JAMA Cardiology




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Association of Low Plasma Transthyretin Concentration With Risk of Heart Failure in the General Population

Anders M. Greve, MD, PhD1; Mette Christoffersen, MSc, PhD1; Ruth Frikke-Schmidt, MD, DMSc1,2,3; B?rge G. Nordestgaard, MD, DMSc2,3,4; Anne Tybj?rg-Hansen, MD, DMSc1,2,3,4

doi : 10.1001/jamacardio.2020.5969

JAMA Cardiol. 2021;6(3):258-266

Importance  Several lines of evidence support low plasma transthyretin concentration as an in vivo biomarker of transthyretin tetramer instability, a prerequisite for the development of both wild-type transthyretin cardiac amyloidosis (ATTRwt) and hereditary transthyretin cardiac amyloidosis (ATTRm). Both ATTRm and ATTRwt cardiac amyloidosis may manifest as heart failure (HF). However, whether low plasma transthyretin concentration confers increased risk of incident HF in the general population is unknown.

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Applicability of US Food and Drug Administration Labeling for Dapagliflozin to Patients With Heart Failure With Reduced Ejection Fraction in US Clinical Practice

Muthiah Vaduganathan, MD, MPH1; Stephen J. Greene, MD2; Shuaiqi Zhang, MS2; Maria Grau-Sepulveda, MD2; Adam D. DeVore, MD, MHS2; Javed Butler, MD, MPH, MBA3; Paul A. Heidenreich, MD4; Joanna C. Huang, PharmD5; Michelle M. Kittleson, MD, PhD6; Karen E. Joynt Maddox, MD, MPH7; James J. McDermott, PhD5; Anjali Tiku Owens, MD8; Pamela N. Peterson, MD, MPH, MSPH9; Scott D. Solomon, MD1; Orly Vardeny, PharmD10; Clyde W. Yancy, MD, MSc11,12; Gregg C. Fonarow, MD13,14

doi : 10.1001/jamacardio.2020.5864

JAMA Cardiol. 2021;6(3):267-275

Importance  In May 2020, dapagliflozin was approved by the US Food and Drug Administration (FDA) as the first sodium-glucose cotransporter 2 inhibitor for heart failure with reduced ejection fraction (HFrEF), based on the Dapagliflozin and Prevention of Adverse Outcomes in Heart Failure (DAPA-HF) trial. Limited data are available characterizing the generalizability of dapagliflozin to US clinical practice.

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Associations of Adiposity, Circulating Protein Biomarkers, and Risk of Major Vascular Diseases

Yuanjie Pang, DPhil1; Christiana Kartsonaki, DPhil2,3; Jun Lv, PhD1; Zammy Fairhurst-Hunter, DPhil2; Iona Y. Millwood, DPhil2,3; Canqing Yu, PhD1; Yu Guo, MSc4; Yiping Chen, DPhil2,3; Zheng Bian, MSc4; Ling Yang, PhD2,3; Junshi Chen, MD5; Robert Clarke, MD2; Robin G. Walters, PhD2,3; Michael V. Holmes, PhD2,3,6; Liming Li, MD1; Zhengming Chen, DPhil2,3

doi : 10.1001/jamacardio.2020.6041

JAMA Cardiol. 2021;6(3):276-286

Importance  Obesity is associated with a higher risk of cardiovascular disease (CVD), but little is known about the role that circulating protein biomarkers play in this association.

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Clinical Utility of Lipoprotein(a) and LPA Genetic Risk Score in Risk Prediction of Incident Atherosclerotic Cardiovascular Disease

Mark Trinder, MSc1,2; Md Mesbah Uddin, PhD2; Phoebe Finneran, BS2,3,4; Krishna G. Aragam, MD, MS2,3,4,5; Pradeep Natarajan, MD, MMSc2,3,4,5

doi : 10.1001/jamacardio.2020.5398

JAMA Cardiol. 2021;6(3):287-295

Importance  Lipoprotein(a) is a highly heritable biomarker independently associated with atherosclerotic cardiovascular disease (ASCVD). It is unclear whether measured lipoprotein(a) or genetic factors associated with lipoprotein(a) can provide comparable or additional prognostic information for primary prevention.

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Outcomes for Out-of-Hospital Cardiac Arrest in the United States During the Coronavirus Disease 2019 Pandemic

Paul S. Chan, MD, MSc1,2; Saket Girotra, MD, SM3; Yuanyuan Tang, PhD1; Rabab Al-Araji, MPH4; Brahmajee K. Nallamothu, MD, MPH5,6; Bryan McNally, MD, MPH4,7

doi : 10.1001/jamacardio.2020.6210

JAMA Cardiol. 2021;6(3):296-303

Importance  Recent reports from communities severely affected by the coronavirus disease 2019 (COVID-19) pandemic found lower rates of sustained return of spontaneous circulation (ROSC) for out-of-hospital cardiac arrest (OHCA). Whether the pandemic has affected OHCA outcomes more broadly is unknown.

