ACC Critical Care Cardiology Section Members Submission Form

Question Title

* 1. Please select the type of submission:

Idea

Manuscript

Review Article

Educational Resource

Other (please specify)

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* 2. Provide a brief title for your submission:

Question Title

* 3. If applicable, please provide an abstract or summary of your submission (up to 300 words):

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* 4. Select the relevant topics covered in your submission (Select all that apply):

Cardiac Arrest Management

Acute Coronary Syndrome

Advanced Heart Failure

Circulatory Shock

Cardiac Surgery

Advanced Cardiac Imaging Techniques

Mechanical Circulatory Support (MCS)

Dysrhythmias

Valvular Heart Disease

Peripheral Heart Disease

Pulmonary Embolism/Pulmonary Hypertension/Right Heart Failure

Acute Aortic Syndromes

Pre & Post Surgical Optimization

Heart Transplant

Pericardial Disease

Congenital Heart Disease

Toxidromes

Cardiac Pharmacology

Cardiovascular Complications of Pregnancy

Cardiac Manifestations of Systemic Illness

Hypertensive Emergency

Other (please specify)

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* 5. If applicable, list any collaborators:

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* 6. Please enter your email address for correspondence:

Email address

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* 7. Full name:

Institution

First name

Last name

Address

ACC Critical Care Cardiology Section Members Submission Form

Question Title

* 1. Please select the type of submission:

Question Title

* 2. Provide a brief title for your submission:

Question Title

* 3. If applicable, please provide an abstract or summary of your submission (up to 300 words):

Question Title

* 4. Select the relevant topics covered in your submission (Select all that apply):

Question Title

* 5. If applicable, list any collaborators:

Question Title

* 6. Please enter your email address for correspondence:

Question Title

* 7. Full name:

Question Title

* 8. Are you a member of the ACC and if so what section(s) do you belong to?