Another packed house for The Chicago Cardio-oncology Rounds presentations by Dr Minga from UofC and Dr Ositelu from NMH. Chicago Citi-Wide Cardio-Oncology Rounds Nausheen Akhter, MD Tochi Okwuosa #GlobalEquityinHealth #CardioOnc

Interesting case from my former UCNSCardsFellows Fellow, Iva Minga. A Female in Her 50s With Caseating Mitral Annulus Calcification jamanetwork.com/journals/jamac…

🚨More new data from #RealAF!🚨 Iva 🫀 will be presenting "UTILIZATION OF ICE VS TEE AND RECURRENCE OF ARRHYTHMIAS POST- ABLATION IN THE REAL-AF REGISTRY" at the #ACC24 Monday, April 8. Don't miss out if you're attending! Jose Osorio Kevin Lee Mark Metzl @BiosenseWebster

The #cardioonc CardioNerds team is doing an incredible job with this series! Check out this new episode on #imaging in #cardioonc - lots of fun to record! Giselle A. Suero Abreu, MD PhD Iva 🫀 Daniel Ambinder, MD International Cardio-Oncology Society blubrry.com/cardionerds/13…

🎙️📯 Exciting news: Society for Cardiovascular Magnetic Resonance presents a new webinar series “Case- based #whyCMR masterclass for early career” organised by #Education committee and #earlycareer section. Register here for the 1st one on Oct29- us02web.zoom.us/webinar/regist…

It was an incredible experience to be on the writing committee for the 2024 ACC/AHA Perioperative Guidelines, released earlier in September 2024. ahajournals.org/doi/10.1161/CI… Here is a thread featuring major takeaways from the new Perioperative guidelines. (from perspective of a

#ACCAHAPerioperativeGuidelines #AHA24 RISK ASSESSMENT IS IMPORTANT ➡️Low-risk patients undergoing low-risk surgery rarely require any cardiovascular testing ➡️Don’t forget the Clinical Evaluation of the patients presenting before NCS (Functional Capacity with DASI score Class

#ACC/AHAPerioperativeGuidelines #AHA24 Cardiac Biomarkers are useful ➡️BNP(IIa) and cardiac troponin (cTn)(IIb) have high prognostic value and excellent negative predictive value for perioperative cardiac complications ➡️Adding troponin value to RCRI can substantially improve

#ACCAHAPerioperativeGuidelines #AHA24 AVOID OVERSCREENING ➡️Cardiovascular screening and treatment of patients undergoing NCS should adhere to the same indications as nonsurgical patients ➡️Perioperative MACCE occurs in 1 of every 33 hospitalizations for non-cardiac surgery

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 #ACCAHAPerioperativeGuidelines #AHA24 CCTA for Perioperative Evaluation of NCS New addition, 2b recommendation in selected cases along with stress test (see the algorithm) ➡️CCTA may be considered in select cases if high-risk coronary anatomy is suspected and there is a

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH #ACC/AHAPerioperativeGuidelines #AHA24 Stepwise Approach to Perioperative Cardiac Assessment ➡️Note the downgrading of stress tests/ new addition of CCTA to class 2b ➡️Note the addition of biomarkers BNP class 2a and troponin class 2b with elevated risk and poor functional

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH Viet Le DMSc PA-C FACC FAHA HF-Cert Juan Lopez-Mattei, MD Manish Motwani SABOURETCardiologist Dr Anastasia Mihailidou FAHA FCSANZ FESC Justine VarieurTurco Radhika Rajgopal Singh Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). #ACCAHAPerioperativeGuidelines #AHA24 Optimal BP control is crucial ➡️Uncontrolled HTN or perioperative hypotension is associated with worse mortality ➡️In Most patients with hypertension planned for Noncardiac surgery, Continue Meds ➡️Cancel Surgery if > 180/110 in patients

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH Viet Le DMSc PA-C FACC FAHA HF-Cert Juan Lopez-Mattei, MD Manish Motwani SABOURETCardiologist Dr Anastasia Mihailidou FAHA FCSANZ FESC Justine VarieurTurco Radhika Rajgopal Singh Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). #AHA24 #ACCAHAPerioperativeGuidelines GDMT works, Optimize Medication Mx to avoid post-operative complications ➡️Class Ic: Patients with HF, undergoing NCS, hold SGLT2i for 3-4 days to reduce peri-op metabolic acidosis ➡️Class 2a: In compensated HF patients, continue GDMT in

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH Viet Le DMSc PA-C FACC FAHA HF-Cert Juan Lopez-Mattei, MD Manish Motwani SABOURETCardiologist Dr Anastasia Mihailidou FAHA FCSANZ FESC Justine VarieurTurco Radhika Rajgopal Singh Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Shelley Zieroth Anu Lala (Anuradha Lala-Trindade) Anju Bhardwaj MD FACC Nosheen Reza, MD, MS @JJheart_doc Harriette Van Spall, MD MPH 🇨🇦 Dmitry Abramov #AHA24 #ACCAHAPerioperativeGuidelines GDMT works, Optimize Medication Mx to avoid post-operative complications ➡️Large cohorts, meta-analysis report statin safety and possible reductions in cardiovascular complications associated with continued use of lipid-lowering throughout

