American College of Cardiology

Last updated
American College of Cardiology
American College of Cardiology - 2012.jpg
The American College of Cardiology in 2012
TypeNonprofit medical association
Established1949
Location,
38°54′25.24″N77°3′6.56″W / 38.9070111°N 77.0518222°W / 38.9070111; -77.0518222
Website acc.org

The American College of Cardiology (ACC), based in Washington, D.C., is a nonprofit medical association established in 1949. It bestows credentials upon cardiovascular specialists who meet its qualifications. Education is a core component of the college, which is also active in the formulation of health policy and the support of cardiovascular research.

Contents

History

The American College of Cardiology was chartered and incorporated as a teaching institution in 1949, and established its headquarters, called Heart House, in Bethesda, Maryland, in 1977.[ citation needed ] In 2006, the college relocated to Washington, D.C.'s West End neighborhood.

Past papers for the institution are held at the National Library of Medicine in Bethesda, Maryland. [1]

Leadership

The college is governed by its officers, including the president, president-elect, vice president, secretary, treasurer, chief executive officer and board of trustees (BOT). The current ACC Board of Trustees consists of 14 college members. The president of ACC leads the board of trustees for a one-year term. Members of the board of governors serve as grassroots liaisons between the local chapters and the college's national headquarters. Athena Poppas, MD, FACC, was the president for 2020–2021. In July 2023, the college announced that Cathleen Biga, MSN, RN, FACC, would assume the role as president for 2024–2025. [2]

Members

The American College of Cardiology has approximately 54,000 members, including physicians, registered nurses, clinical nurse specialists, nurse practitioners, physician assistants, doctors of pharmacology and practice administrators, specializing in cardiovascular care. Becoming a fellow of the American College of Cardiology, associate fellow or affiliate member is based on training, specialty board certification, scientific and professional accomplishments and duration of active participation in a cardiovascular related field. At least 75 percent of professional activities must be devoted to the field of cardiovascular disease. Those who have long exposure in field of acaedemics, research and patient care are eligible for the fellowship of this college. The website of ACC has eligibility calculator from which one can find their eligibility score which should be more than 100. Those achieving highest distinction in the field are awarded the title Master of the American College of Cardiology, which is bestowed upon a maximum of three practicing cardiologists each year.

Chapters

The college maintains 48 chapters in the U.S. and Puerto Rico. Chapters are legally distinct entities from national organization and do not share budgets or staffing. Since 2008, national members have automatically become members of a local chapter.

Guidelines

As early as the 1980s, the college partnered with the American Heart Association to develop the first clinical practice guidelines for cardiovascular practice. In the 1990s, the college used the guidelines to lay the groundwork for studies documenting discrepancies best and actual cardiovascular practices. The college works with national organizations such as the National Heart, Lung and Blood Institute to continually develop and update these guidelines.

Performance measures and Data standards

In 2000, the college partnered with the American Heart Association to begin development and publication of national performance measurement standards and data standards for both inpatient and outpatient care based on the guidelines. Measurement sets include: coronary artery disease, hypertension, heart failure, atrial fibrillation, cardiac rehabilitation, myocardial infarction, primary prevention and peripheral arterial disease. In addition, the college has submitted its measures to the National Quality Forum, with the majority of its measures receiving endorsement as national standards.

The college has also collaborated with specialty societies to undertake the task of developing and publishing clinical data standards. Clinical data standards developed include those for acute coronary syndrome, atrial fibrillation, heart failure and electrophysiology.

Appropriate-use criteria

The college has published criteria for single-photon emission computed tomography myocardial perfusion imaging (SPECT MPI), computed tomography of the heart and cardiac magnetic resonance imaging, resting transthoracic and transesophageal echocardiography, and coronary revascularization.

