Cardio Egypt 2021: one of the first physical meetings in the era of Covid-19

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Cardio Egypt 2021: one of the first physical meetings in the era of Covid-19
European Heart Journal (2021) 42, 2963–2972
                                 doi:10.1093/eurheartj/ehab206

Events and Meetings

Cardio Egypt 2021: one of the first physical

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meetings in the era of Covid-19
                                             1
Magdy Abdelhamid                               *, Mohamed Osama2, and Khaled Shokry3
1
 Cardiology Department, Cairo University, 11511 Cairo, Egypt; 2National Heart Institute, 11511 Cairo, Egypt; and 3Cardiology Department, Armed Forces College of Medicine,
11511 Cairo, Egypt

The Egyptian Society of Cardiology (EgSC) was founded in 1951 by                         The conference also saw the further elements of the usual conference
Professor Mohamed Ibrahim as a non-profit organisation. Comprised                        environment return, including an exhibition for the pharmaceutical in-
of 17 working groups working together to deliver the best updated                        dustries with strict application of safety precautions (i.e. social distanc-
practice in all cardiology subspecialities, the Society has a total mem-                 ing, face mask, cleaning, disinfecting, and handwashing).
bership of 3700 cardiologists and has a clear vision to help prevent and                    The Cardio Egypt 2021 meeting featured 190 scientific sessions,
treat cardiovascular disease all over Egypt through advocacy, educa-                     2400 participants from Egypt in 12 rooms, including 840 faculties in ad-
tion, research, and patient awareness programmes.                                        dition to 120 international experts in different tracks of cardiology, 16
   Cardio Egypt is the largest regional cardiology meeting in the Middle                 international organisations and 10 international centres in cardiology
East and Africa. This year’s meeting was organised by the National                       with representation of their presidents and top faculties. The atten-
Heart Institute (NHI) chaired by Professor Mohamed Osama (the                            dance was very encouraging, ranging from an average attendance of
Dean of NHI) and Professor Khaled Shokry (the President of the EgSC                      300 to 1000 delegates on Zoom at any hour with a total of 36 credit
and Dean of Armed Forces College of Medicine) (Figure 1) and co-                         hours for attending the conference.
chaired by Professor Maged Ramses and Professor Ahmed Magdy                                 The conference discussed recent updates in all fields of cardiology.
(Figure 2).                                                                              The President of the American College of Cardiology (Dr Athena
   Due to the COVID-19 pandemic, Cardio Egypt was a challenge this                       Poppas) and the President of the European Society of Cardiology
year but the meeting marked a step towards normality and was staged                      (Professor Stephan Achenbach) participated in the conference and
as a hybrid event with physical attendance of the Egyptian physicians                    both societies had joint sessions with the Egyptian Society of
and virtual participation of a group of esteemed international faculty.                  Cardiology. In addition, the World Heart Federation, Acute
                                                                                         Cardiovascular Care Association, the Society for Cardiovascular
                                                                                         Angiography and Intervention, the European Bifurcation Club, ESC
                                                                                         Council on Stroke, and the International Society of Cardiovascular
                                                                                         Disease Prevention also shared joint sessions.
                                                                                            The joint session between the ESC and EgSC addressed new fron-
                                                                                         tiers in Cardiology which included interesting presentations on: the fu-
                                                                                         ture of cardiology (Thomas Luscher), complete revascularisation in
                                                                                         STEMI patients: final word (Stephan Achenbach), management of
                                                                                         STEMI in HBR patients (Franz Weidinger), and recent updates in atrial
                                                                                         fibrillation (Barbara Casadei) (Figure 3), followed by healthy discussion
                                                                                         between the panellists, audience and the ESC faculty.
                                                                                            The Heart Failure Association (HFA) was represented by Professor
                                                                                         Petar Seferovic (the Immediate Past President of the HFA & Vice
                                                                                         President of the ESC) and Professor Giuseppe Rosano (the President-
                                                                                         Elect of the HFA) who presented the recent SGLT2 inhibitor trials in
                                                                                         HF, and recent updates in myocarditis and acute heart failure.
   Figure 1 Professor Khaled Shokry (the president of the Egyptian
   Society of Cardiology).                                                               Professor Francesco Cosentino (ESC Vice President) presented an
                                                                                         overview of the 2019 ESC diabetes guidelines.

