North American COVID-19 ST-Segment-Elevation Myocardial Infarction (NACMI) registry: Rationale, design, and implications.
Identifieur interne : 000252 ( Main/Corpus ); précédent : 000251; suivant : 000253North American COVID-19 ST-Segment-Elevation Myocardial Infarction (NACMI) registry: Rationale, design, and implications.
Auteurs : Payam Dehghani ; Laura J. Davidson ; Cindy L. Grines ; Keshav Nayak ; Jacqueline Saw ; Prashant Kaul ; Akshay Bagai ; Ross Garberich ; Christian Schmidt ; Hung Q. Ly ; Jay Giri ; Perwaiz Meraj ; Binita Shah ; Santiago Garcia ; Scott Sharkey ; David A. Wood ; Frederick G. Welt ; Ehtisham Mahmud ; Timothy D. HenrySource :
- American heart journal [ 1097-6744 ] ; 2020.
Abstract
The novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), that causes coronavirus disease 2019 (COVID-19), has resulted in a global pandemic. Patients with cardiovascular risk factors or established cardiovascular disease are more likely to experience severe or critical COVID-19 illness and myocardial injury is a key extra-pulmonary manifestation. These patients frequently present with ST-elevation on an electrocardiogram (ECG) due to multiple etiologies including obstructive, non-obstructive, and/or angiographically normal coronary arteries. The incidence of ST-elevation myocardial infarction (STEMI) mimics in COVID-19-positive hospitalized patients, and the association with morbidity and mortality is unknown. Understanding the natural history and appropriate management of COVID-19 patients presenting with ST elevation is essential to inform patient management decisions and protect healthcare workers. METHODS: The Society for Cardiovascular Angiography and Interventions (SCAI) and The Canadian Association of Interventional Cardiology (CAIC) in conjunction with the American College of Cardiology Interventional Council have collaborated to create a multi-center observational registry, NACMI. This registry will enroll confirmed COVID-19 patients and persons under investigation (PUI) with new ST-segment elevation or new onset left bundle branch block (LBBB) on the ECG with clinical suspicion of myocardial ischemia. We will compare demographics, clinical findings, outcomes and management of these patients with a historical control group of over 15,000 consecutive STEMI activation patients from the Midwest STEMI Consortium using propensity matching. The primary clinical outcome will be in- hospital major adverse cardiovascular events (MACE) defined as composite of all-cause mortality, stroke, recurrent MI, and repeat unplanned revascularization in COVID-19 confirmed or PUI. Secondary outcomes will include the following: reporting of etiologies of ST Elevation; cardiovascular mortality due to myocardial infarction, cardiac arrest and /or shock; individual components of the primary outcome; composite primary outcome at 1 year; as well as ECG and angiographic characteristics. CONCLUSION: The multicenter NACMI registry will collect data regarding ST elevation on ECG in COVID-19 patients to determine the etiology and associated clinical outcomes. The collaboration and speed with which this registry has been created, refined, and promoted serves as a template for future research endeavors.
DOI: 10.1016/j.ahj.2020.05.006
PubMed: 32425198
PubMed Central: PMC7229476
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pubmed:32425198Le document en format XML
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<author><name sortKey="Dehghani, Payam" sort="Dehghani, Payam" uniqKey="Dehghani P" first="Payam" last="Dehghani">Payam Dehghani</name>
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<author><name sortKey="Davidson, Laura J" sort="Davidson, Laura J" uniqKey="Davidson L" first="Laura J" last="Davidson">Laura J. Davidson</name>
<affiliation><nlm:affiliation>Northwestern University, Feinberg School of Medicine, Chicago, IL; American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC.</nlm:affiliation>
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<author><name sortKey="Nayak, Keshav" sort="Nayak, Keshav" uniqKey="Nayak K" first="Keshav" last="Nayak">Keshav Nayak</name>
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<author><name sortKey="Saw, Jacqueline" sort="Saw, Jacqueline" uniqKey="Saw J" first="Jacqueline" last="Saw">Jacqueline Saw</name>
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<author><name sortKey="Kaul, Prashant" sort="Kaul, Prashant" uniqKey="Kaul P" first="Prashant" last="Kaul">Prashant Kaul</name>
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<author><name sortKey="Bagai, Akshay" sort="Bagai, Akshay" uniqKey="Bagai A" first="Akshay" last="Bagai">Akshay Bagai</name>
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<author><name sortKey="Schmidt, Christian" sort="Schmidt, Christian" uniqKey="Schmidt C" first="Christian" last="Schmidt">Christian Schmidt</name>
<affiliation><nlm:affiliation>Minneapolis Heart Institute, Minneapolis, MN.</nlm:affiliation>
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<author><name sortKey="Ly, Hung Q" sort="Ly, Hung Q" uniqKey="Ly H" first="Hung Q" last="Ly">Hung Q. Ly</name>
