliation(s)
| | | | | | | | - Ann Marie Navar
- Deputy Editor, Diversity, Equity, and Inclusion, JAMA Cardiology
| | | | - Mya L Roberson
- Associate Editor for Diversity, Equity, and Inclusion, JAMA Dermatology
| | | | - Ninez Ponce
- Associate Editor for Diversity, Equity, and Inclusion, JAMA Health Forum
| | | | - Raegan W Durant
- Associate Editor and Diversity, Equity, and Inclusion Associate Editor, JAMA Internal Medicine
| | - Melissa A Simon
- Associate Editor and Equity, Diversity, and Inclusion Editor, JAMA
| | | | - Monica Vela
- Diversity, Equity, and Inclusion Associate Editor, JAMA Network Open
| | | | - Ashley Rawls
- Associate Editor, Diversity, Equity, and Inclusion, JAMA Neurology
| | | | - Narjust Florez
- Associate Editor for Diversity, Equity, and Inclusion, JAMA Oncology
| | | | | | | | | | | | - Andrea F Duncan
- Associate Editor and Diversity, Equity, and Inclusion Editor, JAMA Pediatrics
| | | | - Kara S Bagot
- Diversity, Equity, and Inclusion Editor, JAMA Psychiatry
| | | | | | - Preeti N Malani
- Deputy Editor, JAMA , and Equity, Diversity, and Inclusion Editor, JAMA and the JAMA Network
| |
Collapse
|
5
|
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] [What about the content of this article? (0)] [Affiliation(s)] [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.
Collapse
Affiliation(s)
- Christopher K Mehta
- Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois.
| | - Tom X Liu
- Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| | - Levi Bonnell
- The Society of Thoracic Surgeons Research and Analytic Center, Chicago, Illinois
| | - Robert H Habib
- The Society of Thoracic Surgeons Research and Analytic Center, Chicago, Illinois
| | - Tsuyoshi Kaneko
- Division of Cardiac Surgery, Washington University in St Louis, St Louis, Missouri
| | - James D Flaherty
- Division of Cardiology, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| | - Charles J Davidson
- Division of Cardiology, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| | - James D Thomas
- Division of Cardiology, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| | - Vera H Rigolin
- Division of Cardiology, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| | - Robert O Bonow
- Division of Cardiology, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| | - Duc Thinh Pham
- Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| | - Douglas R Johnston
- Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| | - Patrick M McCarthy
- Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| | - S Chris Malaisrie
- Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
| |
Collapse
|
6
|
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] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2023]
Affiliation(s)
- Vinay Guduguntla
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Editorial Fellow, JAMA Cardiology
| | - Robert O Bonow
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Editor, JAMA Cardiology
| |
Collapse
|
7
|
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] [What about the content of this article? (0)] [Affiliation(s)] [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.
Collapse
Affiliation(s)
| | - Nina Ajmone Marsan
- Department of Cardiology, Leiden University Medical Center, Leiden, Netherlands
| | - Robert O Bonow
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Rebecca T Hahn
- Columbia University Irving Medical Center, New York Presbyterian Hospital, New York, NY, USA
| | - Russell A Norris
- Department of Regenerative Medicine and Cell Biology, Medical University of South Carolina, Charleston, SC, USA
| | - Liesl Zühlke
- South African Medical Research Council, Cape Town, South Africa
- Division of Paediatric Cardiology, Department of Paediatrics, Institute of Child Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Michael A Borger
- University Department of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany
| |
Collapse
|
8
|
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] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Affiliation(s)
- James E Udelson
- Division of Cardiology and the Cardiovascular Center, Tufts Medical Center, Boston, Massachusetts
- Associate Editor, JAMA Cardiology
| | - Gregg C Fonarow
- Division of Cardiology, Ronald Reagan-UCLA Medical Center, Los Angeles, California
- Associate Section Editor, JAMA Cardiology
| | - Robert O Bonow
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Editor, JAMA Cardiology
| |
Collapse
|
9
|
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] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Affiliation(s)
- Clyde W Yancy
- Northwestern University, Feinberg School of Medicine, Chicago, Illinois
- Editor, JAMA Cardiology
| | - Patrick T O'Gara
- Cardiovascular Division, Brigham and Women's Hospital, Boston, Massachusetts
- Editor, JAMA Cardiology
| | - Robert O Bonow
- Northwestern University, Feinberg School of Medicine, Chicago, Illinois
- Editor, JAMA Cardiology
| |
Collapse
|
10
|
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] [What about the content of this article? (0)] [Affiliation(s)] [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.