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH Viet Le DMSc PA-C FACC FAHA HF-Cert Juan Lopez-Mattei, MD Manish Motwani SABOURETCardiologist Dr Anastasia Mihailidou FAHA FCSANZ FESC Justine VarieurTurco Radhika Rajgopal Singh Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Shelley Zieroth Anu Lala (Anuradha Lala-Trindade) Anju Bhardwaj MD FACC Nosheen Reza, MD, MS @JJheart_doc Harriette Van Spall, MD MPH 🇨🇦 Dmitry Abramov #AHA24 #ACC/AHAPerioperativeGuidelines OMT works, Optimize Medication Mx to avoid post-operative complications ➡️Weekly formulations of GLP-1 agonists should be held >1 week before elective NCS for weekly dosed GLP-1 agonists and the day before for daily dosed GLP-1 agonists

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH Viet Le DMSc PA-C FACC FAHA HF-Cert Juan Lopez-Mattei, MD Manish Motwani SABOURETCardiologist Dr Anastasia Mihailidou FAHA FCSANZ FESC Justine VarieurTurco Radhika Rajgopal Singh Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Shelley Zieroth Anu Lala (Anuradha Lala-Trindade) Anju Bhardwaj MD FACC Nosheen Reza, MD, MS @JJheart_doc Harriette Van Spall, MD MPH 🇨🇦 Dmitry Abramov #AHA24 #ACCAHAPerioperativeGuidelines Perioperative bridging of oral anticoagulant therapy should be used selectively only in those patients at the highest risk for thrombotic complications and is not recommended in the majority of cases.

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH Viet Le DMSc PA-C FACC FAHA HF-Cert Juan Lopez-Mattei, MD Manish Motwani SABOURETCardiologist Dr Anastasia Mihailidou FAHA FCSANZ FESC Justine VarieurTurco Radhika Rajgopal Singh Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Shelley Zieroth Anu Lala (Anuradha Lala-Trindade) Anju Bhardwaj MD FACC Nosheen Reza, MD, MS @JJheart_doc Harriette Van Spall, MD MPH 🇨🇦 Dmitry Abramov #AHA24 #ACCAHAPerioperativeGuidelines Myocardial injury after NCS(MINS) is a newly identified disease process with an increased risk of adverse CV events. ➡️2b recommendation Check troponin at 24 and 48 hours after the surgery in those with known CVD, symptoms of CVD, > 65 with

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH Viet Le DMSc PA-C FACC FAHA HF-Cert Juan Lopez-Mattei, MD Manish Motwani SABOURETCardiologist Dr Anastasia Mihailidou FAHA FCSANZ FESC Justine VarieurTurco Radhika Rajgopal Singh Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Shelley Zieroth Anu Lala (Anuradha Lala-Trindade) Anju Bhardwaj MD FACC Nosheen Reza, MD, MS @JJheart_doc Harriette Van Spall, MD MPH 🇨🇦 Dmitry Abramov #AHA24 #ACCAHAPerioperativeGuidelines #EPeeps Post-Op AF Needs Rx and Monitoring ➡️Patients with newly diagnosed atrial fibrillation identified during or after NCS have an increased risk of stroke requiring further surveillance and treatment plan ➡️POAF is associated with

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH Viet Le DMSc PA-C FACC FAHA HF-Cert Juan Lopez-Mattei, MD Manish Motwani SABOURETCardiologist Dr Anastasia Mihailidou FAHA FCSANZ FESC Justine VarieurTurco Radhika Rajgopal Singh Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Shelley Zieroth Anu Lala (Anuradha Lala-Trindade) Anju Bhardwaj MD FACC Nosheen Reza, MD, MS @JJheart_doc Harriette Van Spall, MD MPH 🇨🇦 Dmitry Abramov JK Han MD Nishaki Mehta MD Tahmeed Contractor Kalyanam Shivkumar MD PhD Stavros Stavrakis #AHA24 #ACCAHAPerioperativeGuidelines Kidney and Liver Tx patients’ have the highest surgical risk, but still follow the same recommendation for screening and Treatment as above. Check out the AHA statement CAD screening in patients undergoing Kidney/Liver transplantation

Ritu Thamman MD Mamas A. Mamas Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Omar Khalique Roosha Parikh Mohammed Chamsi Pasha, FACC, FASE Leandro Slipczuk Khurram Nasir Nidhi Madan, MD, MPH Viet Le DMSc PA-C FACC FAHA HF-Cert Juan Lopez-Mattei, MD Manish Motwani SABOURETCardiologist Dr Anastasia Mihailidou FAHA FCSANZ FESC Justine VarieurTurco Radhika Rajgopal Singh Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Shelley Zieroth Anu Lala (Anuradha Lala-Trindade) Anju Bhardwaj MD FACC Nosheen Reza, MD, MS @JJheart_doc Harriette Van Spall, MD MPH 🇨🇦 Dmitry Abramov JK Han MD Nishaki Mehta MD Tahmeed Contractor Kalyanam Shivkumar MD PhD Stavros Stavrakis Sripal Bangalore AHA Science AHAMeetings Thank you Society for Cardiovascular Magnetic Resonance for trusting me with this massive academic Task. The guidelines taught me a lot. As the writing committee, we met every Wednesday for 2 hours for over 2 years. We became friends on those Zoom calls. Thank my co-authors for fruitful discussions and for