by American College of Cardiology
The American College of Cardiology offers select interviews and summaries of cardiology’s most interesting research areas from ACCEL’s renowned library, hosted by ACCEL Editor-in-Chief Alison L. Bailey, MD, FACC, FAACPVR.
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🇺🇲
Publishing Since
7/14/2022
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April 15, 2025
<div class="OutlineElement Ltr SCXW42806501 BCX0"> <p class="Paragraph SCXW42806501 BCX0"><span class= "TextRun SCXW42806501 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW42806501 BCX0">Fluid restriction is often recommended for heart failure (HF) patients to prevent congestion, but its benefits and safety are unclear. The FRESH-UP</span> <span class="NormalTextRun SCXW42806501 BCX0">study</span> <span class="NormalTextRun SCXW42806501 BCX0">is the first to</span> <span class="NormalTextRun SCXW42806501 BCX0">show that strict fluid restriction does not improve health status for chronic, symptomatic HF patients and may increase thirst distress without reducing mortality, hospitalization, acute kidney injury, or medication needs.</span></span><span class= "EOP SCXW42806501 BCX0" data-ccp-props= "{"335557856":16777215}"> </span></p> </div> <div class="OutlineElement Ltr SCXW42806501 BCX0"> <p class="Paragraph SCXW42806501 BCX0"><span class= "TextRun SCXW42806501 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW42806501 BCX0">In this interview, Roland RJ van</span> <span class= "NormalTextRun SpellingErrorV2Themed SCXW42806501 BCX0">Kimmenade</span><span class="NormalTextRun SCXW42806501 BCX0">, MD and Alison L. Bailey, MD, FACC discuss</span> <span class= "NormalTextRun SCXW42806501 BCX0">the impacts of the FRESH-UP study</span> <span class= "NormalTextRun SCXW42806501 BCX0">and</span> <span class= "NormalTextRun SCXW42806501 BCX0">how liberal fluid intake is safe for chronic HF patients</span><span class= "NormalTextRun SCXW42806501 BCX0">,</span> <span class= "NormalTextRun SCXW42806501 BCX0">even</span> <span class= "NormalTextRun SCXW42806501 BCX0">enhanc</span><span class= "NormalTextRun SCXW42806501 BCX0">ing</span> <span class= "NormalTextRun SCXW42806501 BCX0">their well-being.</span> <span class="NormalTextRun SCXW42806501 BCX0">Providers are encouraged</span> <span class="NormalTextRun SCXW42806501 BCX0">to reconsider universal fluid restrictions and adopt a more individualized approach.</span></span><span class= "EOP SCXW42806501 BCX0" data-ccp-props= "{"335557856":16777215}"> </span></p> </div> <div class="OutlineElement Ltr SCXW42806501 BCX0"> <p class="Paragraph SCXW42806501 BCX0"><span class= "EOP SCXW42806501 BCX0" data-ccp-props= "{}"> </span><span class="TextRun SCXW42806501 BCX0" lang= "EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW42806501 BCX0">RELATED REFERENCES:</span></span><span class="EOP SCXW42806501 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="ListContainerWrapper SCXW42806501 BCX0"> <ol class="NumberListStyle1 SCXW42806501 BCX0" role="list" start= "1"> <li class="OutlineElement Ltr SCXW42806501 BCX0" role="listitem" data-leveltext="%1." data-font="Times New Roman" data-listid="1" data-list-defn-props= "{"335552541":0,"335559685":720,"335559991":360,"469769242":[65533,0],"469777803":"left","469777804":"%1.","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1"> <p class="Paragraph SCXW42806501 BCX0"><span class= "TextRun SCXW42806501 BCX0" lang="DA-DK" xml:lang="DA-DK" data-contrast="auto"><span class= "NormalTextRun SCXW42806501 BCX0">Herrmann JJ,</span> <span class= "NormalTextRun SpellingErrorV2Themed SCXW42806501 BCX0">Brunner</span><span class="NormalTextRun SCXW42806501 BCX0">-La</span> <span class= "NormalTextRun SpellingErrorV2Themed SCXW42806501 BCX0">Rocca</span> <span class="NormalTextRun SCXW42806501 BCX0">HP, Baltussen LE, et al.</span></span> <span class="TextRun SCXW42806501 BCX0" lang= "EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW42806501 BCX0">Liberal Fluid Intake Versus Fluid Restriction in Chronic Heart Failure: A Randomized Clinical Trial. Nat Med</span> <span class= "NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW42806501 BCX0"> 2025;Mar</span> <span class= "NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW42806501 BCX0"> 30:[</span><span class= "NormalTextRun SpellingErrorV2Themed SCXW42806501 BCX0">Epub</span> <span class="NormalTextRun SCXW42806501 BCX0">ahead of print].</span></span><span class="EOP SCXW42806501 BCX0" data-ccp-props="{}"> </span></p> </li> </ol> </div>
April 8, 2025
<div class="OutlineElement Ltr SCXW38179345 BCX0"> <p class="Paragraph SCXW38179345 BCX0"><span class= "TextRun SCXW38179345 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW38179345 BCX0">Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare and potentially fatal form of elevated blood pressure in the lungs. CTEPH treatment overall is</span> <span class="NormalTextRun SCXW38179345 BCX0">a very complex</span> <span class= "NormalTextRun SCXW38179345 BCX0">clinical assessment and medical decision. Treatment options may include pulmonary thromboendarterectomy (PTE) surgery, balloon pulmonary angioplasty (BPA), or medical therapy. </span></span><span class= "EOP SCXW38179345 BCX0" data-ccp-props= "{"201341983":0,"335559739":0,"335559740":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW38179345 BCX0"> <p class="Paragraph SCXW38179345 BCX0"><span class= "TextRun SCXW38179345 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW38179345 BCX0"> </span></span><span class= "EOP SCXW38179345 BCX0" data-ccp-props= "{"201341983":0,"335559739":0,"335559740":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW38179345 BCX0"> <p class="Paragraph SCXW38179345 BCX0"><span class= "TextRun SCXW38179345 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW38179345 BCX0">In this interview, Drs. Shashank Sinha and Anjali Vaidya discuss how to approach the treatment decision for CTEPH once a diagnosis has been made. </span></span><span class="EOP SCXW38179345 BCX0" data-ccp-props= "{"201341983":0,"335559739":0,"335559740":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW38179345 