Collapse
Affiliation(s)
- Lauren S Ranard
- Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA
| | - Robert O Bonow
- Division of Cardiology, Northwestern University Feinberg School of Medicine, Northwestern Memorial Hospital, Chicago, Illinois, USA
| | - Rick Nishimura
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Michael J Mack
- Division of Cardiothoracic Surgery, Heart Hospital Baylor Plano, Baylor Healthcare System, Plano, Texas, USA
| | - Vinod H Thourani
- Department of Cardiovascular Surgery, Marcus Valve Center, Piedmont Heart Institute, Atlanta, Georgia, USA
| | - Joseph Bavaria
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Patrick T O'Gara
- Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Jeroen J Bax
- Department of Cardiology, Leiden University Medical Centre, Leiden, the Netherlands
| | - Philipp Blanke
- Department of Radiology, St Paul's Hospital & University of British Columbia, Vancouver, British Columbia, Canada
| | - Victoria Delgado
- Department of Cardiology, Hospital University Germans Trias i Pujol, Badalona, Spain
| | - Jonathon Leipsic
- Department of Radiology, St Paul's Hospital & University of British Columbia, Vancouver, British Columbia, Canada
| | - Roberto M Lang
- Section of Cardiology, Heart and Vascular Center, University of Chicago Medical Center, Chicago, Illinois, USA
| | - Hector I Michelena
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - João L Cavalcante
- Division of Cardiology, Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA
| | - Torsten P Vahl
- Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA
| | - Martin B Leon
- Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA
| | - Vera H Rigolin
- Division of Cardiology, Northwestern University Feinberg School of Medicine, Northwestern Memorial Hospital, Chicago, Illinois, USA.
| |
Collapse
|
11
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/07/2023]
Affiliation(s)
- Clyde W Yancy
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Deputy Editor, JAMA Cardiology
| | - Patrick T O'Gara
- Deputy Editor, JAMA Cardiology
- Cardiovascular Division, Brigham and Women's Hospital, Boston, Massachusetts
| | - Robert O Bonow
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Editor, JAMA Cardiology
| |
Collapse
|
12
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Affiliation(s)
- Sharlene M Day
- University of Pennsylvania, Philadelphia
- Associate Editor for Translational Science, JAMA Cardiology
| | - James E Udelson
- Division of Cardiology, CardioVascular Center, Tufts Medical Center, Boston, Massachusetts
- Associate Editor, JAMA Cardiology
| | - Robert O Bonow
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Editor, JAMA Cardiology
| |
Collapse
|
13
|
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] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
14
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
15
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
16
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
17
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
18
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
19
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
20
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
21
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
22
|
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] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
|
23
|
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] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023] Open
|
24
|
Peigh G, Puthumana JJ, Bonow RO. Aortic Regurgitation and Heart Failure: Advances in Diagnosis, Management, and Interventions. Heart Fail Clin 2023; 19:285-296. [PMID: 37230644 DOI: 10.1016/j.hfc.2023.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
This review discusses the contemporary clinical evaluation and management of patients with comorbid aortic regurgitation (AR) and heart failure (HF) (AR-HF). Importantly, as clinical HF exists along the spectrum of AR severity, the present review also details novel strategies to detect early signs of HF before the clinical syndrome ensues. Indeed, there may be a vulnerable cohort of AR patients who benefit from early detection and management of HF. Additionally, while the mainstay of operative management for AR has historically been surgical aortic valve replacement, this review discusses alternate procedures that may be beneficial in high-risk cohorts.
Collapse
Affiliation(s)
- Graham Peigh
- Division of Cardiology, Northwestern University, Feinberg School of Medicine, 676 North St. Clair Suite 600, Chicago, IL 60611, USA.
| | - Jyothy J Puthumana
- Division of Cardiology, Northwestern University, Feinberg School of Medicine, 676 North St. Clair Suite 600, Chicago, IL 60611, USA
| | - Robert O Bonow
- Division of Cardiology, Northwestern University, Feinberg School of Medicine, 676 North St. Clair Suite 600, Chicago, IL 60611, USA
| |
Collapse
|
25
|
Sud K, Narula N, Aikawa E, Arbustini E, Pibarot P, Merlini G, Rosenson RS, Seshan SV, Argulian E, Ahmadi A, Zhou F, Moreira AL, Côté N, Tsimikas S, Fuster V, Gandy S, Bonow RO, Gursky O, Narula J. The contribution of amyloid deposition in the aortic valve to calcification and aortic stenosis. Nat Rev Cardiol 2023; 20:418-428. [PMID: 36624274 PMCID: PMC10199673 DOI: 10.1038/s41569-022-00818-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/17/2022] [Indexed: 01/11/2023]
Abstract
Calcific aortic valve disease (CAVD) and stenosis have a complex pathogenesis, and no therapies are available that can halt or slow their progression. Several studies have shown the presence of apolipoprotein-related amyloid deposits in close proximity to calcified areas in diseased aortic valves. In this Perspective, we explore a possible relationship between amyloid deposits, calcification and the development of aortic valve stenosis. These amyloid deposits might contribute to the amplification of the inflammatory cycle in the aortic valve, including extracellular matrix remodelling and myofibroblast and osteoblast-like cell proliferation. Further investigation in this area is needed to characterize the amyloid deposits associated with CAVD, which could allow the use of antisense oligonucleotides and/or isotype gene therapies for the prevention and/or treatment of CAVD.
