1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society 18th October 2019 Galway Bay Hotel Galway, Ireland

John Gordon Harold, MD MACC, MACP, FESC, FRCPI, FRCP, FCSI, FCCP, FAHA ACC Past President Disclosure Slide John Gordon Harold, MD MACC, MACP, FESC, FRCPI, FRCP (Lon), FCSI, FCCP, FAHA ACC Past President Chair, ACC Campaign for the Future Editor-in-Chief Cardiology Magazine Past Chair, ACC Board of Governors Professor of Medicine Cedars-Sinai Smidt Heart Institute and David Geffen School of Medicine No Conflicts to Report

Thank You to Dr. James Crowley – President Irish Cardiac Society Seen Here With Irish President Michael D. Higgins - Galway 70th Anniversary of the American College of Cardiology and Irish Cardiac Society 1949 - 2019 Heart House, Washington DC This Talk is Dedicated to the Memory of Brian J. Maurer, MB, BCh, FACC

The Tempest (1611), Act 2, Scene I History sets the context for the present…

Robert I. Aitken: The Future (1935) National Archives, Washington, D.C. The Vitruvian Man (Le proporzioni del corpo umano secondo Vitruvio) da Vinci - 1490

Leonardo da Vinci (15 April 1452 – 2 May 1519)

500th Anniversary of da Vinci’s Death Back to the Future – 512 Years Ago Leonardo da Vinci -1507 • The American College of Cardiology and the Irish Cardiac Society were founded 70 years ago in 1949 during the Golden Age of Cardiology” – a time of dramatic change in cardiovascular medicine • 2019 marks the 70th anniversary of the founding of both the American College of Cardiology and the Irish Cardiac Society. • Both organizations were established at the beginning of what became known as the Golden Age of Cardiology and share a common legacy. • Physicians interested in the heart and circulation at the beginning of the 20th century were classified as internal medicine specialists because cardiology had not yet evolved as a subspecialty. Specialization in Cardiology • In the period following World War II, factors like the increasing prevalence of heart disease, the advent of research funding, breakthroughs in technological innovations, and the growing availability of health insurance worked together to shape cardiology into a major academic and clinical discipline in the . • Similar factors were in play with regards to the evolution of the Irish Cardiac Society and other cardiac societies in Europe and across the world. ACC/ICS Decline in Deaths from Decline in Deaths from Cardiovascular Disease in Relation to Scientific Advances. Founded Cardiovascular Disease in Relation to Scientific Advances- “Golden Age of Cardiology”

Nabel EG, Braunwald E. N Engl J Med 2012;366:54-63 ACC Lifetime Achievement Award 2009 Dr. James Forrester

Profiles The Golden Age of Cardiology Quote from Steve Jobs used by Dr. James S. Forrester in “The Heart Healers - The Misfits, Mavericks, and Rebels who Created the Greatest Medical Breakthrough of Our Lives” Evolution of British and Irish Cardiology • Sir James Mackenzie (1853-1925) was the inspiration for the creation of the Cardiac Club which first met in Oxford on April 22, 1922 and was the beginning of organized British cardiology. • The club met annually as a subgroup of the Association of Physicians and evolved into the Cardiac Society of Great Britain and Ireland which held its first meeting in Edinburgh in 1937. The name of the Society was later changed to the British Cardiovascular Society. Sir James Mackenzie suggested formation of a Cardiac Club in 1910 – WWI intervened and the group first convened on 22nd April 1922 in Oxford with Sir Thomas Lewis as Chair. The group was renamed the Cardiac Society of Great Britain and Sir James Mackenzie Ireland in 1937 (1853-1925) The Cardiac Society of Great Britain and Ireland Meets for the first time on 15 April 1937 in Edinburgh Sister Cardiac Societies: Great Britain – United States - Germany – México

• The British Cardiovascular Society evolved from the Cardiac Club formed in 1922 [Journal Heart -1909] • The American Heart Association (AHA) was formed in 1924 • The German Cardiac Society (GCS) was formed in 1927 • The Sociedad Mexicana De Cardiologia was formed in 1935 • During the 1940’s Ireland had a number of physicians with an interest in cardiovascular medicine. • Some were members of British and other European cardiac societies and had visited professional colleagues at various prestigious institutions across the United States. • Dr. P.T. O’Farrell whose foresight that specialist developments in Ireland should keep pace with modern medicine facilitated the formation of the Irish Cardiac Society on November 3, 1949 at St. Vincent’s Hospital on Stephen’ Green, Dublin. Historical Origins of the Irish Cardiac Society Dr. P.T. O’Farrell facilitated the founding of the Irish Cardiac Society (ICS). The inaugural meeting took place in St. Vincent’s Hospital, Dublin on 3rd November 1949 and Dr. O’Farrell served as the first President

