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Heart Failure With Preserved Ejection Fraction Is the Substrate for Stroke in Obesity and Diabetes Independent of Atrial Fibrillation (JACC: Heart Failure January 2020)
Description
Both obesity and type 2 diabetes mellitus are important risk factors for the development of heart failure with preserved ejection fraction (HFpEF), and both disorders increase the risk of systemic thromboembolic events. Traditionally, the risk of stroke has been explained by the strong association of these disorders with atrial fibrillation (AF).

Editors

Editor-in-Chief
Christopher O’Connor, MD, FACC

Executive Editor
Mona Fiuzat, PharmD, FACC

JACC Heart Failure CME Editors
Tariq Ahmad, MD, MPH
Adam DeVore, MD
Abhinav Sharma, MD
Mitchell Psotka, MD, PhD
Kishan Parikh, MD

Author
Milton Packer, MD
 
CME Information

Target Audience

JACC Journal CME/MOC/ECME is intended for physicians who treat patients with cardiovascular disease.

Important Dates

Date of Release: December 30, 2019
Term of Approval/Date of CME/MOC/ECME Expiration: December 29, 2020

Learner Objectives

After reading this article the reader should be able to:
  • Explain the pathogenesis of atrial fibrillation and heart failure with preserved ejection fraction in patients with obesity or type 2 diabetes mellitus.
  • Discuss the evidence that has questioned a causal relationship between atrial fibrillation and stroke.
  • Describe the role of atrial myopathy in the pathogenesis of stroke in patients with obesity and type 2 diabetes mellitus.
  • Outline the mechanisms by which heart failure with preserved ejection fraction increases the likelihood of clinical and subclinical cerebral infarction.
  • Discuss the limitations of rhythm-control strategies in preventing stroke in patients with obesity and type 2 diabetes who have atrial fibrillation.

Method of Participation and Claiming Credit
This ACC JACC Journals CME/MOC/ECME activity includes the reading of an article published in one of the JACC journals and the successful completion of self-assessment questions.  

Requesting AMA PRA Category 1 CME Credit™ and/or MOC or ECME credit for this Activity
To request credit, you must:

  1. Read the article for which you wish to receive credit.
  2. Answer the self-assessment questions. You need to have achieved a passing score of 70% or better in order for the Evaluation link to become activated. If you did not achieve a passing score, please click on the Posttest link in the left navigation bar and retake the exam.
  3. After you complete the Evaluation, click on the Claim Credit button in the left navigation bar.
  4. For CME or COP credit, enter the total amount of time you actually spent in the activity in the box provided. Please note that you may only claim once for this activity. Click Claim
  5. For MOC credit, click the Claim button in the row for MOC. Please note that you may only claim once for this activity. Confirm your ABIM number and date of birth.
  6. For ECME credit, click the Claim button in the row for ECME. Please note that you may only claim once for this activity. Enter your date of birth and click Submit.
  7. The page will be updated with the date and time that you claimed your credit.
  8. To view your credit, or to print a certificate, please go to ACC.org and navigate to the My Transcript section of My ACC.
This CME/MOC/ECME-certified activity may contain links to other educational resources such as clinical trial summaries, journal articles, guidelines, etc., that may not be CME/MOC/ECME-certified. Please note that clicking on the links provided to view these resources will open new windows, which are outside of this CME/MOC/ECME-certified activity.
Summary
Availability: On-Demand
Available Dec 30, 2019 to Dec 29, 2020
Cost: FREE
Credit Offered: 1 CME Credit
1 ECME Credit
1 ABIM-MOC Point
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