Data registries

The college's National Cardiovascular Data Registry is a source for measuring and quantifying outcomes and identifying gaps in the delivery of quality care. Its data are used in select pay-for-reporting and/or performance programs to demonstrate the benefits and challenges of such incentive programs. To date, the college has developed five hospital-based cardiovascular registries. In addition, the PINNACLE Registry is the nation's first and largest practice-based cardiovascular registry. In 2011, the college and The Society of Thoracic Surgeons launched the STS/ACC TVT Registry, which tracks transcatheter valve therapy procedures.

National quality initiatives

Currently several key quality initiatives are underway to help translate science into practice and improve outcomes for cardiovascular patients. These projects include the Door to Balloon Alliance, Hospital to Home and Imaging in FOCUS.

Launched in November 2006, the Door to Balloon Alliance is focused on helping hospital not only reduce, but successfully sustain the guideline-recommended time of 90 minutes or less from the time a patient with chest pain arrives at an emergency room until they have a balloon dilatation procedure. The alliance provides hospitals with the evidence-based strategies and resources to focus on process improvement, interdisciplinary cooperation and coordination to substantially impact their door-to-balloon times, and thus, improve patient outcomes.

The hospital to Home initiative, led by both the American College of Cardiology and the Institute for Healthcare Improvement, is a national quality improvement campaign to reduce cardiovascular-related hospital rehospitalizations and improve the transition from inpatient to outpatient status for individuals hospitalized with cardiovascular disease. Launched in 2009, it seeks to examine and address readmission problems.

Imaging in FOCUS is a community designed to guide implementation of appropriate use criteria and ensure patients are receiving the right care at the right time; the initiative has produced innovations such as pocket cards and mobile applications; access to an online community; and access to webinars, educational programs and performance improvement tools.

Education and Advocacy

The American College of Cardiology Foundation offers a variety of educational programs and products tailored to the needs of clinicians in a variety of specialty areas at all stages of their careers.

The college also advocates for health policies that allow cardiovascular professionals to provide quality, appropriate and cost-effective care on such issues as Medicare physician payment, medical imaging, health care reform implementation, medical liability reform and funding for prevention and research. The college is also active on policies that address non-communicable diseases.

The college also publishes a peer reviewed scientific journal Journal of the American College of Cardiology with a high Impact factor.

The College organizes an annual conference for each year for sharing the latest research in the field of Cardiology. The college cancelled its flagship conference for the first time since inception of the college for the year 2020 in light of the COVID-19 pandemic. [3]

See also

Related Research Articles

<span class="mw-page-title-main">Cardiology</span> Branch of medicine dealing with the heart

Cardiology is the study of the heart. Cardiology is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology. Physicians who specialize in this field of medicine are called cardiologists, a specialty of internal medicine. Pediatric cardiologists are pediatricians who specialize in cardiology. Physicians who specialize in cardiac surgery are called cardiothoracic surgeons or cardiac surgeons, a specialty of general surgery.

<span class="mw-page-title-main">Cardiac arrest</span> Sudden stop in effective blood flow due to the failure of the heart to beat

Cardiac arrest, also known as sudden cardiac arrest, is when the heart suddenly and unexpectedly stops beating. As a result blood will not be pumped around the body in normal circulation, consciousness will be rapidly lost, and breathing will be abnormal or absent. Without immediate intervention such as cardiopulmonary resuscitation (CPR), and possibly defibrillation, death will occur within minutes.

<span class="mw-page-title-main">Interventional cardiology</span>

Interventional cardiology is a branch of cardiology that deals specifically with the catheter based treatment of structural heart diseases. Andreas Gruentzig is considered the father of interventional cardiology after the development of angioplasty by interventional radiologist Charles Dotter.

<span class="mw-page-title-main">Cardiac stress test</span> Measures the hearts ability to respond to external stress in a controlled clinical environment

A cardiac stress test is a cardiological examination that evaluates the cardiovascular system's response to external stress within a controlled clinical setting. This stress response can be induced through physical exercise or intravenous pharmacological stimulation of heart rate.