The original minutes book of the Society resides in the library of the Royal College of Physicians at Kildare Street in Dublin St. Vincent’s Hospital St. Stephens Green Location First Meeting of Irish Cardiac Society 3rd November 1949 Dublin, Ireland To further the study of Cardiovascular Founding diseases by various means and to enable those most interested in cardiology to pool Objectives of the their experience. Irish Cardiac Society To give increased facility to the teaching of cardiovascular diseases to undergraduate and postgraduate students.

To enable contact to be made with similar societies in other countries. Inaugural meeting of the Irish Heart Foundation in May 1966. Paul Dudley White is on the far right of the front row; Risteard Mulcahy is in the bowtie in the center of the front row, with Ireland's president one spot to the left. Irish Cardiac Society Leaders Facilitate Formation of Irish Heart Foundation - Inaugural Meeting May 1966 Left to Right Mr. Albert Boer Dr. Paul Dudley White Dr. Risteárd Mulcahy Dr. Graham Hayward • Since the founding of the Irish Cardiac Society there has been a long history of Irish cardiology graduates obtaining additional training in the United States. • Mayo Clinic has a long-standing collaborative relationship with the Irish Cardiac Society as illustrated by the “Cardiology on the Green” April 2019 Conference which took place in Dublin • Legacy of Irish Hospitals in Dublin

Irish Cardiology: Standing on the Shoulders of Giants

• John Cheyne (1777-1836) • Robert Adams (1791-1875) • Dominic Corrigan (1802-1880) • William Stokes (1804-1877) • Arthur Leared (1822-1879) • Harold James Charles Swan (1922-2005) • Dr. Jeremy Swan was born in Sligo and his father was a general practitioner who treated William Butler Yeats. Dr. Swan later emigrated to the United States where he performed seminal research at the Mayo Clinic and then at Cedars-Sinai Medical Center in . His invention of the Swan-Ganz balloon flotation catheter in 1970 revolutionized the science of hemodynamic monitoring. • Dr. Swan served as the President of the American College of Cardiology and maintained links with Ireland till his death in 2005. • I dedicated my inaugural address as President of the American College of Cardiology in 2013 to Dr. Swan and my Irish-born parents. Dr. Harold James Charles Swan (1922-2005) “If I Have Seen Further it is by Standing on the Shoulders of Giants.” - Isaac Newton

Dr. John G. Harold (ACC President 2013-2014) Dr. Jeremy Swan (ACC President 1973-1974) Invented the Swan-Ganz Catheter Dr. William Ganz Dr. John Harold Dr. Jeremy Swan

Acknowledgement of Mrs. Jeremy Swan at ACC.13

Dr. Jeremy Swan Assumed ACC Presidency in San Francisco In 1973 - 40 Years Earlier Historical Origins of the ACC Evolution of the ACC

• 1926 – The Sir James Mackenzie Cardiological Society is created in New York City • 1928 – The Society changes its name to the New York Cardiological Society • 1949 – The ACC is created by Dr. Franz Groedel and members of the New York Cardiological Society The Founders – 1949 “People of Accomplishment” 13 Cardiologists, led by Dr. Franz Groedel and Dr. Bruno Kisch establish the American College of Cardiology Dr. Franz Groedel (1881-1951) • In 1927 co-founded the German Cardiac Society for Heart and Circulatory Research • Escaping in 1934, he was later elected President of the New York Cardiological Society and he facilitated the founding of the American College of Cardiology in 1949 • Groedel wrote the $15 check that resulted in incorporation of the College in 1949 • He treated President Franklin Roosevelt Dr. Simon Dack ACC President 1956-1957 • Dr. Simon Dack founded and served as the first Editor-in-Chief of ACC’s official journal the American Journal of Cardiology (1958-1983) and its successor the Journal of the American College of Cardiology (JACC) 1983-1992

