JAMA Cardiology




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Cost-effectiveness of Sodium-Glucose Cotransporter-2 Inhibitors for the Treatment of Heart Failure With Preserved Ejection Fraction

Laura P. Cohen, MD, MPP1,2,3; Nicolas Isaza, MD2,4; Inmaculada Hernandez, PharmD, PhD5; Gregory D. Lewis, MD1,2; Jennifer E. Ho, MD2,4; Gregg C. Fonarow, MD6,7; Dhruv S. Kazi, MD, MSc, MS2,4,8; Brandon K. Bellows, PharmD, MS9

doi : 10.1001/jamacardio.2023.0077

Importance  Adding a sodium-glucose cotransporter-2 inhibitor (SGLT2-I) to standard-of-care treatment in patients with heart failure with preserved ejection fraction (HFpEF) reduces the risk of a composite outcome of worsening heart failure or cardiovascular mortality, but the cost-effectiveness in US patients with HFpEF is uncertain.

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State-Level Cardiovascular Mortality Rates Among Hispanic, Non-Hispanic Black, and Non-Hispanic White Populations, 1990 to 2019

Catherine O. Johnson, PhD, MPH1; Nicole K. DeCleene, BS1; Brigette F. Blacker, MPH1; Matthew W. Cunningham, MS1; Aleksandr Aravkin, PhD1,2; Joseph L. Dieleman, PhD1,2; Emmanuela Gakidou, PhD1,2; Mohsen Naghavi, MD, PhD1,2; Modele O. Ogunniyi, MD, MPH3; Peng Zheng, PhD1,2; Gregory A. Roth, MD, MPH1,2,4

doi : 10.1001/jamacardio.2023.0112

Importance  Cardiovascular disease (CVD) is the leading cause of death in the US, with considerable variation by both state and race and ethnicity group. Consistent, comparable measures of mortality by specific CVD cause at the state level and by race and ethnicity have not previously been available and are necessary for supporting policy decisions aimed at reducing health inequities.

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Prevalence of Statin Use for Primary Prevention of Atherosclerotic Cardiovascular Disease by Race, Ethnicity, and 10-Year Disease Risk in the US

Joshua A. Jacobs, PharmD1; Daniel K. Addo, MS1; Alexander R. Zheutlin, MD, MS2; Catherine G. Derington, PharmD, MS1; Utibe R. Essien, MD, MPH3,4; Ann Marie Navar, MD, PhD5,10; Inmaculada Hernandez, PharmD, PhD6; Donald M. Lloyd-Jones, MD, ScM7; Jordan B. King, PharmD, MS1,8; Shreya Rao, MD, MPH5; Jennifer S. Herrick, MS9; Adam P. Bress, PharmD, MS1; Ambarish Pandey, MD, MSCS5

doi : 10.1001/jamacardio.2023.0228

Importance  The burden of atherosclerotic cardiovascular disease (ASCVD) in the US is higher among Black and Hispanic vs White adults. Inclusion of race in guidance for statin indication may lead to decreased disparities in statin use.

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Association of Preexisting Heart Failure With Outcomes in Older Patients With Diffuse Large B-Cell Lymphoma

Jenica N. Upshaw, MD, MS1,2; Jason Nelson, MPH2; Angie Mae Rodday, PhD2; Anita J. Kumar, MD2,3; Andreas K. Klein, MD3; Marvin A. Konstam, MD1; John B. Wong, MD2; Iris Z. Jaffe, MD, PhD1,4; Bonnie Ky, MD5; Jonathan W. Friedberg, MD6; Matthew Maurer, PhD7; David M. Kent, MD2; Susan K. Parsons, MD2,3

doi : 10.1001/jamacardio.2023.0303

Importance  Anthracycline-containing regimens are highly effective for diffuse large B-cell lymphoma (DLBCL); however, patients with preexisting heart failure (HF) may be less likely to receive anthracyclines and may be at higher risk of lymphoma mortality.

