ESC Congress 2018
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Day 1 Congress News Saturday 25 August 2018 PAGE 9 Digital health and PAGE 3 New CV imaging PAGE 10 The creation PAGE 10 Cardiologist the future Top picks technologies of TAVI burnout Hear from the Chair of ESC’s new Henning Rud Andersen A growing problem What is their place? Digital Health Committee tells his story discussed Download ESC Congress App ESC Congress 2018 A unique opportunity to learn, experience and interact! Scientific Resources ‘Expert Advice’ sessions and a dedicated lecture With ESC Congress always striving to be hall, the ‘Library Room’, provides a particularly clinically relevant and up to date, new Clinical Select the presentation of interest and click on: “View full abstract” or suited stage for discussions. The addition of two Practice Guidelines will be unveiled on “Access slides & videos online” ‘Science Boxes’ to the array of lecture rooms syncope, cardiovascular disease in pregnancy, allows the presentation of substantially more myocardial revascularisation and arterial “ESC Congresses” in Prof. App Store® / Google Play Stephan abstracts in oral form. hypertension, with sessions to help attendees Achenbach understand the underlying science and Great excitement will surround the 14 ‘Late support implementation of recommendations. NEW! Session evaluation. Breaking Science Sessions’ and particularly the Your opinion matters Herzlich Willkommen in München! five not-to-be-missed ‘Hot Line Sessions’. Trials I am honoured that my home country is host Need help? ESC Congress 2018 features a rich presented in these sessions will receive world-wide to ESC Congress 2018. I urge you to embrace Find assistance at the info points located in and stimulating programme and attention as they provide potentially practice- all opportunities and make the most of these the Registration Area & Spotlight Village and this year’s spotlight, ‘Valvular Heart changing insight. This includes – among many unique and truly exciting days that bring on the SERVIER stand A200 Disease’, places a special emphasis others – the use of aspirin for primary prevention together the world of cardiology. Enjoy Munich! on the substantial growth in this area. (ARRIVE and ASCEND, the later in diabetes), oral ESC Congress 2018 module is “ESC Congress 2018 programme and anticoagulation in heart failure without atrial Inaugural Session supported by SERVIER in the form of an educational grant faculty are larger and more diverse fibrillation (COMMANDER HF), extended use of Today, 17:00 – 18:00; Munich – Main Auditorium than ever as we present, interpret and ticagrelor rather than dual antiplatelet therapy discuss the latest scientific findings after stenting (GLOBAL LEADERS), drug-coated and provide in-depth clinical teaching balloons for small-vessel interventions (BASKET- and education,” says Congress SMALL 2) and the impact of high-sensitivity What’s Your Diagnosis? BROUGHT TO YOU BY THE EUROPEAN ASSOCIATION Programme Committee Chairperson troponin testing on outcomes in suspected acute OF CARDIOVASCULAR IMAGING (EACVI) Professor Stephan Achenbach. coronary syndrome (High-STEACS). For the Echocardiography. Apical 4 chamber view in first time, randomised trials will address topics a 22-year old female with heart palpitations. ESC Congress 2018 introduces several new such as drug treatment of transthyretin amyloid Thor Edvardsen, Oslo University Hospital, Oslo, Norway features for enhanced learning and interaction, cardiomyopathy (ATTR-ACT) and oral antibiotics including a new track called ‘Cardiology in 4 for endocarditis (POET). The functionality of the Days’, which covers the entire field of cardiology Mobile App has been improved and now allows with highly educational lectures given by leading attendees to direct questions to the panel even in experts. We have also expanded the successful these packed blockbuster sessions. Answer on page 3. www.escardio.org/ESC2018 #ESCcongress ESC Congress News – Saturday 25 August ESC Congress – Facts & Figures NEW www.escardio.org/ESC2018 2018 ESC Clinical Practice #ESCCongress Tweet the latest science Guidelines in the spotlight Shape the conversation “All the ESC Guidelines’ updates in 2018 have been made more Prof. Stephan Windecker concise and much more visual with illustrations and extensive use of graphics and figures. ESC Congress 2018 sees the release of four new ESC Clinical Practice Guidelines on: They are very user friendly Arterial Hypertension; Syncope; Myocardial and easily accessible.” Revascularization; and Cardiovascular Diseases during Pregnancy, as well as a consensus document on the Fourth Universal An important asset is the link with ESC CardioMed, directly Definition of Myocardial Infarction (see table). connecting ESC Guidelines with