Surgical clearance, NICM assessment, dueling perspectives on PCI as first-line therapy for angina, GDMT in HFrEF are the topics John Mandrola, MD, discusses in this week's podcast.
This podcast is intended for healthcare professionals only.
To read a partial transcript or to comment, visit:
https://www.medscape.com/twic
I. New ACC Peri-operative Guidelines Released
- ACC Guideline document https://www.jacc.org/doi/10.1016/j.jacc.2024.06.013
- J Vasc Surg https://www.jvascsurg.org/article/S0741-5214(21)00335-9/fulltext
- McFalls and colleagues; CARP https://www.nejm.org/doi/full/10.1056/NEJMoa041905
II. NICM – We may be doing it wrong in Selecting ICDs
- JAMA Meta-analysis https://jamanetwork.com/journals/jama/fullarticle/2823869/
- German CMR ICD Trial https://www.clinicaltrials.gov/study/NCT04558723
- BRITISH CMR trial https://www.hra.nhs.uk/planning-and-improving-research/application-summaries/research-summaries/britishusing-cmr-scar-as-risk-indication-tool-in-nicm-and-severe-lvsd/
III. When Should PCI be Used in Chronic Stable CAD?
- Rajkumar and Al-Lamee; PCI First https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.124.011201
- Boden and De Caterina; Meds First https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.124.011268
- ORBITA 10.1016/S0140-6736(17)32714-9
- ORBITA 2 trial https://www.nejm.org/doi/full/10.1056/NEJMoa2310610
IV. GDMT Underuse in HFrEF
- Greene and colleagues https://doi.org/10.1016/j.jchf.2024.08.002
- DAPA HF https://www.nejm.org/doi/full/10.1056/NEJMoa1911303
- RALES https://www.nejm.org/doi/full/10.1056/NEJM199909023411001
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