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Patient-Level Pooled Analysis of Ultrasound Renal Denervation in the Sham-Controlled RADIANCE II, RADIANCE-HTN SOLO, and RADIANCE-HTN TRIO Trials

Ajay J. Kirtane, MD, SM1,2; Andrew S. P. Sharp, MD3; Felix Mahfoud, MD, MA4,5; Naomi D. L. Fisher, MD6; Roland E. Schmieder, MD7; Joost Daemen, MD, PhD8; Melvin D. Lobo, PhD9; Philipp Lurz, MD, PhD10; Jan Basile, MD11; Michael J. Bloch, MD12; Michael A. Weber, MD13; Manish Saxena, MBBS, MSc9; Yale Wang, MD14; Kintur Sanghvi, MD15; J. Stephen Jenkins, MD16; Chandan Devireddy, MD17; Florian Rader, MD, MSc18; Philippe Gosse, MD19; Marc Sapoval, MD20,21,22; Neil C. Barman, MD23; Lisa Claude, MS23; Dimitri Augustin, MD23; Lisa Thackeray, MS24; Christopher M. Mullin, MS24; Michel Azizi, MD, PhD20,21,22; for the RADIANCE Investigators and Collaborators

doi : 10.1001/jamacardio.2023.0338

Importance  Ultrasound renal denervation (uRDN) was shown to lower blood pressure (BP) in patients with uncontrolled hypertension (HTN). Establishing the magnitude and consistency of the uRDN effect across the HTN spectrum is clinically important.

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Standard vs Augmented Ablation of Paroxysmal Atrial Fibrillation for Reduction of Atrial Fibrillation Recurrence

Girish M. Nair, MBBS, MSc1; David H. Birnie, MB, ChB1; Pablo B. Nery, MD1; Calum J. Redpath, MB, ChB, PhD1; Jean-Francois Sarrazin, MD2; Jean-Francois Roux, MD3; Ratika Parkash, MD4; Martin Bernier, MD5; Laurence D. Sterns, MD6; John Sapp, MD4; Paul Novak, MD6; George Veenhuyzen, MD7; Carlos A. Morillo, MD7; Sheldon M. Singh, MD8; Mouhannad M. Sadek, MD1; Mehrdad Golian, MD1; Andres Klein, MD1; Marcio Sturmer, MD9; Vijay S. Chauhan, MD10; Paul Angaran, MD11; Martin S. Green, MD1; Jordan Bernick, MSc1; George A. Wells, PhD1; Vidal Essebag, MD, PhD5,9

doi : 10.1001/jamacardio.2023.0212

Importance  Recurrent atrial fibrillation (AF) commonly occurs after catheter ablation and is associated with patient morbidity and health care costs.

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Association of the Timing and Extent of Cardiac Implantable Electronic Device Infections With Mortality

Hui-Chen Han, MBBS, PhD1,2; Jia Wang, MSc3; David H. Birnie, MD4; Marco Alings, MD, PhD5; François Philippon, MD6; Ratika Parkash, MD, MSc7; Jaimie Manlucu, MD8; Paul Angaran, MD9; Claus Rinne, MD10; Benoit Coutu, MD11; R. Aaron Low, MD12; Vidal Essebag, MD, PhD13,14; Carlos Morillo, MD15; Jeffrey S. Healey, MD16; Damian Redfearn, MD17; Satish Toal, MD18; Giuliano Becker, MD14; Michel DeGrâce, MD19; Bernard Thibault, MD20; Eugene Crystal, MD21; Stanley Tung, MD22; John LeMaitre, MD23; Omar Sultan, MD24; Matthew Bennett, MD25; Jamil Bashir, MD1; Felix Ayala-Paredes, MD, PhD26; Philippe Gervais, MD6; Leon Rioux, MD27; Martin E. W. Hemels, MD, PhD28,29; Leon H. R. Bouwels, MD30; Derek V. Exner, MD14; Paul Dorian, MD9; Stuart J. Connolly, MD3; Yves Longtin, MD31; Andrew D. Krahn, MD1

doi : 10.1001/jamacardio.2023.0467

Importance  Cardiac implantable electronic device (CIED) infection is a potentially devastating complication with an estimated 12-month mortality of 15% to 30%. The association of the extent (localized or systemic) and timing of infection with all-cause mortality has not been established.

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Modeling the Association of Volume vs Composite Outcome Thresholds With Outcomes and Access to Transcatheter Aortic Valve Implantation in the US

Adam J. Nelson, MBBS, MBA, MPH, PhD1; Zachary K. Wegermann, MD1; Dianne Gallup, MS1; Sean O’Brien, PhD1; Andrzej S. Kosinski, PhD1; Vinod H. Thourani, MD2; Dharam J. Kumbhani, MD, SM3; Ajay Kirtane, MD, SM4,5,6; Joseph Allen, MSc7; John D. Carroll, MD8; David M. Shahian, MD9; Nimesh D. Desai, MD, PhD10; Ralph G. Brindis, MD, MPH11; Eric D. Peterson, MD, MPH3; David J. Cohen, MD, MSc5,12; Sreekanth Vemulapalli, MD1

doi : 10.1001/jamacardio.2023.0477

Importance  Professional societies and the Centers for Medicare & Medicaid Services suggest volume thresholds to ensure quality in transcatheter aortic valve implantation (TAVI).