corresponding textbook sections (e.g. the 2017 Valvular Heart Disease and 2017 Peripheral The updates to these documents have been developed Arterial Diseases Guidelines). This latest mix of guidelines by expert Task Forces under the governance of the ESC’s summarises all recent evidence, research and expertise relevant Committee for Practice Guidelines (CPG), chaired by to these cardiovascular conditions and provides a vital resource Professor Stephan Windecker (Bern University Hospital, Bern, for practising healthcare professionals. Don’t miss the overview Switzerland). “Each guideline takes around two years from session of all these ESC Guidelines tomorrow, Sunday at 08:30 – appointment of the Task Force Chairs, who are selected based 10:00; Munich – Main Auditorium. on their established scientific track record and their leadership 1. 2018 ESC/ESH Guidelines for the Management of Arterial abilities, and selection of the Task Force Members, to the launch Hypertension. Eur Heart J 2018. doi:10.1093/eurheartj/ehy339. of the final output at the annual ESC Congress,” explains Prof. 2. 2018 ESC Guidelines for the Diagnosis and Management of Syncope. Windecker. “Task Forces are composed of representatives Eur Heart J. 2018;39:1883–1948. doi: 10.1093/eurheartj/ehy037. from various ESC Associations, Working Groups and Councils 3. 2018 ESC/EACTS Guidelines on Myocardial Revascularization. and additional individuals chosen on the basis of their Eur Heart J. 2018. doi: 10.1093/eurheartj/ehy394. expertise. Together with the Review Coordinators, who 4. 2018 ESC Guidelines for the Management of Cardiovascular manage incorporation of two or three rounds of peer review Diseases during Pregnancy. Eur Heart J 2018. doi: 10.1093/ comments, and the large pool of peer reviewers, including also Eurheartj/ehy340. the 56 National Societies of ESC, there are over 100 experts 5. 2018 ESC/ACC/AHA/WHF. Fourth Universal Definition of Myocardial Infarction. Eur Heart J. 2018. doi: 10.1093/eurheartj/ehy462. contributing to the development of each document,” he says. Societies Guideline/ consensus document Task Force Chairs Bryan Williams (UK); ESC/ESH Arterial Hypertension1 Giuseppe Mancia (Italy) What’s Your Diagnosis? Michele Brignole (Italy); ESC Syncope2 Solution Angel Moya (Spain) BROUGHT TO YOU BY THE EUROPEAN ASSOCIATION OF CARDIOVASCULAR IMAGING (EACVI) Franz Josef Neumann (Germany); ESC/EACTS Myocardial Revascularization3 The abnormal trabeculations (arrows) in the left ventricular apex Miguel Sousa Uva (Portugal) are typical for left ventricular non-compaction cardiomyopathy. Vera Regitz-Zagrosek (Germany); It can be associated with left ventricular dilation and/or Cardiovascular Diseases during hypertrophy, and systolic or diastolic dysfunction. ESC Jolien W Roos-Hesselink Pregnancy4 Thor Edvardsen, Oslo University Hospital, Oslo, Norway (Netherlands) Kristian Thygesen (Denmark); Fourth Universal Definition of ESC/ACC/AHA/WHF Joseph Alpert (USA); Myocardial Infarction5 Harvey White (New Zealand) The future of cardiovascular imaging and the US-based PROMISE trial have shown us that with “18F-NaF PET-CT is an exciting CTCA we can see whether a patient actually has CHD, and also that CCTA-guided changes in management can improve technique, which could be used Prof. clinical outcomes,” he says. David Newby to identify vulnerable plaques, As for other important imaging techniques, Prof. Newby potentially informing the future thinks that positron emission tomography (PET) holds management of patients with Professor David Newby (University of Edinburgh, promise for the identification of patients at risk for myocardial Edinburgh, UK) will tomorrow give the ESC Rene infarction. “Atherosclerotic lesions at risk of rupture have stable and unstable coronary Laennec Lecture on Clinical Cardiology (Sunday, particular characteristics, including calcification, which is the artery disease.” 09:30 – 10:00; Moscow – Village 5). body’s response to a necrotic, inflammatory stimulus—similar to that seen in the lungs following tuberculosis infection. Identifying those that are most at risk for myocardial infarction Over the last ten years, Prof. Newby has focussed his When there is a lot of calcification over the plaque it is less is a key goal for the future of cardiovascular imaging. “We need research interests on advanced imaging of the heart. He was likely to rupture, but early microcalcification is not as stable,” to find out which patients require treatment the most and to Chief Investigator for the SCOT-HEART trial, which showed he explains. “We have shown that combined PET-CT using see where imaging technology can help.” that the addition of CT coronary angiography (CTCA) to 18F-NaF as a marker for calcification activity can identify 1. SCOT-HEART investigators. Lancet 2015;385:2383–2391.