Collapse
Affiliation(s)
- Karan Sud
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Navneet Narula
- New York University Grossman School of Medicine, New York, NY, USA.
| | - Elena Aikawa
- Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | | | - Philippe Pibarot
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada
| | | | | | | | - Edgar Argulian
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Amir Ahmadi
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Fang Zhou
- New York University Grossman School of Medicine, New York, NY, USA
| | - Andre L Moreira
- New York University Grossman School of Medicine, New York, NY, USA
| | - Nancy Côté
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada
| | | | | | - Sam Gandy
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Robert O Bonow
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Olga Gursky
- Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA
| | - Jagat Narula
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| |
Collapse
|
26
|
Malahfji M, Crudo V, Kaolawanich Y, Nguyen DT, Telmesani A, Saeed M, Reardon MJ, Zoghbi WA, Polsani V, Elliott M, Bonow RO, Graviss EA, Kim R, Shah DJ. Influence of Cardiac Remodeling on Clinical Outcomes in Patients With Aortic Regurgitation. J Am Coll Cardiol 2023; 81:1885-1898. [PMID: 36882135 DOI: 10.1016/j.jacc.2023.03.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 03/02/2023] [Indexed: 03/07/2023]
Abstract
BACKGROUND Quantitative cardiac magnetic resonance (CMR) outcome studies in aortic regurgitation (AR) are few. It is unclear if volume measurements are beneficial over diameters. OBJECTIVES This study sought to evaluate the association of CMR quantitative thresholds and outcomes in AR patients. METHODS In a multicenter study, asymptomatic patients with moderate or severe AR on CMR with preserved left ventricular ejection fraction (LVEF) were evaluated. Primary outcome was development of symptoms or decrease in LVEF to <50%, development of guideline indications for surgery based on LV dimensions, or death under medical management. Secondary outcome was the same as the primary outcome, excluding surgery for remodeling indications. We excluded patients who underwent surgery within 30 days of CMR. Receiver-operating characteristic analyses for the association with outcomes were performed. RESULTS We studied 458 patients (median age: 60 years; IQR: 46-70 years). During a median follow-up of 2.4 years (IQR: 0.9-5.3 years), 133 events occurred. Optimal thresholds were regurgitant volume of 47 mL and regurgitant fraction of 43%, indexed LV end-systolic (iLVES) volume of 43 mL/m2, indexed LV end-diastolic volume of 109 mL/m2, and iLVES diameter of 2 cm/m2. In multivariable regression analysis, iLVES volume of ≥43 mL/m2 (HR: 2.53; 95% CI: 1.75-3.66; P < 0.001) and indexed LV end-diastolic volume of ≥109 mL/m2 were independently associated with the outcomes and provided additional discrimination improvement over iLVES diameter, whereas iLVES diameter was independently associated with the primary outcome but not the secondary outcome. CONCLUSIONS In asymptomatic AR patients with preserved LVEF, CMR findings can be used to guide management. CMR-based LVES volume assessment performed favorably compared to LV diameters.
Collapse
Affiliation(s)
- Maan Malahfji
- Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA
| | - Valentina Crudo
- Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA
| | - Yodying Kaolawanich
- Division of Cardiology, Department of Internal Medicine, Duke University, Durham, North Carolina, USA
| | - Duc T Nguyen
- Department of Pathology and Genomic Medicine, Houston Methodist Hospital Research Institute, Houston, Texas, USA
| | - Amr Telmesani
- Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA
| | - Mujtaba Saeed
- Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA
| | - Michael J Reardon
- Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA
| | - William A Zoghbi
- Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA
| | | | - Michael Elliott
- Sanger Heart & Vascular Institute, Atrium Health, Charlotte, North Carolina, USA
| | - Robert O Bonow
- Division of Cardiology, Department of Internal Medicine, Northwestern University, Chicago, Illinois, USA
| | - Edward A Graviss
- Department of Pathology and Genomic Medicine, Houston Methodist Hospital Research Institute, Houston, Texas, USA
| | - Raymond Kim
- Division of Cardiology, Department of Internal Medicine, Duke University, Durham, North Carolina, USA
| | - Dipan J Shah
- Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.