<affiliation><nlm:affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; Department of Medicine, Montreal Heart Institute, Université de Montréal.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Giri, Jay" sort="Giri, Jay" uniqKey="Giri J" first="Jay" last="Giri">Jay Giri</name>
<affiliation><nlm:affiliation>Cardiovascular Medicine Division, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation>
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<author><name sortKey="Meraj, Perwaiz" sort="Meraj, Perwaiz" uniqKey="Meraj P" first="Perwaiz" last="Meraj">Perwaiz Meraj</name>
<affiliation><nlm:affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Hofstra North Shore - LIJ School of Medicine, Manhasset, NY.</nlm:affiliation>
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<author><name sortKey="Shah, Binita" sort="Shah, Binita" uniqKey="Shah B" first="Binita" last="Shah">Binita Shah</name>
<affiliation><nlm:affiliation>Department of Medicine (Cardiology), VA New York Harbor Healthcare System and New York University School of Medicine, New York, NY.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Garcia, Santiago" sort="Garcia, Santiago" uniqKey="Garcia S" first="Santiago" last="Garcia">Santiago Garcia</name>
<affiliation><nlm:affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Minneapolis Heart Institute, Minneapolis, MN.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sharkey, Scott" sort="Sharkey, Scott" uniqKey="Sharkey S" first="Scott" last="Sharkey">Scott Sharkey</name>
<affiliation><nlm:affiliation>Minneapolis Heart Institute, Minneapolis, MN.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Wood, David A" sort="Wood, David A" uniqKey="Wood D" first="David A" last="Wood">David A. Wood</name>
<affiliation><nlm:affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; Centre for Cardiovascular Innovation, UBC Division of Cardiology, St Paul's and Vancouver General Hospital, Vancouver, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Welt, Frederick G" sort="Welt, Frederick G" uniqKey="Welt F" first="Frederick G" last="Welt">Frederick G. Welt</name>
<affiliation><nlm:affiliation>American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC; Cardiovascular Division, University of Utah Health, Salt Lake City, UT.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mahmud, Ehtisham" sort="Mahmud, Ehtisham" uniqKey="Mahmud E" first="Ehtisham" last="Mahmud">Ehtisham Mahmud</name>
<affiliation><nlm:affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; University of California, San Diego, Sulpizio Cardiovascular Center, La Jolla, CA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Henry, Timothy D" sort="Henry, Timothy D" uniqKey="Henry T" first="Timothy D" last="Henry">Timothy D. Henry</name>
<affiliation><nlm:affiliation>American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC; The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, OH. Electronic address: Tim.henry@thechristhospital.com.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">North American COVID-19 ST-Segment-Elevation Myocardial Infarction (NACMI) registry: Rationale, design, and implications.</title>
<author><name sortKey="Dehghani, Payam" sort="Dehghani, Payam" uniqKey="Dehghani P" first="Payam" last="Dehghani">Payam Dehghani</name>
<affiliation><nlm:affiliation>Prairie Vascular Research Inc, Regina, Saskatchewan, Canada; Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Davidson, Laura J" sort="Davidson, Laura J" uniqKey="Davidson L" first="Laura J" last="Davidson">Laura J. Davidson</name>
<affiliation><nlm:affiliation>Northwestern University, Feinberg School of Medicine, Chicago, IL; American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Grines, Cindy L" sort="Grines, Cindy L" uniqKey="Grines C" first="Cindy L" last="Grines">Cindy L. Grines</name>
<affiliation><nlm:affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Northside Cardiovascular Institute, Atlanta, GA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Nayak, Keshav" sort="Nayak, Keshav" uniqKey="Nayak K" first="Keshav" last="Nayak">Keshav Nayak</name>
<affiliation><nlm:affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Deparment of Cardiology Scripps Mercy Hospital, San Diego, CA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Saw, Jacqueline" sort="Saw, Jacqueline" uniqKey="Saw J" first="Jacqueline" last="Saw">Jacqueline Saw</name>
<affiliation><nlm:affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; Vancouver General Hospital, Vancouver, British Columbia, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kaul, Prashant" sort="Kaul, Prashant" uniqKey="Kaul P" first="Prashant" last="Kaul">Prashant Kaul</name>
<affiliation><nlm:affiliation>American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC; Piedmont Heart Institute, Atlanta, GA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bagai, Akshay" sort="Bagai, Akshay" uniqKey="Bagai A" first="Akshay" last="Bagai">Akshay Bagai</name>