<span class="mw-page-title-main">University of Ottawa Heart Institute</span> Hospital in Ottawa, Ontario

The University of Ottawa Heart Institute (UOHI) (French: Institut de cardiologie de l'Université d'Ottawa ) is Canada's largest cardiovascular health centre. It is located in Ottawa, Ontario, Canada. It began as a department in The Ottawa Hospital, and since has evolved into Canada's only complete cardiac centre, encompassing prevention, diagnosis, treatment, rehabilitation, research, and education.

<span class="mw-page-title-main">Percutaneous coronary intervention</span> Medical techniques used to manage coronary occlusion

Percutaneous coronary intervention (PCI) is a minimally invasive non-surgical procedure used to treat narrowing of the coronary arteries of the heart found in coronary artery disease. The procedure is used to place and deploy coronary stents, a permanent wire-meshed tube, to open narrowed coronary arteries. PCI is considered 'non-surgical' as it uses a small hole in a peripheral artery (leg/arm) to gain access to the arterial system, an equivalent surgical procedure would involve the opening of the chest wall to gain access to the heart area. The term 'coronary angioplasty with stent' is synonymous with PCI. The procedure visualises the blood vessels via fluoroscopic imaging and contrast dyes. PCI is performed by an interventional cardiologists in a catheterization laboratory setting.

Door-to-balloon is a time measurement in emergency cardiac care (ECC), specifically in the treatment of ST segment elevation myocardial infarction. The interval starts with the patient's arrival in the emergency department, and ends when a catheter guidewire crosses the culprit lesion in the cardiac cath lab. Because of the adage that "time is muscle", meaning that delays in treating a myocardial infarction increase the likelihood and amount of cardiac muscle damage due to localised hypoxia, ACC/AHA guidelines recommend a door-to-balloon interval of no more than 90 minutes. As of 2006 in the United States, fewer than half of STEMI patients received reperfusion with primary percutaneous coronary intervention (PCI) within the guideline-recommended timeframe. It has become a core quality measure for the Joint Commission on Accreditation of Healthcare Organizations (TJC).

Cardiac rehabilitation (CR) is defined by the World Health Organization (WHO) as "the sum of activity and interventions required to ensure the best possible physical, mental, and social conditions so that patients with chronic or post-acute cardiovascular disease may, by their own efforts, preserve or resume their proper place in society and lead an active life". CR is a comprehensive model of care delivering established core components, including structured exercise, patient education, psychosocial counselling, risk factor reduction and behaviour modification, with a goal of optimizing patient's quality of life and reducing the risk of future heart problems.

<span class="mw-page-title-main">European Society of Cardiology</span> Non-profit professional association

The European Society of Cardiology (ESC) is an independent non-profit, non-governmental professional association that works to advance the prevention, diagnosis and management of diseases of the heart and blood vessels, and improve scientific understanding of the heart and vascular system. This is done by:

<span class="mw-page-title-main">Myocardial infarction</span> Interruption of blood supply to a part of the heart

A myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops in one of the coronary arteries of the heart, causing infarction to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck or jaw. Often it occurs in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn. Other symptoms may include shortness of breath, nausea, feeling faint, a cold sweat, feeling tired, and decreased level of consciousness. About 30% of people have atypical symptoms. Women more often present without chest pain and instead have neck pain, arm pain or feel tired. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an irregular heartbeat, cardiogenic shock or cardiac arrest.

<span class="mw-page-title-main">Atrial fibrillation</span> Irregular beating of the atria of the heart

Atrial fibrillation is an abnormal heart rhythm (arrhythmia) characterized by rapid and irregular beating of the atrial chambers of the heart. It often begins as short periods of abnormal beating, which become longer or continuous over time. It may also start as other forms of arrhythmia such as atrial flutter that then transform into AF.