| |
Collapse
|
27
|
Affiliation(s)
- Robert O Bonow
- Editor, JAMA Cardiology
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
| |
Collapse
|
28
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Dermatol 2023; 159:135-136. [PMID: 36516038 DOI: 10.1001/jamadermatol.2022.6161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
29
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Intern Med 2023; 183:95-96. [PMID: 36516051 DOI: 10.1001/jamainternmed.2022.6493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
30
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Surg 2023; 158:118-119. [PMID: 36516043 DOI: 10.1001/jamasurg.2022.7677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
31
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Cardiol 2023; 8:109-110. [PMID: 36516027 DOI: 10.1001/jamacardio.2022.5261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum
- Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology
- Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology
- Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics
- Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology
- Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology
- Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery
- Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry
- McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery
- Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine
- Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open
- Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology
- Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
32
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Pediatr 2023; 177:120-121. [PMID: 36516044 DOI: 10.1001/jamapediatrics.2022.5697] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
33
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Oncol 2023; 9:172-173. [PMID: 36516046 DOI: 10.1001/jamaoncol.2022.7502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
34
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Neurol 2023; 80:132-133. [PMID: 36516048 DOI: 10.1001/jamaneurol.2022.5104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
35
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Otolaryngol Head Neck Surg 2023; 149:101-102. [PMID: 36516037 DOI: 10.1001/jamaoto.2022.4817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
36
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Psychiatry 2023; 80:107-108. [PMID: 36516039 DOI: 10.1001/jamapsychiatry.2022.4756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
37
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Ophthalmol 2023; 141:115-116. [PMID: 36516036 DOI: 10.1001/jamaophthalmol.2022.6056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
38
|
Weiss EK, Jarvis K, Maroun A, Malaisrie SC, Mehta CK, McCarthy PM, Bonow RO, Avery RJ, Allen BD, Carr JC, Rigsby CK, Markl M. Systolic reverse flow derived from 4D flow cardiovascular magnetic resonance in bicuspid aortic valve is associated with aortic dilation and aortic valve stenosis: a cross sectional study in 655 subjects. J Cardiovasc Magn Reson 2023; 25:3. [PMID: 36698129 PMCID: PMC9878800 DOI: 10.1186/s12968-022-00906-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 12/04/2022] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND Bicuspid aortic valve (BAV) disease is associated with increased risk of aortopathy. In addition to current intervention guidelines, BAV mediated changes in aortic 3D hemodynamics have been considered as risk stratification measures. We aimed to evaluate the association of 4D flow cardiovascular magnetic resonance (CMR) derived voxel-wise aortic reverse flow with aortic dilation and to investigate the role of aortic valve regurgitation (AR) and stenosis (AS) on reverse flow in systole and diastole. METHODS 510 patients with BAV (52 ± 14 years) and 120 patients with trileaflet aortic valve (TAV) (61 ± 11 years) and mid-ascending aorta diameter (MAAD) > 35 mm who underwent CMR including 4D flow CMR were retrospectively included. An age and sex-matched healthy control cohort (n = 25, 49 ± 12 years) was selected. Voxel-wise reverse flow was calculated in the aorta and quantified by the mean reverse flow in the ascending aorta (AAo) during systole and diastole. RESULTS BAV patients without AS and AR demonstrated significantly increased systolic and diastolic reverse flow (222% and 13% increases respectively, p < 0.01) compared to healthy controls and also had significantly increased systolic reverse flow compared to TAV patients with aortic dilation (79% increase, p < 0.01). In patients with isolated AR, systolic and diastolic AAo reverse flow increased significantly with AR severity (c = - 83.2 and c = - 205.6, p < 0.001). In patients with isolated AS, AS severity was associated with an increase in both systolic (c = - 253.1, p < 0.001) and diastolic (c = - 87.0, p = 0.02) AAo reverse flow. Right and left/right and non-coronary fusion phenotype showed elevated systolic reverse flow (> 17% increase, p < 0.01). Right and non-coronary fusion phenotype showed decreased diastolic reverse flow (> 27% decrease, p < 0.01). MAAD was an independent predictor of systolic (p < 0.001), but not diastolic, reverse flow (p > 0.1). CONCLUSION 4D flow CMR derived reverse flow associated with BAV was successfully captured even in the absence of AR or AS and in comparison to TAV patients with aortic dilation. Diastolic AAo reverse flow increased with AR severity while AS severity strongly correlated with increased systolic reverse flow in the AAo. Additionally, increasing MAAD was independently associated with increasing systolic AAo reverse flow. Thus, systolic AAo reverse flow may be a valuable metric for evaluating disease severity in future longitudinal outcome studies.
