7 #AHA24 ScientificSessions.org Collaborating across the Atlantic on critical care cardiology CCC specialists in Europe and the U.S. exchange ideas and best practices. Critical care cardiology, a relatively new field, has made strides in the U.S. But Carlos L. Alviar, MD, FACC, assistant professor of medicine at New York University’s Grossman School of Medicine and director of the Cardiac Intensive Care Unit at Bellevue Hospital Center in New York City, said the specialty has evolved faster in Europe, thanks in part to the European Society of Cardiology’s Association for Acute Cardiovascular Care (ACVC). “We really have been looking at ACVC as a model for us in America to grow this field,” Alviar said. That was the impetus behind Saturday’s session, “Building a Trans-Atlantic Collaborative Network in Critical Care Cardiology Education and Care Delivery: Collective Wisdom From AHA and the Association of Acute Cardiovascular Care.” Critical care cardiology, or CCC, is a relatively new field. It began to take off in 2012 when the American Heart Association published a scientific statement on its evolution and the need for new medical staffing and training modules for cardiac intensive care. Garima Dahiya, MD, MBBS, one of the panelists in Saturday’s session, said CCC care delivery presents a number of challenges. “These include regional variability in practice patterns, lack of robust clinical evidence and insufficient societal guidelines directing patient care,” said Dahiya, a critical care cardiologist and senior associate consultant at Mayo Clinic Rochester. “These issues are inherent to the heterogenous, high-acuity and complex patient population seen in cardiac intensive care units,” she said. “Building a trans-Atlantic collaboration is an important step toward closing the care delivery gap by fostering comparative effectiveness research, learning from a wide scope of real-world practice and achieving joint consensus on treatment paradigms and subspecialty education.” One critical tool that can help build the collaboration is the AHA’s Cardiogenic Shock Registry. With a mortality rate of about 50%, cardiogenic shock has been at the center of CCC. The registry is designed to help the medical community study cardiogenic shock, including its diagnosis, treatment and outcomes, in patients in acute care clinical settings throughout the U.S. See TRANS-ATLANTIC, page 13 Barnett Dahiya Proudfoot Alviar
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