Purvi Parwani

Multimodality imaging across 6 phenotypic domains guides mechanism-based treatment planning in tricuspid regurgitation.

May support multimodality phenotyping in secondary tricuspid regurgitation; leaves open prospective validation before guiding interventions.

Social media enhances global networking, education, and patient advocacy in Cardio-Oncology.

Social media, particularly Twitter via structured hashtags, serves as a vital tool in Cardio-Oncology for rapid scientific dissemination, multidisciplinary collaboration, and patient education and advocacy.

MAY 2022EinsteinJournal of the American College of Cardiology

Lower-income countries show ~28% lower post-pandemic recovery in cardiac diagnostic procedure volumes than wealthier nations.

One year into the COVID-19 pandemic, cardiac diagnostic testing volumes recovered fully in wealthier nations with a shift toward advanced imaging (CT, CMR, PET), whereas lower-income countries and centers with high physician psychological stress experienced persistent, severe deficits in testing recovery.

A MAC Attack: Rapid Evolution of a Calcified Amorphous Tumor Presenting with Embolic Stroke

MAR 2019ParwaniJournal of the American College of Cardiology

Review outlines best practices and future perspectives for social media use in cardiovascular medicine.

This paper provides an overview of social media usage, best practices, and future directions for cardiovascular medicine professionals.

SEP 2024ThompsonJournal of the American College of Cardiology

2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery

Sets new standard for perioperative CV care in noncardiac surgery; extends 2014 guideline with consolidated contemporary evidence.

ACR Appropriateness Criteria® Evaluation of Cardiac Masses

Guides appropriate multimodality imaging selection for cardiac masses; reinforces Level 1 ACR consensus for standardized evaluation and follow-up.

A nationwide retrospective analysis of trends in palliative care consultation and do-not-resuscitate status in heart failure hospitalizations

Retrospective analysis reveals low palliative care consultation and DNR use in heart failure patients, indicating missed end-of-life care opportunities.

The Role of Cardiovascular Magnetic Resonance (CMR) in Unmasking Atrial Masses: A Case Series

Percutaneous LVOT-to-LA fistula closure after aortic bioprosthetic valve fracture is technically feasible in experienced centers.

Percutaneous closure of an iatrogenic LVOT-LA fistula using a low-profile occlusion device like the Amplatzer IV vascular plug is a feasible and effective treatment strategy.

Understanding Dyslipidemia in Women across their Lifespan: Sex Differences in Lipoprotein Metabolism and Hormonal Influence

Women have lipid changes across their lifespan, with patterns corresponding to hormonal, reproductive, and biological changes that differ greatly from those in men. A clear understanding of the causative mechanism of these dynamic changes, the underlying differences between the sexes, and the impact of environmental and genetic risk factors in women in various phases of life is crucial to address the cardiovascular (CV) risk, which is the major threat in women. Females tend to have higher levels of total cholesterol (TC) and low-density lipoprotein (LDL) from infancy into early adulthood (1) Women have a “female advantage” in decreased CV risk in the premenopausal phase due to the actions of the female hormone estrogen, causing favorable changes in lipid parameters. However, with the onset of menopause, which is marked by diminished ovarian function and a reduction in estrogen levels, there is a rapid increase in TC, LDL, triglycerides, and lipoprotein(a) levels. This is combined with decreased levels and alterations in high-density lipoprotein (HDL) cholesterol, with a smaller HDL subclass that has reduced beneficial scavenger function. These changes contribute to an elevated risk of atherosclerotic CV disease in postmenopausal women (2) the conditions with decreased ovarian function and low estrogen levels, such as polycystic ovarian syndrome (PCOS), metabolic syndrome (METS), infertility, and pregnancy with adverse pregnancy outcomes on follow-up, have adverse lipid changes. This review examines the influence of hormonal changes from menarche to menopause, explores sex-specific differences at various life stages, and discusses the impact of conditions such as polycystic ovary syndrome (PCOS), METS, and pregnancy on lipid metabolism and CV disease risk.

Rheumatoid arthritis is linked to ~31% higher long-term mortality following acute myocardial infarction.

While patients with rheumatoid arthritis receive comparable quality of acute inpatient myocardial infarction care as those without, they face a persistently elevated risk of long-term all-cause and cardiovascular mortality.

Preoperative Diagnostic Assessment of Patients with Cardiovascular Risk Factors Undergoing Noncardiac Surgery: A 2025 Update

Review updates evidence-based recommendations for preoperative testing in patients with cardiovascular risk factors, suggesting individualized approaches.

The temporal trends of ST-elevation myocardial infarction mortality according to infarct size and location: insights from the UK National MINAP registry from 2005 to 2019

Observational analysis shows reduced mortality rates in ST-elevation myocardial infarction linked to infarct size in patients, highlighting advances in medical therapy.

Between 1999 and 2020, overall cardiovascular mortality decreased for lymphoma (-38.8%), leukemia (-31.8%), and multiple myeloma (-29.4%), though hypertension mortality increased for most racial groups.

Cardiovascular mortality among patients with hematological malignancies in the US has significantly decreased over the past two decades, although disparities exist and hypertension-related mortality is rising.

SEP 2024ThompsonCirculation

2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Replaces 2014 recommendations with current perioperative CV strategies; extends evidence base for practice and future trials.

Sex differences in Life's Essential Eight and its Association with mortality among US adults without known cardiovascular disease

Survey analysis reveals distinct cardiovascular health patterns and lower mortality in US adults, indicating the need for sex-specific prevention strategies.

Observational studies have identified a higher prevalence of poor outcomes in left coronary dominance in the setting of ischemic, conduction, and valvular disease.

This review highlights that left coronary dominance is associated with worse clinical outcomes in various cardiac disease states.