Acute Cardiovascular Care Association

ACCA Congress 2019, Malaga (ES)

Nicola Gasparetto

In 2019 the annual meeting of Acute Cardiovascular Care Association of the ESC was held in Malaga from 2 to 4 March (Fig 1). This is the leading scientific event for all healthcare professionals working in acute cardiac care. This meeting brings together cardiologists, intensivists, anaesthesiologists, internists, cardiac surgeons, nurses, paramedics and other allied professionals who care for acutely ill cardiac patients.

The program offered in-depth presentations, organized in more than 60 sessions, by leading experts on acute coronary syndromes, acute heart failure, reperfusion and revascularization, circulatory support in shock or pre-shock, management of arrhythmias in the acute setting, general intensive care, as well as secondary prevention with a focus on antithrombotic therapy, lipid-lowering and anti-diabetics. High participation with more than 1000 healthcare professionals from over 70 countries. Italy was the first country as number of delegate.

Research was at the heart of the congress thanks to the latest results send as abstract as well as challenging clinical cases. Out of 525 abstract accepted, 48 are Italian. One of the Italian abstract, presented by Dr. Claudio Montalto from Pavia with the title “Prospective validation of ACCA quality indicators on optimal medical therapy in consecutive patients with acute myocardial infarction of a tertiary care center”, won the ACCA Research Prize 2019.

Referente IFC per ACCA: Roberta Rossini

I 20 migliori abstract italiani al Congresso ACCA 2019

• Percutaneous mitral valve repair with the new MitraClip XTR system in cardiogenic shock with concomitant Impella 5.0 mechanical circulatory support
• Persistent hypoxemia in a patient with left ventricular assist device: is it time to think beyond patterns?
• Arterial elastance reduction with intra aortic ballon counterpulsation is associated with hemodynamic stabilization in patients with acute decompensated heart failure and low output state.
• Use of PRECISE DAPT score and baseline platelet count in the assessment of overall mortality in patients with acute coronary syndrome
• Recurrence of angina after STelevation myocardial infarction: role of microvascular obstruction
• Is diabetes mellitus an independent predictor of inhospital morbidity and mortality in STEMI patients undergoing primary PCI? The cardiorenal hypothesis.
• Prospective validation of ACCA quality indicators on optimal medical therapy in consecutive patients with acute myocardial infarction of a tertiary care center
• Preliminary results of percutaneous left stellate ganglion block in patients with electrical storm.
• Evaluation of the quality of life and of psychosocial factors during left ventricular assist device support
• Lack of diagnostic accuracy of acute myocardial infarction discharge codes by Italian national agency:insight from a quality improvement initiative in a tertiary care hospital
• Extracorporeal life support in a bone marrow transplant recipient with presumed gvhdrelated fulminant myocarditis.
• Echocardiographic predictors of VA ECMO weaning in patients with cardiogenic shock
• Atrial tachycardia in carcinoid heart disease: the straw that breaks the camel’s back.
• Clinical relevance of invasive hemodynamic monitoring in patient with circulatory shock
• Impact of mechanical circulatory support on midterm outcomes in patients presenting with STEMI and reduced left ventricular ejection fraction
• Reversal of anticoagulation with dabigatran in a spontaneous haemopericardium using the new antidote idarucizumab.
• A giant left atrium myxoma the “sunday draft time bomb”
• Coronary plaque microbial colonization in acute coronary syndrome as identified by the analysis of angioplasty balloons: a study of feasibility
• Clinical features and determinants of longterm mortality in patients admitted to a Cardiac Intensive Care Unit in a tertiary referral center.
• Appropriateness of coronary revascularisation and residual disease in patients recommended to bypass graft treated with percutaneous intervention: analysis from the APACHE study