<affiliation><nlm:affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; St. Michael's Hospital, Toronto, Ontario, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Garberich, Ross" sort="Garberich, Ross" uniqKey="Garberich R" first="Ross" last="Garberich">Ross Garberich</name>
<affiliation><nlm:affiliation>Minneapolis Heart Institute, Minneapolis, MN.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Schmidt, Christian" sort="Schmidt, Christian" uniqKey="Schmidt C" first="Christian" last="Schmidt">Christian Schmidt</name>
<affiliation><nlm:affiliation>Minneapolis Heart Institute, Minneapolis, MN.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ly, Hung Q" sort="Ly, Hung Q" uniqKey="Ly H" first="Hung Q" last="Ly">Hung Q. Ly</name>
<affiliation><nlm:affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; Department of Medicine, Montreal Heart Institute, Université de Montréal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Giri, Jay" sort="Giri, Jay" uniqKey="Giri J" first="Jay" last="Giri">Jay Giri</name>
<affiliation><nlm:affiliation>Cardiovascular Medicine Division, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Meraj, Perwaiz" sort="Meraj, Perwaiz" uniqKey="Meraj P" first="Perwaiz" last="Meraj">Perwaiz Meraj</name>
<affiliation><nlm:affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Hofstra North Shore - LIJ School of Medicine, Manhasset, NY.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Shah, Binita" sort="Shah, Binita" uniqKey="Shah B" first="Binita" last="Shah">Binita Shah</name>
<affiliation><nlm:affiliation>Department of Medicine (Cardiology), VA New York Harbor Healthcare System and New York University School of Medicine, New York, NY.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Garcia, Santiago" sort="Garcia, Santiago" uniqKey="Garcia S" first="Santiago" last="Garcia">Santiago Garcia</name>
<affiliation><nlm:affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Minneapolis Heart Institute, Minneapolis, MN.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sharkey, Scott" sort="Sharkey, Scott" uniqKey="Sharkey S" first="Scott" last="Sharkey">Scott Sharkey</name>
<affiliation><nlm:affiliation>Minneapolis Heart Institute, Minneapolis, MN.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Wood, David A" sort="Wood, David A" uniqKey="Wood D" first="David A" last="Wood">David A. Wood</name>
<affiliation><nlm:affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; Centre for Cardiovascular Innovation, UBC Division of Cardiology, St Paul's and Vancouver General Hospital, Vancouver, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Welt, Frederick G" sort="Welt, Frederick G" uniqKey="Welt F" first="Frederick G" last="Welt">Frederick G. Welt</name>
<affiliation><nlm:affiliation>American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC; Cardiovascular Division, University of Utah Health, Salt Lake City, UT.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mahmud, Ehtisham" sort="Mahmud, Ehtisham" uniqKey="Mahmud E" first="Ehtisham" last="Mahmud">Ehtisham Mahmud</name>
<affiliation><nlm:affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; University of California, San Diego, Sulpizio Cardiovascular Center, La Jolla, CA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Henry, Timothy D" sort="Henry, Timothy D" uniqKey="Henry T" first="Timothy D" last="Henry">Timothy D. Henry</name>
<affiliation><nlm:affiliation>American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC; The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, OH. Electronic address: Tim.henry@thechristhospital.com.</nlm:affiliation>
</affiliation>
</author>
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<series><title level="j">American heart journal</title>
<idno type="eISSN">1097-6744</idno>
<imprint><date when="2020" type="published">2020</date>
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<front><div type="abstract" xml:lang="en">The novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), that causes coronavirus disease 2019 (COVID-19), has resulted in a global pandemic. Patients with cardiovascular risk factors or established cardiovascular disease are more likely to experience severe or critical COVID-19 illness and myocardial injury is a key extra-pulmonary manifestation. These patients frequently present with ST-elevation on an electrocardiogram (ECG) due to multiple etiologies including obstructive, non-obstructive, and/or angiographically normal coronary arteries. The incidence of ST-elevation myocardial infarction (STEMI) mimics in COVID-19-positive hospitalized patients, and the association with morbidity and mortality is unknown. Understanding the natural history and appropriate management of COVID-19 patients presenting with ST elevation is essential to inform patient management decisions and protect healthcare workers. METHODS: The Society for Cardiovascular Angiography and Interventions (SCAI) and The Canadian Association of Interventional Cardiology (CAIC) in conjunction with the American College of Cardiology Interventional Council have collaborated to create a multi-center observational