2018 Legislative Conference & MORE

West Virginia - ACC News | 3rd Quarter 2018

President's Message

Elie Gharib, MD, FACC

Good day colleagues and friends,

I was recently at Stonewall Jackson Resort for the Annual Structural Heart Program. There is a lot of excitement in cardiovascular medicine currently pertaining to structural heart (Watchman, Mitral clip, TAVR) as well as imaging. The program was very educational with great speakers. I would like next year for ACC WV to be co-sponsor for the meeting.

We are excited about the upcoming legislative session in Washington DC in late September. Anyone who wants to join us at that meeting, we would love to have you; it’s educational and eye opener

I asked for your opinion about moving our annual meeting to Morgantown in 2019. The majority of respondents prefer to keep it in Charleston. Thank you all for your input. We will keep in Charleston but likely change to Embassy Suites who offer better rates with an otherwise similar venue.

Please continue to encourage our Fellow in Training to participate and get involved in ACC. It’s important to have young people's input and contributions. We are excited to have a new cardiology fellowship program in Charleston; let's reach out to welcome them and encourage them in their careers.

Please utilize the document button below to encourage and mentor FITS to stay involve and pursue their FACC.

Thank you,

Elie Gharib, MD, FACC

Sponsor a FIT to FACC Today!

Even if you’re not up for recertification anytime soon, attend ACC’s Board Review Course for an excellent cardiovascular update! The course is less than two months away!

You’ll have the opportunity to:

• Learn best practices for implementing the guidelines in your daily practice

• Enjoy tightly organized, focused presentations from national experts that cover the entire field of cardiovascular medicine

• Take Simulated Board exams to apply what you’ve learned and identify your areas of strength and weakness

• Earn 40+ CME and MOC credits

Refresh your cardiovascular knowledge and register today

Be Heard on the Hill

Don’t Miss the

American College of Cardiology’s 2018 Legislative Conference!

September 30-October 2

Hyatt Regency, Washington, DC

Updated Guidance For Treating ACHD Patients Released

Today the ACC and the American Heart Association released an updated guideline for the management of adult congenital heart disease (ACHD) patients. The 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease, replaces the original guideline published in 2008, and incorporates new data and growing ACHD expertise.

Specifically, the guideline presents a new classification system for ACHD patients that retains the traditional classification based on the structural complexity of the disease while taking into account the patient’s functional status and other factors, including the presence of cardiovascular and non-cardiovascular problems. The new system is intended to capture the complexity of ACHD in terms of both anatomy and physiology, rather than anatomy alone. It also provides the basis for making lesion-specific recommendations for interval clinical follow-up and testing modalities such as electrocardiograms, transthoracic echocardiography, cardiovascular magnetic resonance and exercise testing.

The need for specialized care is also highlighted throughout the guideline, with authors noting that patients with significant ACHD who are cared for in ACHD centers have better outcomes than those cared for in centers without ACHD expertise.

New Post-ACC.18 Content on ACC.org

ACC has been working with the FDA to provide volunteers for an FDA Network of Experts issue regarding the diagnosis of Afib through wearable sensors. ACC has provided them with several experts but they are interested in expanding to a few generalists and are asking for ACC to provide those generalists to ask about their thoughts and practices in this area.

Volunteering does not guarantee selection as the FDA is asking for the ACC to supply names and CVs for interested participants and they will work to determine eligibility.

If you are interested please send your CV to Joseph Cody ( jcody@acc.org), and ACC will collect volunteers and send them to staff at the Division of Cardiac Devices at the FDA.

New 'Reduce the Risk: PCI Bleed Quality Campaign' Aims to Close Gaps in PCI Patient Care

The ACC recently launched the Reduce the Risk: PCI Bleed quality campaign to help hospitals and clinicians minimize PCI-associated bleeding risks and encourage widespread adoption of evidence-based best practices. Leveraging the power of the CathPCI Registry ^® , Reduce the Risk: PCI Bleed offers the tools you need to anticipate, prepare and save lives, including self-assessment resources and a custom data dashboard to compare your data. In addition, participation in this program counts as a high-weight Improvement Activity for physicians and Advanced Practice Practitioners participating in the Merit-Based Incentive Payment System (MIPS) . Join Reduce the Risk: PCI Bleed and be recognized as a Quality Leader! Participation is easy and at no additional cost to CathPCI Registry participants. Learn more at CVQuality.ACC.org/ReduceRisk .

Leadership Forum 2019 co-locating with CV Summit in Orlando, FL at the Hilton Bonnet Creek

The Forum and Summit will be February 14-16 and a draft schedule is below. Please note, these dates and times are approximate and subject to change.