* Corresponding author. Tel: þ201001661911, Email: magdyabdelhamid@hotmail.com
Published on behalf of the European Society of Cardiology. All rights reserved. V
                                                                                C The Author(s) 2021. For permissions, please email: journals.permissions@oup.com.
Cardio Egypt 2021: one of the first physical meetings in the era of Covid-19
2964                                                                                                                                Cardiopulse

                                                                                                                                                  Downloaded from https://academic.oup.com/eurheartj/article/42/31/2963/6275387 by guest on 09 September 2021
 Figure 2 Professor Magdy Abdelhamid (Immediate Past President, Egyptian Society of Cardiology) and Professor Maged Ramsis (Co-Chairman,
 Cardio-Egypt 2021) chairing a joint session with the HFA and ESC

 Figure 3 Professor Thomas Luscher (the Treasurer of the ESC) and Professor Barbara Casadei (the Immediate Past President of the ESC).
Cardio Egypt 2021: one of the first physical meetings in the era of Covid-19
Cardiopulse                                                                                                                                                         2965

   The joint session between the ACC and EgSC addressed recent                          Cardiology paid tribute to all cardiologists who had died of
updates in IHD and interventions on a range of topics, including: TAVI                  COVID-19.
in women, do they fare better than men (Athena Poppas), ACS in
women (Dipti Itchhaporia), aspirin-free antiplatelet therapy after PCI,                 Acknowledgement
and when to drop aspirin (Michael Valentine). Further interesting                       The authors thank professors Mohamed Selim, Bassem Zarif, and
topics were presented in the joint session with the WHF by Professor                    Khaled Leon, all staff members at the NHI, and board members of the
Fausto Pinto (WHF President), Professor Karen Sliwa, Professor Jagat                    Egyptian Society of Cardiology for great contribution to Cardio Egypt
Narula, and Professor Mahfouz El Shahawy.                                               2021.
   The Cardio Egypt conference marked a return to some degree
of normalcy in medical conferences in the region but delegates
also paused at the end of the meeting as the Egyptian Society of                        Conflict of interest: none declared.

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doi:10.1093/eurheartj/ehab080

Heart, mind, and soul: spirituality in
cardiovascular medicine
Kavitha M. Chinnaiyan1*, Rishab Revankar2, Michael D. Shapiro3, and Ankur Kalra4,5
1
 Department of Cardiovascular Medicine, Beaumont Health, Royal Oak, MI, USA; 2The Icahn School of Medicine at Mount Sinai, New York, NY, USA; 3Center for Prevention of
Cardiovascular Disease, Department of Cardiovascular Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA; 4Department of Cardiovascular
Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA; and 5Section of Cardiovascular Research, Heart, Vascular, and Thoracic Department,
Cleveland Clinic Akron General, Akron, OH, USA

Cardiovascular disease (CVD) is the leading cause of morbidity and                      unconditional love) can and do occur within the religious context.
mortality in industrialized nations as well as in many developing coun-                 Conversely, although practices such as mindfulness and yoga are secu-
tries. Most disorders of the cardiovascular system, except for some                     lar, they can lead to ‘spiritual’ experiences, and although not specifically
relatively rare arrhythmias tend to be chronic, with the probability of                 associated with religion, were developed within the broader context
recurrence and progression over one’s lifetime. Illness can refocus at-                 of Buddhism and Hinduism, respectively.
tention on the meaning of life, purpose, and relationship to self, family,                 Importantly, spirituality and religious beliefs tend to shape cultural
community, and whatever is held sacred. It can force the mending of                     and moral beliefs, perception of health and disease, lifestyle, and daily
relationships, gaining fresh perspectives, and re-prioritizing life to align            habits (Figure 1). In this review, we refer to spirituality as the combina-
with what one holds to be most important. This shift of perspective                     tion of philosophy and practices that may or may not fall into specifi-
can have unquantifiable effects on compliance, self-care, and indirectly                cally religious categories.
on clinical outcomes.                                                                      A potential significant limitation in this field is the subjective vs. ob-
   Although the ‘soft’ attributes of life tend to be self-evident, their de-            jective measurement of what is defined as spiritual. Objective meas-
emphasis in favour of ‘hard’ science results is an unfortunate oversight                ures assume that a given experience fits into the parameters of
in clinical medicine. Even when physicians themselves subscribe to                      language that assess the emotional, behavioural, and cognitive meas-
faith, hope, and an overarching philosophy that guides their own lives,                 ures that are used to describe it. Since these experiences occur subjec-
these aspects are often glossed over as being unimportant in the sci-                   tively in wordless states, what one person calls ‘God’ or ‘divine’ may
ence of medicine.                                                                       not apply to someone else having the same experience. Notably, there
                                                                                        is no standardized measure to determine if two experiences are in-
                                                                                        deed the same. While there has been growing interest in this area with
Spirituality and religiosity                                                            some research, the lack of technology to objectively measure spiritual
                                                                                        experiences may lead to the denial of the existence and importance of
Spirituality is loosely defined as a personalized, naturally occurring phe-             such experiences, which are all too real for those having them.
nomenon where one seeks a connectedness with a higher purpose or
force, which lies outside of ordinary existence, and is inherently associ-
ated with an overarching meaning of life. While it is tempting to differ-               Potential mechanisms
entiate spirituality and religiosity based on specific practices or
organized structures, respectively, there tends to be a significant over-               Objective measures of spirituality span a variety of physiological meas-
lap between the two. Spiritual experiences (like oneness or                             ures. Given the close proximity of data from meditative practices to

*Corresponding author. Email: Chinnaiyan@beaumont.edu
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