Collapse
Affiliation(s)
- Elizabeth K. Weiss
- Department of Radiology, Feinberg School of Medicine, Northwestern University, 737 North Michigan Avenue Suite 1600, Chicago, IL 60611 USA
| | - Kelly Jarvis
- Department of Radiology, Feinberg School of Medicine, Northwestern University, 737 North Michigan Avenue Suite 1600, Chicago, IL 60611 USA
| | - Anthony Maroun
- Department of Radiology, Feinberg School of Medicine, Northwestern University, 737 North Michigan Avenue Suite 1600, Chicago, IL 60611 USA
| | - S. Chris Malaisrie
- Division of Cardiac Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL USA
| | - Christopher K. Mehta
- Division of Cardiac Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL USA
| | - Patrick M. McCarthy
- Division of Cardiac Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL USA
| | - Robert O. Bonow
- Division of Cardiology, Feinberg School of Medicine, Northwestern University, Chicago, IL USA
| | - Ryan J. Avery
- Department of Radiology, Feinberg School of Medicine, Northwestern University, 737 North Michigan Avenue Suite 1600, Chicago, IL 60611 USA
| | - Bradley D. Allen
- Department of Radiology, Feinberg School of Medicine, Northwestern University, 737 North Michigan Avenue Suite 1600, Chicago, IL 60611 USA
| | - James C. Carr
- Department of Radiology, Feinberg School of Medicine, Northwestern University, 737 North Michigan Avenue Suite 1600, Chicago, IL 60611 USA
| | - Cynthia K. Rigsby
- Department of Medical Imaging, Lurie Children’s Hospital, Chicago, IL USA
| | - Michael Markl
- Department of Radiology, Feinberg School of Medicine, Northwestern University, 737 North Michigan Avenue Suite 1600, Chicago, IL 60611 USA
| |
Collapse
|
39
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA 2023; 329:23-24. [PMID: 36516049 DOI: 10.1001/jama.2022.23451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum
- Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology
- Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology
- Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics
- Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology
- Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology
- Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery
- Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry
- McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery
- Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine
- Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open
- Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology
- Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
40
|
Baman JR, Medhekar AN, Malaisrie SC, McCarthy P, Davidson CJ, Bonow RO. Management Challenges in Patients Younger Than 65 Years With Severe Aortic Valve Disease. JAMA Cardiol 2022; 8:281-289. [PMID: 36542365 DOI: 10.1001/jamacardio.2022.4770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
ImportanceThe management of aortic valve disease, including aortic stenosis and aortic regurgitation (AR), in younger adult patients (age &lt;65 years) is complex, and the optimal strategy is often unclear, contingent on multiple anatomic and holistic factors.ObservationsTraditional surgical approaches carry significant considerations, including compulsory lifelong anticoagulation for patients who receive a mechanical aortic valve replacement (AVR) and the risk of structural valvular deterioration and need for subsequent valve intervention in those who receive a bioprosthetic AVR. These factors are magnified in young adults who are considering pregnancy, for whom issues of anticoagulation and valve longevity are heightened. The Ross procedure has emerged as a promising alternative; however, its adoption is limited to highly specialized centers. Valve repair is an option for selected patients with AR. These treatment options offer varying degrees of durability and are associated with different risks and complications, especially for younger adult patients. Patient-centered care from a multidisciplinary valve team allows for discussion of the optimal timing of intervention and the advantages and disadvantages of the various treatment options.Conclusions and RelevanceThe management of severe aortic valve disease in adults younger than 65 years is complex, and there are numerous considerations with each management decision. While mechanical AVR and bioprosthetic AVR have historically been the standards of care, other options are emerging for selected patients but are not yet generalizable beyond specialized surgical centers. A detailed discussion by members of the multidisciplinary heart team and the patient is an integral part of the shared decision-making process.