registry, NACMI. This registry will enroll confirmed COVID-19 patients and persons under investigation (PUI) with new ST-segment elevation or new onset left bundle branch block (LBBB) on the ECG with clinical suspicion of myocardial ischemia. We will compare demographics, clinical findings, outcomes and management of these patients with a historical control group of over 15,000 consecutive STEMI activation patients from the Midwest STEMI Consortium using propensity matching. The primary clinical outcome will be in- hospital major adverse cardiovascular events (MACE) defined as composite of all-cause mortality, stroke, recurrent MI, and repeat unplanned revascularization in COVID-19 confirmed or PUI. Secondary outcomes will include the following: reporting of etiologies of ST Elevation; cardiovascular mortality due to myocardial infarction, cardiac arrest and /or shock; individual components of the primary outcome; composite primary outcome at 1 year; as well as ECG and angiographic characteristics. CONCLUSION: The multicenter NACMI registry will collect data regarding ST elevation on ECG in COVID-19 patients to determine the etiology and associated clinical outcomes. The collaboration and speed with which this registry has been created, refined, and promoted serves as a template for future research endeavors.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32425198</PMID>
<DateRevised><Year>2020</Year>
<Month>07</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6744</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>227</Volume>
<PubDate><Year>2020</Year>
<Month>May</Month>
<Day>16</Day>
</PubDate>
</JournalIssue>
<Title>American heart journal</Title>
<ISOAbbreviation>Am. Heart J.</ISOAbbreviation>
</Journal>
<ArticleTitle>North American COVID-19 ST-Segment-Elevation Myocardial Infarction (NACMI) registry: Rationale, design, and implications.</ArticleTitle>
<Pagination><MedlinePgn>11-18</MedlinePgn>
</Pagination>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ahj.2020.05.006</ELocationID>
<Abstract><AbstractText>The novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), that causes coronavirus disease 2019 (COVID-19), has resulted in a global pandemic. Patients with cardiovascular risk factors or established cardiovascular disease are more likely to experience severe or critical COVID-19 illness and myocardial injury is a key extra-pulmonary manifestation. These patients frequently present with ST-elevation on an electrocardiogram (ECG) due to multiple etiologies including obstructive, non-obstructive, and/or angiographically normal coronary arteries. The incidence of ST-elevation myocardial infarction (STEMI) mimics in COVID-19-positive hospitalized patients, and the association with morbidity and mortality is unknown. Understanding the natural history and appropriate management of COVID-19 patients presenting with ST elevation is essential to inform patient management decisions and protect healthcare workers. METHODS: The Society for Cardiovascular Angiography and Interventions (SCAI) and The Canadian Association of Interventional Cardiology (CAIC) in conjunction with the American College of Cardiology Interventional Council have collaborated to create a multi-center observational registry, NACMI. This registry will enroll confirmed COVID-19 patients and persons under investigation (PUI) with new ST-segment elevation or new onset left bundle branch block (LBBB) on the ECG with clinical suspicion of myocardial ischemia. We will compare demographics, clinical findings, outcomes and management of these patients with a historical control group of over 15,000 consecutive STEMI activation patients from the Midwest STEMI Consortium using propensity matching. The primary clinical outcome will be in- hospital major adverse cardiovascular events (MACE) defined as composite of all-cause mortality, stroke, recurrent MI, and repeat unplanned revascularization in COVID-19 confirmed or PUI. Secondary outcomes will include the following: reporting of etiologies of ST Elevation; cardiovascular mortality due to myocardial infarction, cardiac arrest and /or shock; individual components of the primary outcome; composite primary outcome at 1 year; as well as ECG and angiographic characteristics. CONCLUSION: The multicenter NACMI registry will collect data regarding ST elevation on ECG in COVID-19 patients to determine the etiology and associated clinical outcomes. The collaboration and speed with which this registry has been created, refined, and promoted serves as a template for future research endeavors.</AbstractText>
<CopyrightInformation>Copyright © 2020. Published by Elsevier Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dehghani</LastName>
<ForeName>Payam</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Prairie Vascular Research Inc, Regina, Saskatchewan, Canada; Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Davidson</LastName>
<ForeName>Laura J</ForeName>
<Initials>LJ</Initials>
<AffiliationInfo><Affiliation>Northwestern University, Feinberg School of Medicine, Chicago, IL; American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Grines</LastName>