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Objective Risk Assessment vs Standard Care for Acute Coronary Syndromes

Derek P. Chew, MBBS, MPH, PhD1; Karice Hyun, PhD2,3; Erin Morton, PhD1; Matt Horsfall, RN1; Graham S. Hillis, MBChB, PhD4; Clara K. Chow, MBBS, PhD2; Stephen Quinn, PhD5; Mario D’Souza, PhD2; Andrew T. Yan, MD6; Chris P. Gale, PhD7; Shaun G. Goodman, MD, MSc6; Keith Fox, MBChB8; David Brieger, MBBS, PhD9

doi : 10.1001/jamacardio.2020.6314

JAMA Cardiol. 2021;6(3):304-313

Importance  Although international guidelines recommend use of the Global Registries of Acute Coronary Events (GRACE) risk score (GRS) to guide acute coronary syndrome (ACS) treatment decisions, the prospective utility of the GRS in improving care and outcomes is unproven.

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Cardiac Structure and Function in Elite Female and Male Soccer Players

Timothy W. Churchill, MD1,2; Bradley J. Petek, MD1; Meagan M. Wasfy, MD1,2; James S. Guseh, MD1; Rory B. Weiner, MD1,2; Tamanna K. Singh, MD3; Christian Schmied, MD4; Hughie O’Malley, BA5; George Chiampas, MD5,6; Aaron L. Baggish, MD1,2,5

doi : 10.1001/jamacardio.2020.6088

JAMA Cardiol. 2021;6(3):316-325

Importance  Population-specific normative data are essential for the evaluation of competitive athletes. At present, there are limited data defining normal electrocardiographic (ECG) and echocardiographic values among elite US soccer players.

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Outcomes of Percutaneous Trans–Right Atrial Access to the Left Ventricle for Catheter Ablation of Ventricular Tachycardia in Patients With Mechanical Aortic and Mitral Valves

Pasquale Santangeli, MD, PhD1; Matthew C. Hyman, MD, PhD1; Daniele Muser, MD1; David J. Callans, MD1; Kalyanam Shivkumar, MD, PhD2; Francis E. Marchlinski, MD1

doi : 10.1001/jamacardio.2020.4414

JAMA Cardiol. 2021;6(3):326-331.

Importance  In patients with mechanical valves in the aortic and mitral positions, percutaneous access to the left ventricle (LV) via a transfemoral approach for catheter ablation of ventricular tachycardia (VT) has been considered infeasible.

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Misclassification of Hospital Performance Under the Hospital Readmissions Reduction Program

Changyu Shen, PhD1; Rishi K. Wadhera, MD, MPP, MPhil1; Robert W. Yeh, MD, MSc1

doi : 10.1001/jamacardio.2020.4746

JAMA Cardiol. 2021;6(3):332-335

Importance  The Centers for Medicare and Medicaid Services (CMS) use point estimates of 30-day risk-standardized readmission rates (RSRRs) to compare hospitals under the Hospital Readmissions Reduction Program (HRRP). An important characteristic of this measure is that it is a point estimate with a margin of error, which may affect the CMS’s ability to accurately evaluate and distinguish hospital performance in the program.

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Association of Early-Life Trauma and Risk of Adverse Cardiovascular Outcomes in Young and Middle-aged Individuals With a History of Myocardial Infarction

Zakaria Almuwaqqat, MD, MPH1,2; Matthew Wittbrodt, PhD3; An Young, MD, MPH1,2; Bruno B. Lima, MD, PhD1; Muhammad Hammadah, MD1; Mariana Garcia, MD1,2; Lisa Elon, MS, MPH4; Bradley Pearce, PhD2; Yingtian Hu, BS4; Samaah Sullivan, PhD2; Puja K. Mehta, MD1; Emily Driggers, MPH2; Ye Ji Kim, MPH2; Tene` T. Lewis, PhD2; Shakira F. Suglia, ScD, MS2; Amit J. Shah, MD, MSCR1,2,5; J. Douglas Bremner, MD3,5; Arshed A. Quyyumi, MD1; Viola Vaccarino, MD, PhD1,2

doi : 10.1001/jamacardio.2020.5749

JAMA Cardiol. 2021;6(3):336-340

Importance  Compared with older patients, young adults with a history of myocardial infarction (MI) tend to have a higher burden of psychosocial adversity. Exposure to early-life stressors may contribute to the risk of adverse outcomes in this patient population, potentially through inflammatory pathways.

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Genetic Inhibition of PCSK9 and Liver Function

Antoine Rimbert, PhD1; Sarra Smati, MD, PhD1; Wieneke Dijk, PhD1; Cédric Le May, PhD1; Bertrand Cariou, MD, PhD1

doi : 10.1001/jamacardio.2020.5341

JAMA Cardiol. 2021;6(3):353-354

no abstract

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Trends in Hospitalizations for Heart Failure and Ischemic Heart Disease Among US Adults With Diabetes

Michael C. Honigberg, MD, MPP1; Ravi B. Patel, MD2; Ambarish Pandey, MD3; Gregg C. Fonarow, MD4,5; Javed Butler, MD, MPH, MBA6; Darren K. McGuire, MD, MHSc3; Muthiah Vaduganathan, MD, MPH7

doi : 10.1001/jamacardio.2020.5921

JAMA Cardiol. 2021;6(3):354-357

no abstract

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Misfolded Transthyretin as a Novel Risk Factor for Heart Failure