Collapse
Affiliation(s)
- Jayson R. Baman
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Ankit N. Medhekar
- Section of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, Texas
| | - S. Chris Malaisrie
- Department of Cardiac Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Patrick McCarthy
- Department of Cardiac Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Charles J. Davidson
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Robert O. Bonow
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Editor, JAMA Cardiology
| |
Collapse
|
41
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Health Forum 2022; 3:e225227. [PMID: 36516025 DOI: 10.1001/jamahealthforum.2022.5227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum.,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology.,Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology.,Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics.,Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology.,Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology.,Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery.,Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry.,McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery.,Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine.,Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open.,Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology.,Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
42
|
Bibbins-Domingo K, Shields B, Ayanian JZ, Bonow RO, Bressler NM, Christakis D, Disis ML, Josephson SA, Kibbe MR, Öngür D, Piccirillo JF, Redberg RF, Rivara FP, Shinkai K, Easley TJ. Public Access to Scientific Research Findings and Principles of Biomedical Research-A New Policy for the JAMA Network. JAMA Netw Open 2022; 5:e2252325. [PMID: 36516024 DOI: 10.1001/jamanetworkopen.2022.52325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Affiliation(s)
| | | | - John Z Ayanian
- Editor, JAMA Health Forum
- Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
| | - Robert O Bonow
- Editor, JAMA Cardiology
- Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Neil M Bressler
- Editor, JAMA Ophthalmology
- Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Dimitri Christakis
- Editor, JAMA Pediatrics
- Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Mary L Disis
- Editor, JAMA Oncology
- Fred Hutchinson Cancer Research Center, University of Washington, Seattle
| | - S Andrew Josephson
- Editor, JAMA Neurology
- Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco
| | - Melina R Kibbe
- Editor, JAMA Surgery
- Department of Surgery, University of Virginia, Charlottesville
| | - Dost Öngür
- Editor, JAMA Psychiatry
- McLean Hospital, Harvard Medical School, Belmont, Massachusetts
| | - Jay F Piccirillo
- Editor, JAMA Otolaryngology-Head & Neck Surgery
- Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
| | - Rita F Redberg
- Editor, JAMA Internal Medicine
- Department of Medicine, University of California, San Francisco
| | - Frederick P Rivara
- Editor, JAMA Network Open
- Department of Pediatrics, University of Washington, Seattle
| | - Kanade Shinkai
- Editor, JAMA Dermatology
- Department of Dermatology, University of California, San Francisco
| | | |
Collapse
|
43
|
Bonow RO, O'Gara PT. Left Ventricular Volume and Outcomes in Patients With Chronic Aortic Regurgitation. JAMA Cardiol 2022; 7:885-886. [PMID: 35857309 DOI: 10.1001/jamacardio.2022.2152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Robert O Bonow
- Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.,Editor, JAMA Cardiology
| | - Patrick T O'Gara
- Division of Cardiovascular Disease, Brigham and Women's Hospital, Boston, Massachusetts.,Deputy Editor, JAMA Cardiology
| |
Collapse
|
44
|
Crawford EE, McCarthy PM, Malaisrie SC, Mehta CK, Puthumana JJ, Robinson JD, Markl M, Bonow RO, Fedak PWM. The need for comprehensive multidisciplinary programs, complex interventions, and precision medicine for bicuspid aortic valve disease. Ann Cardiothorac Surg 2022; 11:369-379. [PMID: 35958531 PMCID: PMC9357958 DOI: 10.21037/acs-2021-bav-207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 02/08/2022] [Indexed: 11/17/2022]
Abstract
Patients with bicuspid aortic valves commonly require an intervention on their valve and/or aorta. Because of their heterogeneous presentations, recommendations for imaging surveillance and surgery timing are highly individualized. Critical points in care include time of diagnosis, transition from adolescent to adult medicine, and surgery referral. To better support patients with bicuspid aortic valves, we developed a comprehensive program that utilizes the multidisciplinary care team, complex interventions, and translational research protocols. We describe our program structure and experience with this common and sometimes challenging diagnosis.
Collapse
Affiliation(s)
- Erin E. Crawford
- Division of Cardiac Surgery, Northwestern Medicine, Chicago, IL, USA
| | - Patrick M. McCarthy
- Division of Cardiac Surgery, Northwestern Medicine, Chicago, IL, USA
- Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - S. Chris Malaisrie
- Division of Cardiac Surgery, Northwestern Medicine, Chicago, IL, USA
- Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Christopher K. Mehta
- Division of Cardiac Surgery, Northwestern Medicine, Chicago, IL, USA
- Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Jyothy J. Puthumana
- Division of Cardiology, Northwestern Medicine, Chicago, IL, USA
- Department of Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Joshua D. Robinson
- Division of Cardiology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA
- Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
- Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Michael Markl
- Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
- McCormick School of Engineering, Northwestern University, Evanston, IL, USA
| | - Robert O. Bonow
- Division of Cardiology, Northwestern Medicine, Chicago, IL, USA
- Department of Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Paul W. M. Fedak
- Division of Cardiac Surgery, Northwestern Medicine, Chicago, IL, USA
- Section of Cardiac Surgery, Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada
- Libin Cardiovascular Institute, Calgary, Canada
| |
Collapse
|
45
|
Navar AM, Bonow RO. Communicating the Benefits of Vaccination in Light of Potential Risks. JAMA Cardiol 2022; 7:612. [PMID: 35442392 DOI: 10.1001/jamacardio.2022.0590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Ann Marie Navar
- Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas.,Editor, JAMA Cardiology
| | - Robert O Bonow
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.,Deputy Editor, Diversity, Equity, and Inclusion, JAMA Cardiology
| |
Collapse
|
46
|
Affiliation(s)
- Robert O Bonow
- Editor, JAMA Cardiology.,Northwestern University Feinberg School of Medicine, Chicago, Illinois
| |
Collapse
|
47
|
Gergis M, Nagy S, Bonow RO. Overview of trials from AHA 2021. Glob Cardiol Sci Pract 2022; 2021:e202129. [PMID: 36185158 PMCID: PMC9491393 DOI: 10.21542/gcsp.2021.29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Accepted: 11/30/2021] [Indexed: 11/25/2022] Open
|
48
|
Soulat G, Scott M, Allen BD, Avery R, Bonow RO, Malaisrie C, McCarthy P, Fedak P, Barker AJ, Markl M. Association of Regional Wall Shear Stress and Progressive Ascending Aorta Dilation in Bicuspid Aortic Valve. JACC Cardiovasc Imaging 2022; 15:33-42. [PMID: 34419402 PMCID: PMC8741630 DOI: 10.1016/j.jcmg.2021.06.020] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Revised: 06/02/2021] [Accepted: 06/07/2021] [Indexed: 01/03/2023]
Abstract
OBJECTIVES The aim of this study was to evaluate the role of wall shear stress (WSS) as a predictor of ascending aorta (AAo) growth at 5 years or greater follow-up. BACKGROUND Aortic 4-dimensional flow cardiac magnetic resonance (CMR) can quantify regions exposed to high WSS, a known stimulus for arterial wall dysfunction. However, its association with longitudinal changes in aortic dilation in patients with bicuspid aortic valve (BAV) is unknown. METHODS This retrospective study identified 72 patients with BAV (age 45 ± 12 years) who underwent CMR for surveillance of aortic dilation at baseline and ≥5 years of follow-up. Four-dimensional flow CMR analysis included the calculation of WSS heat maps to compare regional WSS in individual patients with population averages of healthy age- and sex-matched subjects (database of 136 controls). The relative areas of the AAo and aorta (in %) exposed to elevated WSS (outside the 95% CI of healthy population averages) were quantified. RESULTS At a median follow-up duration of 6.0 years, the mean AAo growth rate was 0.24 ± 0.20 mm/y. The fraction of the AAo exposed to elevated WSS at baseline was increased for patients with higher growth rates (>0.24 mm/y, n = 32) compared with those with growth rates <0.24 mm/y (19.9% [IQR: 10.2%-25.5%] vs 5.7% [IQR: 1.5%-21.3%]; P = 0.008). Larger areas of elevated WSS in the AAo and entire aorta were associated with higher rates of AAo dilation >0.24 mm/y (odds ratio: 1.51; 95% CI: 1.05-2.17; P = 0.026 and odds ratio: 1.70; 95% CI: 1.01-3.15; P = 0.046, respectively). CONCLUSIONS The area of elevated AAo WSS as assessed by 4-dimensional flow CMR identified BAV patients with higher rates of aortic dilation and thus might determine which patients require closer follow-up.
Collapse
Affiliation(s)
- Gilles Soulat
- Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Michael Scott
- Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA,Department of Biomedical Engineering, McCormick, School of Engineering, Northwestern University, Evanston, IL, USA
| | - Bradley D Allen
- Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Ryan Avery
- Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Robert O. Bonow
- Division of Cardiology, Department of Medicine, Bluhm Cardiovascular Institute, Northwestern University, Chicago, Illinois
| | - Chris Malaisrie
- Division of Cardiac Surgery, Department of Surgery, Bluhm Cardiovascular Institute, Northwestern University, Chicago, Illinois, USA
| | - Patrick McCarthy
- Division of Cardiac Surgery, Department of Surgery, Bluhm Cardiovascular Institute, Northwestern University, Chicago, Illinois, USA
| | - Paul Fedak