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Association of Cardiac Biomarkers With Major Adverse Cardiovascular Events in High-risk Patients With Diabetes

Thomas A. Zelniker, MD, MSc1; Stephen D. Wiviott, MD2; Ofri Mosenzon, MD, MSc3; Erica L. Goodrich, MS2; Petr Jarolim, MD, PhD4; Avivit Cahn, MD3; Deepak L. Bhatt, MD, MPH5; Lawrence A. Leiter, MD6; Darren K. McGuire, MD, MHSc7; John Wilding, MD8; Oleg Averkov, MD9; Andrzej Budaj, MD10; Alexander Parkhomenko, MD11; Kausik K. Ray, MBChB12; Ingrid Gause-Nilsson, MD, PhD13; Anna Maria Langkilde, MD, PhD13; Martin Fredriksson, PhD13; Itamar Raz, MD3; Marc S. Sabatine, MD, MPH2,14; David A. Morrow, MD, MPH2

doi : 10.1001/jamacardio.2023.0019

Importance  Dapagliflozin reduces the risk of hospitalizations for heart failure and the progression of chronic kidney disease in patients with and without type 2 diabetes (T2D), whereas the effects on reducing atherosclerotic events appear less clear.

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Discussing Code Status—Balancing Obligations to Respect Patient Autonomy While Avoiding Harm

Sara S. Inglis, MB, BCh, BAO1

doi : 10.1001/jamacardio.2023.0062

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Cost-effectiveness of Sodium-Glucose Cotransporter-2 Inhibitors for Patients With Heart Failure and Preserved Ejection Fraction—Living on the Edge

Alexander T. Sandhu, MD, MS1,2; David J. Cohen, MD, MSc3,4

doi : 10.1001/jamacardio.2023.0087

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JAMA Cardiology—The Year in Review, 2022

Robert O. Bonow, MD, MS1,2

doi : 10.1001/jamacardio.2023.0294

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Assessing Heart Failure vs Lymphoma Treatment Risks and Benefits—It Takes Two to Tango

Ana Barac, MD, PhD1

doi : 10.1001/jamacardio.2023.0312

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A 65-Year-Old Woman With Dyspnea and Recurrent Abdominal Distension

Joseph M. Kim, MD1; Bradley A. Maron, MD2

doi : 10.1001/jamacardio.2023.0363

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Worsening Dyspnea and New-Onset Atrial Fibrillation in a 79-Year-Old Woman

Christopher C. Cheung, MD, MPH1; Edward P. Gerstenfeld, MD, MS1

doi : 10.1001/jamacardio.2023.0367

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Natural History and Intervention Thresholds for Ascending Thoracic Aortic Aneurysm—Not an Easy Nut to Crack

Mohammad A. Zafar, MBBS1; John A. Elefteriades, MD1

doi : 10.1001/jamacardio.2023.0153

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Natural History and Intervention Thresholds for Ascending Thoracic Aortic Aneurysm—Not an Easy Nut to Crack—Reply

Matthew D. Solomon, MD, PhD1,2; David H. Liang, MD, PhD3; Alan S. Go, MD2

doi : 10.1001/jamacardio.2023.0156

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More Attention Should Be Paid to Less Severe Nonculprit Lesions

Shichu Liang, MD1; Min Ma, MD, PhD1,2; Yong He, MD1

doi : 10.1001/jamacardio.2023.0297

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More Attention Should Be Paid to Less Severe Nonculprit Lesions—Reply

Shamir R. Mehta, MD, MSc1; Natalia Pinilla-Echeverri, MD1; John A. Cairns, MD2

doi : 10.1001/jamacardio.2023.0300

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Is There a Role for Renal Denervation in the Treatment of Hypertension?

Clyde W. Yancy, MD, MSc1,2; Gregg C. Fonarow, MD3,4; Patrick T. O’Gara, MD2,5

doi : 10.1001/jamacardio.2023.0372

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