BCX0"> <p class="Paragraph SCXW38179345 BCX0"><span class= "TextRun SCXW38179345 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW38179345 BCX0"> </span></span><a class= "Hyperlink SCXW38179345 BCX0" href= "https://itunes.apple.com/us/podcast/eagles-eye-view-your-weekly-cv-update-from-acc-org/id1274635046" target="_blank" rel="noreferrer noopener"><span class= "TextRun Underlined SCXW38179345 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW38179345 BCX0">Subscribe on Apple</span></span></a> <span class= "TextRun Underlined SCXW38179345 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW38179345 BCX0">Podcasts</span></span> <span class="TextRun SCXW38179345 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW38179345 BCX0">| </span></span><a class= "Hyperlink SCXW38179345 BCX0" href= "http://www.acc.org/education-and-meetings/products-and-resources/accel-audio" target="_blank" rel="noreferrer noopener"><span class= "TextRun Underlined SCXW38179345 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW38179345 BCX0">Subscribe to ACCEL</span></span></a><span class="TextRun SCXW38179345 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW38179345 BCX0"> </span></span><span class= "EOP SCXW38179345 BCX0" data-ccp-props= "{"201341983":0,"335559739":0,"335559740":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW38179345 BCX0"> <p class="Paragraph SCXW38179345 BCX0"><span class= "TextRun SCXW38179345 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW38179345 BCX0"> </span></span><span class= "EOP SCXW38179345 BCX0" data-ccp-props= "{"201341983":0,"335559739":0,"335559740":240}"> </span></p> </div>
April 1, 2025
<div class="OutlineElement Ltr SCXW40899460 BCX0"> <p class="Paragraph SCXW40899460 BCX0"><span class= "TextRun SCXW40899460 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle="Normal (Web)">The</span></span> <span class= "TextRun SCXW40899460 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle="Normal (Web)">2024 American Heart Association/American College of Cardiology (AHA/ACC)/</span><span class= "NormalTextRun SpellingErrorV2Themed SCXW40899460 BCX0" data-ccp-parastyle="Normal (Web)">multisociety</span></span> <span class="TextRun SCXW40899460 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">guideline for perioperative cardiovascular (CV) management for noncardiac surgery,</span></span> <span class= "TextRun SCXW40899460 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle="Normal (Web)">released in September 2024, marks the fourth comprehensive revision of the</span> <span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">p</span><span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">erioperative</span> <span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">g</span><span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">uideline since its</span> <span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">inception</span> <span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">in 1996. This latest update reflects the most current, evidence-based recommendations, shaped by expert clinical insight, to guide the management of patients with</span> <span class="NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">CV</span> <span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">conditions undergoing noncardiac surgery.</span></span><span class="EOP SCXW40899460 BCX0" data-ccp-props= "{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW40899460 BCX0"> <p class="Paragraph SCXW40899460 BCX0"><span class= "EOP SCXW40899460 BCX0" data-ccp-props= "{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span><span class="TextRun SCXW40899460 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">In this interview, Drs. Andrew</span> <span class= "NormalTextRun SpellingErrorV2Themed SCXW40899460 BCX0" data-ccp-parastyle="Normal (Web)">Kates</span> <span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">and Annemarie Thompson discuss the key updates from the 2014 guideline, highlighting significant changes and exploring its guidance on evaluating patients with</span> <span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">CV</span> <span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)">disease before noncardiac surgery.</span></span><span class="TextRun SCXW40899460 BCX0" lang= "EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW40899460 BCX0" data-ccp-parastyle= "Normal (Web)"> </span></span><span class="EOP SCXW40899460 BCX0" data-ccp-props= "{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW40899460 BCX0"> <p class="Paragraph SCXW40899460 BCX0"><span class= "TextRun SCXW40899460 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW40899460 BCX0"> </span></span> <a class= "Hyperlink SCXW40899460 BCX0" href= "https://itunes.apple.com/us/podcast/eagles-eye-view-your-weekly-cv-update-from-acc-org/id1274635046" target="_blank" rel="noreferrer noopener"><span class= "TextRun Underlined SCXW40899460 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW40899460 BCX0">Subscribe on Apple</span></span></a> <span class= "TextRun Underlined SCXW40899460 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW40899460 BCX0">Podcasts</span></span> <span class="TextRun SCXW40899460 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW40899460 BCX0">|</span></span><span class= "TextRun Underlined SCXW40899460 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW40899460 BCX0"> </span></span><a class= "Hyperlink SCXW40899460 BCX0" href= "http://www.acc.org/education-and-meetings/products-and-resources/accel-audio" target="_blank" rel="noreferrer noopener"><span class= "TextRun Underlined SCXW40899460 BCX0" lang="EN-US" xml:lang= "EN-US" data-contrast="none"><span class= "NormalTextRun SCXW40899460 BCX0">Subscribe to ACCEL</span></span></a><span class="TextRun SCXW40899460 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class= "NormalTextRun SCXW40899460 BCX0"> </span></span><span class= "EOP SCXW40899460 BCX0" data-ccp-props= "{"201341983":0,"335559739":0,"335559740":240}"> </span></p> </div>
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