- Division of Cardiac Surgery, Department of Surgery, Bluhm Cardiovascular Institute, Northwestern University, Chicago, Illinois, USA,Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Canada
| | - Alex J Barker
- Department of Radiology and Bioengineering, Anschutz Medical Campus, University of Colorado, Aurora, CO, USA
| | - Michael Markl
- Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA,Department of Biomedical Engineering, McCormick, School of Engineering, Northwestern University, Evanston, IL, USA
| |
Collapse
|
49
|
Gupta AN, Avery R, Soulat G, Allen BD, Collins JD, Choudhury L, Bonow RO, Carr J, Markl M, Elbaz MSM. Direct mitral regurgitation quantification in hypertrophic cardiomyopathy using 4D flow CMR jet tracking: evaluation in comparison to conventional CMR. J Cardiovasc Magn Reson 2021; 23:138. [PMID: 34865629 PMCID: PMC8647422 DOI: 10.1186/s12968-021-00828-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 11/16/2021] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Quantitative evaluation of mitral regurgitation (MR) in hypertrophic cardiomyopathy (HCM) by cardiovascular magnetic resonance (CMR) relies on an indirect volumetric calculation. The aim of this study was to directly assess and quantify MR jets in patients with HCM using 4D flow CMR jet tracking in comparison to standard-of-care CMR indirect volumetric method. METHODS This retrospective study included patients with HCM undergoing 4D flow CMR. By the indirect volumetric method from CMR, MR volume was quantified as left ventricular stroke volume minus forward aortic volume. By 4D flow CMR direct jet tracking, multiplanar reformatted planes were positioned in the peak velocity of the MR jet during systole to calculate through-plane regurgitant flow. MR severity was collected for agreement analysis from a clinical echocardiograms performed within 1 month of CMR. Inter-method and inter-observer agreement were assessed by intraclass correlation coefficient (ICC), Bland-Altman analysis, and Cohen's kappa. RESULTS Thirty-seven patients with HCM were included. Direct jet tracking demonstrated good inter-method agreement of MR volume compared to the indirect volumetric method (ICC = 0.80, p = 0.004) and fair agreement of MR severity (kappa = 0.27, p = 0.03). Direct jet tracking showed higher agreement with echocardiography (kappa = 0.35, p = 0.04) than indirect volumetric method (kappa = 0.16, p = 0.35). Inter-observer reproducibility of indirect volumetric method components revealed the lowest reproducibility in end-systolic volume (ICC = 0.69, p = 0.15). Indirect volumetric method showed good agreement of MR volume (ICC = 0.80, p = 0.003) and fair agreement of MR severity (kappa = 0.38, p < 0.001). Direct jet tracking demonstrated (1) excellent inter-observer reproducibility of MR volume (ICC = 0.97, p < 0.001) and MR severity (kappa = 0.84, p < 0.001) and (2) excellent intra-observer reproducibility of MR volume (ICC = 0.98, p < 0.001) and MR severity (kappa = 0.88, p < 0.001). CONCLUSIONS Quantifying MR and assessing MR severity by indirect volumetric method in HCM patients has limited inter-observer reproducibility. 4D flow CMR jet tracking is a potential alternative technique to directly quantify and assess MR severity with excellent inter- and intra-observer reproducibility and higher agreement with echocardiography in this population.
Collapse
Affiliation(s)
- Aakash N Gupta
- Department of Radiology, Northwestern University, Feinberg School of Medicine, 737 N Michigan, Suite 1600, Chicago, IL, 60611, USA
| | - Ryan Avery
- Department of Radiology, Northwestern University, Feinberg School of Medicine, 737 N Michigan, Suite 1600, Chicago, IL, 60611, USA
| | - Gilles Soulat
- Department of Radiology, Northwestern University, Feinberg School of Medicine, 737 N Michigan, Suite 1600, Chicago, IL, 60611, USA
| | - Bradley D Allen
- Department of Radiology, Northwestern University, Feinberg School of Medicine, 737 N Michigan, Suite 1600, Chicago, IL, 60611, USA
| | | | - Lubna Choudhury
- Department of Medicine, Division of Cardiology, Northwestern University, Feinberg School of Medicine, Chicago, IL, 60611, USA
| | - Robert O Bonow
- Department of Medicine, Division of Cardiology, Northwestern University, Feinberg School of Medicine, Chicago, IL, 60611, USA
| | - James Carr
- Department of Radiology, Northwestern University, Feinberg School of Medicine, 737 N Michigan, Suite 1600, Chicago, IL, 60611, USA
| | - Michael Markl
- Department of Radiology, Northwestern University, Feinberg School of Medicine, 737 N Michigan, Suite 1600, Chicago, IL, 60611, USA
- Department of Biomedical Engineering, Northwestern University, McCormick School of Engineering, Evanston, IL, 60208, USA
| | - Mohammed S M Elbaz
- Department of Radiology, Northwestern University, Feinberg School of Medicine, 737 N Michigan, Suite 1600, Chicago, IL, 60611, USA.
| |
Collapse
|
50
|
Bonow RO. Resurgence of the Ross procedure. Ann Cardiothorac Surg 2021; 10:512-514. [PMID: 34422564 DOI: 10.21037/acs-2020-rp-196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 12/23/2020] [Indexed: 11/06/2022]
Affiliation(s)
- Robert O Bonow
- Bluhm Cardiovascular Institute, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| |
Collapse
|