Sanjiv J. Shah, MD1,2

doi : 10.1001/jamacardio.2020.5979

JAMA Cardiol. 2021;6(3):255-257

no abstract

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Risk Stratification Science Goes to a New Level

Robert A. Harrington, MD1; E. Magnus Ohman, MBBS2

doi : 10.1001/jamacardio.2020.6325

JAMA Cardiol. 2021;6(3):314-315

no abstract

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Mechanical Complications of Acute Myocardial Infarction

Fei Fei Gong, MBBS, PhD1; Inga Vaitenas, ACS1; S. Chris Malaisrie, MD2; Kameswari Maganti, MD1

doi : 10.1001/jamacardio.2020.3690

JAMA Cardiol. 2021;6(3):341-349

Importance  Mechanical complications of acute myocardial infarction include left ventricular free-wall rupture, ventricular septal rupture, papillary muscle rupture, pseudoaneurysm, and true aneurysm. With the introduction of early reperfusion therapies, these complications now occur in fewer than 0.1% of patients following an acute myocardial infarction. However, mortality rates have not decreased in parallel, and mechanical complications remain an important determinant of outcomes after myocardial infarction. Early diagnosis and management are crucial to improving outcomes and require an understanding of the clinical findings that should raise suspicion of mechanical complications and the evolving surgical and percutaneous treatment options.

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Urgent Need for Diagnosis of a Rapidly Growing Right Atrial Mass

Sneha Thatipelli, MD1; Sasan Raissi, MD2; Nausheen Akhter, MD3

doi : 10.1001/jamacardio.2020.6107

JAMA Cardiol. 2021;6(3):350-351

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QT Interval in Patients With COVID-19

Matteo Bianco, MD1; Carlo Alberto Biolè, MD1; Enrico Cerrato, MD2,3

doi : 10.1001/jamacardio.2020.4952

JAMA Cardiol. 2021;6(3):357

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QT Interval in Patients With COVID-19

Ingrid Berling, BMed, PhD1,2; Robert S. Hoffman, MD3; Sophie Gosselin, MD4

doi : 10.1001/jamacardio.2020.4955

JAMA Cardiol. 2021;6(3):357-358

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QT Interval in Patients With COVID-19—Reply

Christina F. Yen, MD1; David J. Shim, MD, PhD2; Howard S. Gold, MD1

doi : 10.1001/jamacardio.2020.4958

JAMA Cardiol. 2021;6(3):358

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Complications in Patients With COVID-19

Matthieu Legrand, MD, PhD1

doi : 10.1001/jamacardio.2020.5788

JAMA Cardiol. 2021;6(3):359

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Complications in Patients With COVID-19

George A. Stavroulakis, MD, PhD1; George Koutroulis, MD, PhD1; Kourea Kallirrhoe, MD, PhD1

doi : 10.1001/jamacardio.2020.5791

JAMA Cardiol. 2021;6(3):359-360

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Complications in Patients With COVID-19—Reply

Mohammad Madjid, MD, MS1; Scott D. Solomon, MD2; Orly Vardeny, PhD, MS3

doi : 10.1001/jamacardio.2020.5794

JAMA Cardiol. 2021;6(3):360

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Exploring the Cardiac Phenotypes of Prematurity

Adam J. Lewandowski, DPhil1; Philip T. Levy, MD2

doi : 10.1001/jamacardio.2020.6056

JAMA Cardiol. 2021;6(3):361

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Exploring the Cardiac Phenotypes of Prematurity—Reply

Kara N. Goss, MD1,2; Marlowe W. Eldridge, MD1,3,4

doi : 10.1001/jamacardio.2020.6059

JAMA Cardiol. 2021;6(3):361-362

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Venoarterial Extracorporeal Membrane Oxygenation to Heart Transplant—An Inflamed Bridge?

Muddassir Mehmood, MD1

doi : 10.1001/jamacardio.2020.6115

JAMA Cardiol. 2021;6(3):362

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Venoarterial Extracorporeal Membrane Oxygenation to Heart Transplant—An Inflamed Bridge?—Reply

Thomas C. Hanff, MD, MSCE1,2,3; Lee R. Goldberg, MD, MPH1,3; Edo Y. Birati, MD1,3

doi : 10.1001/jamacardio.2020.6127

JAMA Cardiol. 2021;6(3):362-363

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Cost-effectiveness of Statin Use Guidelines

Conrad B. Blum, MD1; Neil J. Stone, MD2

doi : 10.1001/jamacardio.2020.6121

JAMA Cardiol. 2021;6(3):363-364

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Cost-effectiveness of Statin Use Guidelines—Reply

Ankur Pandya, PhD1,2; Jinyi Zhu, MPH2; Aferdita Spahillari, MD, MPH3

doi : 10.1001/jamacardio.2020.6130

JAMA Cardiol. 2021;6(3):364.

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JAMA Cardiology

doi : 10.1001/jamacardio.2020.4540

JAMA Cardiol. 2021;6(3):254

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