<ForeName>Cindy L</ForeName>
<Initials>CL</Initials>
<AffiliationInfo><Affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Northside Cardiovascular Institute, Atlanta, GA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nayak</LastName>
<ForeName>Keshav</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Deparment of Cardiology Scripps Mercy Hospital, San Diego, CA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Saw</LastName>
<ForeName>Jacqueline</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; Vancouver General Hospital, Vancouver, British Columbia, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kaul</LastName>
<ForeName>Prashant</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC; Piedmont Heart Institute, Atlanta, GA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bagai</LastName>
<ForeName>Akshay</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; St. Michael's Hospital, Toronto, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Garberich</LastName>
<ForeName>Ross</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Minneapolis Heart Institute, Minneapolis, MN.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Schmidt</LastName>
<ForeName>Christian</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Minneapolis Heart Institute, Minneapolis, MN.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ly</LastName>
<ForeName>Hung Q</ForeName>
<Initials>HQ</Initials>
<AffiliationInfo><Affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; Department of Medicine, Montreal Heart Institute, Université de Montréal.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Giri</LastName>
<ForeName>Jay</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Cardiovascular Medicine Division, University of Pennsylvania, Philadelphia, PA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Meraj</LastName>
<ForeName>Perwaiz</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Hofstra North Shore - LIJ School of Medicine, Manhasset, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shah</LastName>
<ForeName>Binita</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Department of Medicine (Cardiology), VA New York Harbor Healthcare System and New York University School of Medicine, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Garcia</LastName>
<ForeName>Santiago</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; Minneapolis Heart Institute, Minneapolis, MN.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sharkey</LastName>
<ForeName>Scott</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Minneapolis Heart Institute, Minneapolis, MN.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wood</LastName>
<ForeName>David A</ForeName>
<Initials>DA</Initials>
<AffiliationInfo><Affiliation>Canadian Association of Interventional Cardiology, Ottawa, Ontario, Canada; Centre for Cardiovascular Innovation, UBC Division of Cardiology, St Paul's and Vancouver General Hospital, Vancouver, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Welt</LastName>
<ForeName>Frederick G</ForeName>
<Initials>FG</Initials>
<AffiliationInfo><Affiliation>American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC; Cardiovascular Division, University of Utah Health, Salt Lake City, UT.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mahmud</LastName>
<ForeName>Ehtisham</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Society for Cardiovascular Angiography and Interventions, Washington, DC; University of California, San Diego, Sulpizio Cardiovascular Center, La Jolla, CA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Henry</LastName>
<ForeName>Timothy D</ForeName>
<Initials>TD</Initials>
<AffiliationInfo><Affiliation>American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Society for Cardiovascular Angiography and Interventions, Washington, DC; The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, OH. Electronic address: Tim.henry@thechristhospital.com.</Affiliation>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>05</Month>
<Day>16</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Am Heart J</MedlineTA>
<NlmUniqueID>0370465</NlmUniqueID>
<ISSNLinking>0002-8703</ISSNLinking>
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<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year>
<Month>04</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2020</Year>
<Month>05</Month>
<Day>07</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>5</Month>
<Day>20</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>5</Month>
<Day>20</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>5</Month>
<Day>20</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PublicationStatus>aheadofprint</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32425198</ArticleId>
<ArticleId IdType="doi">10.1016/j.ahj.2020.05.006</ArticleId>
<ArticleId IdType="pii">S0002-8703(20)30142-3</ArticleId>
<ArticleId IdType="pmc">PMC7229476</ArticleId>
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