Today is #WorldAmyloidosisDay and we encourage everyone to check our our "Echocardiography and Amyloidosis Resources" page on our website! bit.ly/4BxmdeU The resources page features: 🔷 Webinars 🔷 Videos 🔷 Articles 🔷 Cases 🔷 Posters

Grateful for the opportunity to be in Washington, D.C. representing the American College of Cardiology and advocating on behalf of our patients and physicians. Our message on Capitol Hill was centered on a simple principle: a strong healthcare system must allow physicians to focus on what matters most—caring for their patients. We discussed important priorities including protecting patients’ access to high-quality cardiovascular care, creating a more sustainable Medicare physician payment system, reducing unnecessary administrative burdens and prior authorization barriers, and supporting policies that strengthen the physician-patient relationship. Advocacy is an important part of our responsibility as physicians. The decisions made in Washington ultimately affect what happens every day in our clinics, hospitals, and communities. A special thank you to Congressman Josh Harder for taking time from his busy schedule to meet with our delegation, listen to our concerns, and discuss issues affecting physicians and the patients we serve. @RepJoshHarder I am grateful to all of the legislators and staff members who took the time to engage with us and hear directly from physicians about the challenges facing healthcare today. Proud to stand alongside my colleagues from the American College of Cardiology in working toward a healthier future for our patients and communities. #ACCAdvocacy #Cardiology #PatientAdvocacy #PhysicianAdvocacy #HealthcarePolicy #HeartHealth #WashingtonDC

How do you weave personal stories into your talking points when meeting with lawmakers? Discussing now at #ACCLegConf 2026! Best Practices 🔎 bit.ly/47yCLFp More #ACCAdvocacy resources ➡️ bit.ly/3VvRtdF

In SCOT-HEART's 10-year follow-up, women with stable chest pain saw a significant reduction in the primary outcome with #yesCCT coronary CTA-guided care vs standard care (HR 0.57), driven by fewer nonfatal MIs jacc.org/doi/10.1016/j.jcmg.… #JACCIMG #cvImaging @SuvasiniL

🫀 LDL-C + Lp(a) + hsCRP triad predicts ASCVD @JACCJournals New multiethnic HELIUS data (15k 👥) confirms & extends prior studies: these biomarkers capture distinct, complementary pathophysiological pathways in atherosclerosis: • LDL-C: cholesterol-driven plaque formation • Lp(a): atherogenic + prothrombotic particle with unique genetic & inflammatory effects • hsCRP: marker of systemic vascular inflammation ✅ Top vs bottom quintile HRs: LDL-C 1.39, Lp(a) 1.86, hsCRP 1.51 ✅ All 3 elevated → 2.44-fold risk (additive effects, no interaction) ✅ Consistent across ethnicities ➡️ Routine measurement of this triad identifies high-risk patients more effectively than LDL-C alone. Integrate into CV risk assessment! 🔬🩸❤️

Delaying heart failure meds = preventable deaths 🔹 Beta-blocker: ↑34-35% all-cause mortality 🔹 ARNI: ↑~25% all-cause mortality 🔹 MRA: ↑24-35% all-cause mortality 🔹 SGLT2i: ↑13% mortality, ↑31% HF hospitalization delaying GDMT → worse QoL, faster progression

Assessment of left ventricular diastolic function remains one of the most persistent challenges in echocardiography. Read our @JournalASEcho article, "Reframing Diastolic Function: From Classification to Continuous Physiology." bit.ly/4xrrH8U

The AHA/ACC/ADA/ASN have developed the first-ever guideline aimed at preventing & managing #CKM syndrome, an interconnected set of health conditions that significantly 📈 the risk of multiorgan complications & negative CV outcomes jacc.org/doi/10.1016/j.jacc.… #JACC #ClinicalGuidelines

#InDepth on the global, multidisciplinary ARCH-ARC consensus statement to standardize reporting for thoracic aortic repair. ahajrnls.org/4dXF6xP

LA volume index as an independent predictor of mortality in #HFrEF – regardless of functional MR severity Routine measurement of LA volume index may enhance risk stratification in these patients jacc.org/doi/10.1016/j.jchf.… #JACCHF #vhdMR

You've seen the apex on echo a thousand times. You've never seen it like this. Exclusive to the #JACC Amara Yad image series, the LV apex’s spiral vortex of muscle fibers converging on a point so thin that light shines right through. More: bit.ly/4n7Iglq @shivkumarmd

8/🔍 What about radiomic profiling of EAT vs pericoronary fat? 🧐Two (related) depots, two distinct signals: - FRP-HF (global EAT) → associated with new-onset HF regardless of CAD profile - FRP-PVAT (pericoronary profile) → associated with CAD-specific events

Proud to join @CaliforniaACC in Sacramento today to advocate for our patients and colleagues regarding #priorauth, unfair #downcoding practices for complex cardiac conditions, outdated cardiac surgery regulations, and CPR/AED education in high schools. @Cardiology @ACCinTouch

People consuming >9 servings/day of ultra-processed foods had a 67% higher risk of #MACE vs ~1 serving/day, per #ACC26 research. Ultra-processed foods include chips, frozen meals, processed meats, sugary drinks, cereals & breads. jacc.org/doi/10.1016/j.jacad… #JACCAdvances #ASCVD #CVD

Walking 7,000 steps a day reduces your risk of death (–47%), cancer death (–37%), heart disease (–25%), dementia (–38%), depression (–22%) and diabetes (–14%).

In this study, nebivolol offers better BP control and lower cardiovascular risk than other beta-blockers. ahajrnls.org/4azyWB7

🫀🚴‍♂️ Fragmented QRS in elite athletes: always pathological? A new study in International Journal of Cardiology explored the prevalence and significance of QRS fragmentation (fQRS) in elite male and female cyclists. 🔍 Key findings: fQRS was common, present in 41% of elite cyclists Most frequently observed in lead V1 Athletes with fQRS showed greater physiological LV and RV remodelling Mildly lower RV function was observed, but still within normal limits No differences in cardiac structure or function based on the number of leads with fQRS ✅ Take-home message: In isolation, fQRS appears to reflect physiological cardiac adaptation rather than pathology in elite athletes and should not automatically trigger further investigations. 📌 These findings are highly relevant for pre-participation screening and help avoid over-medicalisation in asymptomatic athletes. 📖 Open access article: #https://doi.org/10.1016/j.ijcard.2025.134149 #AthletesHeart #ECG #FragmentedQRS #PreParticipationScreening #ExercisePhysiology #CardiacImaging #EliteAthletes #EvidenceBasedMedicine

Combo diuretics in AHF = faster decongestion, no prognostic gain. Start SGLT2i in-hospital → ↓ mortality & ↓ HF events. 🚑💊📉. Treat congestion fast, but don’t miss disease-modifying therapy. ow.ly/fGhb50Yen6T #EJHF @EJHFEiC @AmrAbdin10 @GiuseppeGalati_ @HanCardiomd

In a novel analysis of data from National Health and Nutrition Examination Survey, we systematically report in >2,900 participants, an association of higher @American_Heart's Life's Essential 8 scores, stratified by objective measurement of physical activity, with reduced all-cause mortality. @JACCJournals #JACCAdv @CandiceSilvers1 sciencedirect.com/science/ar…

Small amounts of exercise are associated with a longer life. Walking is particularly effective.