A wearable cardioverter defibrillator (WCD) is a non-invasive, external device for patients at risk of sudden cardiac arrest (SCA). It allows physicians time to assess their patient's arrhythmic risk and see if their ejection fraction improves before determining the next steps in patient care. It is a leased device. A summary of the device, its technology and indications was published in 2017 and reviewed by the EHRA Scientific Documents Committee.

Jonathan L. Halperin is an American cardiologist and the author of Bypass (ISBN 0-89586-509-2), among the most comprehensive works on the subject of coronary artery bypass surgery. In addition, he is the Robert and Harriet Heilbrunn Professor of Medicine at The Mount Sinai School of Medicine as well as Director of Clinical Cardiology in the Zena and Michael A. Wierner Cardiovascular Institute at The Mount Sinai Medical Center, both in New York City. Halperin was the principal cardiologist responsible for both the design and execution of the multi-center Stroke Prevention in Atrial Fibrillation (SPAF) clinical trials, funded by the National Institutes of Health, which helped develop antithrombotic strategies to prevent stroke, and he subsequently directed the SPORTIF clinical trials, which evaluated the first oral direct thrombin inhibitor for prevention of stroke in patients with atrial fibrillation.

John S. Rumsfeld is an American cardiologist. He is the Chief Innovation Officer for the American College of Cardiology, and Professor of Medicine at the University of Colorado School of Medicine. He was previously the National Director of Cardiology for the U.S. Veterans Health Administration. Rumsfeld was named as Chief Innovation Officer for American College of Cardiology in 2015.

Prof. Aly Saad, is a professor of cardiology at Zagazig University and a Member of higher committee of promotion of professors and Assistant professors of cardiovascular diseases and Critical care Subspecialty in Egypt.

Ulf Landmesser is a German specialist for cardiology and internal medicine. He is professor at the Institute for Health Research in Berlin and Head of the Medical Clinic of Cardiology at the Charité in Berlin. Landmesser is known for his work on coronary interventions and modern methods of catheter-based heart valve therapy.

The Mid America Heart Institute (MAHI) is located in Kansas City, Missouri and is one of the first and largest hospitals developed and designed specifically for cardiovascular care. It is a subsidiary of the not-for-profit Saint Luke's Hospital of Kansas City and is a part of Saint Luke's Health System. The Heart Institute is affiliated with the University of Missouri-Kansas City School of Medicine and has earned the certification as a Comprehensive Cardiac Center from the Joint Commission.

<span class="mw-page-title-main">Erin D. Michos</span> American cardiologist and researcher

Erin Kathleen Donnelly Michos is an American cardiologist. She is an associate professor of Medicine and Director of Women's Cardiovascular Health at Johns Hopkins School of Medicine. Michos is also an Associate Faculty of the Welch Center for Prevention, Epidemiology and Clinical Research at Johns Hopkins, and has a joint faculty appointment in the Department of Epidemiology at the Johns Hopkins Bloomberg School of Public Health.

<span class="mw-page-title-main">Günter Breithardt</span> German physician, cardiologist and university professor

Günter Breithardt is a German physician, cardiologist and emeritus university professor. He is known for his research in the field of rhythmology, especially the diagnosis and pharmacological and non-pharmacological therapy of cardiac arrhythmias and acute cardiac death, in particular the identification of arrhythmia-triggering gene mutations. For 21 years he headed the Medical Clinic and Polyclinic C at Münster University Hospital. A number of his academic students hold university management and chief physician positions.

Gregory Lip is a clinical researcher and Price-Evans Chair of Cardiovascular Medicine, at the University of Liverpool. He is Director of the Liverpool Centre for Cardiovascular Science at the University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital.

References

  1. "American College of Cardiology archives 1929-2008". National Library of Medicine.
  2. Walter, Michael (July 18, 2023). "American College of Cardiology chooses next president, vice president". Cardiovascular Business. Retrieved July 22, 2023.
  3. "ACC.20/WCC Coronavirus (COVID-19) Update". accscientificsession.acc.org. Retrieved 2020-03-13.