ACC Regional meeting in New York City in 1957 which was attended by 2,500 physicians John F. Kennedy in a 1959 campaign speech: “When written in Chinese the word crisis is composed of two characters. One represents danger, and the other represents opportunity” Carpe Diem “Seize the Day“ Kennedy created the Peace Corps (“Make the Most of Your World”) which stimulated the creation of the “Medical Peace Corps” and ACC International Circuit Courses Dr. Eliot Corday (Cedars)Dr. Eliot Corday ACC President 1965-1966 • Helped pioneer modern cardiac care • Started first ACC International Circuit Course to Taiwan and the Philippines in 1961 with support of US State Department • His work inspired me to develop the ACC International Twinning Program • He served as Chief of Cardiology at Cedars of Lebanon in Los Angeles Legacy of Eliot Corday: Global Advocacy and Cardiovascular Health: The American College of Cardiology Seeks to Transform Cardiovascular Care and Improve Heart Health Worldwide ACC Advocacy Dr. Eliot Corday and President Lyndon Johnson Heart Disease, Cancer, and Stroke Amendments of 1965 President Richard M. Nixon ACC Convocation February 4, 1971 With Dr. William A. Sodeman (ACC President 1970-1971) At left is Dr. J.C. Lungren, The president’s personal physician 20th Annual ACC Plenary Session Sheraton Park Hotel, Washington DC President George Bush Addressing ACC Opening Session Orange County Convention Center, Orlando Florida March 21, 2001 Inauguration of New Heart House - 2006 Board of th Washington, DC – 10 Anniversary 2016 Governors – ACC Leadership Incubator AIG ACC 65th Anniversary History Mural Heart House – Washington DC

Thanks to Kevin Fitzpatrick ACC Communications Staff and ACC History Work Group Consultants ACC History Mural Inspired by: Diego Rivera: History of Cardiology The History of Cardiology consists of two panels that were commissioned by Dr. Ignacio Chávez Sánchez and were completed by Diego Rivera for the inauguration of the National Institute of Cardiology building in Mexico City on April 18, 1944

Erick Alexanderson, MD, FACC Diego Rivera History of Cardiology – National Institute of Cardiology, Mexico City ACC History Mural Heart House Washington, DC The Years of Transition • Several past ACC Presidents including Dr. Patrick O’Gara, Dr. Minnow Walsh, Dr. Kim Williams and I have been named honorary members of the Irish Cardiac Society. • The Irish Cardiac Society holds its annual Members and Friends Event at the American College of Cardiology Scientific Sessions. Similar to networking event held at the European Society of Cardiology. • The purpose of this meeting is to highlight the history and friendship between the Irish and United States cardiology communities, and to thank those who have been instrumental in securing fellowships and mentoring Irish trainees over the years. • It is also an opportunity for fellows and mentors to come together. This event has become an important networking opportunity for Irish physicians working in the United States and those visiting from Ireland. Enhance Cardiovascular Health Through Sustained Collaboration and the Exchange of Knowledge and Resources for Cardiovascular Care Worldwide In an increasingly connected world, interorganizational collaboration is vital to solve global problems… Thinking globally to transform cardiovascular care The Lancet, Volume 384, Issue 9941, Pages 379-380 Patrick T O'Gara, John Gordon Harold, William A Zoghbi

ACC: Thinking Globally To Transform Cardiovascular Care

Volume 384, No. 9941, p 379–380, 2 August 2014 International Collaboration Irish Cardiac Society and ACC • I had the privilege of facilitating the formation of the Great Britain and Ireland International ACC Chapter with the assistance of my Irish colleague Brian J. Maurer, MB, BCh, FACC. This collaborative relationship between the American College of Cardiology, the British Cardiovascular Society and the Irish Cardiac Society was launched in Manchester in June 2010. ACC Great Britain & Ireland Chapter • The Great Britain & Ireland ACC Chapter provides networking opportunities between the various societies for cardiovascular professionals in Great Britain, Ireland and the United States. • It also nurtures educational and research opportunities, especially those related to the growing ACC Chapter Exchange (Twinning) program which I created that linked the British Cardiovascular Society to the ACC California Chapter and now the ACC Virginia Chapter.

• French writer Antoine de Saint Exupéry said: “As for the future, our task is not to foresee it, but to enable it” and “a rock pile ceases to be a rock pile the moment a single man contemplates it, bearing within him the image of a cathedral” • Over the last seven decades, leaders of the American College of Cardiology and the Irish Cardiac Society have enabled their respective Societies to move forward and become the successful organizations they represent today

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Dr. William Stokes pouring a libation with Dr. William Wilde (Father of Oscar Wilde) Go raibh maith agat as éisteacht (Thank you for listening)