1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD

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1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
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
1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
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
1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
Thank You to Dr. James Crowley – President Irish Cardiac Society
  Seen Here With Irish President Michael D. Higgins - Galway
1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
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
1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
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.
1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
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
1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
Back to the Future – 512 Years Ago   Leonardo da Vinci -1507
1949-2019: The 70-Year Shared Legacy of the American College of Cardiology and the Irish Cardiac Society John Gordon Harold, MD
• 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 United States.
• 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
Objectives of the   those most interested in cardiology to pool
                    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 Los
Angeles. 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 Nazi Germany 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
 Washington, DC – 10th 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

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