Wednesday, February 13, 2019

• 5-8 pm ONLY for Incoming Leaders elected in the fall of 2018 - Orientations

Thursday, February 14, 2019

7:30 – 11:30 am – CV Summit Pre-Conference Sessions

12:00 – 1:30 pm – Leadership Keynote Luncheon

2:00 – 6:00 pm – CV Summit

6:15 – 7:15 pm Exhibitor Reception

Friday, February 15, 2019

7:30 am – 5:15 pm – CV Summit

Saturday, February 16, 2019

7:30 – 11:00 am – CV Summit Wrap Up

7:30 – 11:00 am – BOG Meeting

7:30 – 11:00 am – SSC Meeting

More News from the American College of Cardiology

New Options For Making the Most of MOC, Continuing Education

Maintenance of Certification (MOC) has been a hot-button issue and a top priority for the ACC since the American Board of Internal Medicine (ABIM) changed its MOC requirements in 2014. In a recent leadership page published in the Journal of the American College of Cardiology (JACC), ACC President C. Michael Valentine, MD, FACC, former ACC President Richard A. Chazal, MD, MACC, and ACC Executive Vice President William J. Oetgen, MD, MBA, FACC, highlight the many ways the College has been successful in operationalizing its three MOC goals, including being a trusted source of MOC information for its members; creating and maintaining a robust selection of educational opportunities for members choosing to maintain their ABIM certification; and engaging with ABIM in efforts to change and improve the MOC process. As part of these ongoing efforts, the College has announced a plan to move forward with the creation of two variations of ACCSAP to meet the needs of members seeking an alternative to ABIM, as well as those participating in ABIM's MOC process. Learn more. Keep up with all things MOC at ACC.org/MOC.

ACC Launches Chest Pain – MI Registry, Expanding Scope of Former ACTION Registry

As of today, the name of the ACC’s ACTION Registry will change to Chest Pain – MI Registry. With its new name, the Chest Pain – MI Registry will continue as the nation’s largest quality improvement program for patients with acute myocardial infarction (AMI) and will expand to include patients with acute coronary syndromes, including unstable angina and low-risk chest pain.

The registry also will help facilitate collaboration across multiple providers and specialists who manage care for these patients, including emergency department clinicians and emergency medical services providers. In addition, beginning in fall 2018, the registry will fully support data requirements for ACC’s Chest Pain Center Accreditation program.

“The expanded scope of the registry will allow hospitals to optimize patient outcomes and reduce variations in care through risk stratification and evaluation of hospital performance in delivering guideline-recommended care and treatments,” says NCDR Management Board Chair Frederick A. Masoudi, MD, MSPH, FACC.

For more information, visit CVQuality.ACC.org/ChestPainMIRegistry.

Articles of Interest

VERDICT: Very Early Invasive Angiography No Help Overall for NSTE ACS

But high-risk patients, those with a GRACE score over 140, seem to derive a benefit from an earlier trip to the cath lab. READ MORE

TAVR Clinical Trial Provides ‘Strong Signal’ Procedure is Safe for Patients with Low Surgical Mortality Risk

Patients Undergoing Transcatheter Aortic Valve Replacement Showed No Deaths or Disabling Strokes within 30 days of Undergoing Less Invasive Procedure. READ MORE

Cardiologists weigh in on new definition of 'myocardial infarction'

Major cardiology associations joined forces to define and standardize what exactly constitutes a heart attack, differentiating between myocardial infarction (MI) and “myocardial injury” while offering guidance on how to incorporate emerging imaging techniques and high-sensitivity troponin assays. READ MORE

Chest pain drug falls short in preventing first episode of ventricular arrhythmia or death

A clinical trial of more than 1,000 patients with implantable cardioverter defibrillators (ICDs) found that the drug ranolazine (commonly used to treat chest pain; brand name Ranexa®) was safe but didn't significantly decrease the likelihood of the first occurrence of ventricular tachycardia, ventricular fibrillation or death in this high-risk population. The study was published recently in JACC, the Journal of the American College of Cardiology. READ MORE

Fourth Universal Definition Separates MI From Myocardial Injury (must have a MEDSCAPE Log-in )

MUNICH — The fourth universal definition of myocardial infarction issued jointly by the European Society of Cardiology (ESC), the American College of Cardiology (ACC), the American Heart Association (AHA), and the World Heart Federation (WHF) provides important updates to the previous 2012 definition. READ MORE

West Virginia Chapter of the ACC | 304-925-0342

Fax: 304-925-0345 | Email: scalise@wvsma.org | accwv.org