Apr 15, 2022 This Week in Cardiology
This Week in Cardiology
Medscape Podcasts
4.9 • 963 Ratings
🗓️ 15 April 2022
⏱️ 25 minutes
🧾️ Download transcript
Summary
ACC Recap, Part 2: VT ablation, HF care, three-vessel disease, and patiromer are the topics John Mandrola, MD, covers 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 – VT ablation
VT Ablation After First ICD Shock Boosts Survival: PARTITA
https://www.medscape.com/viewarticle/971969
• Does Timing of Ventricular Tachycardia Ablation Affect Prognosis in Patients With an Implantable Cardioverter Defibrillator? Results From the Multicenter Randomized PARTITA Trial https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.122.059598
• Substrate Ablation vs Antiarrhythmic Drug Therapy for Symptomatic Ventricular Tachycardia https://www.jacc.org/doi/10.1016/j.jacc.2022.01.050
• Ventricular Tachycardia Ablation versus Escalation of Antiarrhythmic Drugs https://www.nejm.org/doi/full/10.1056/NEJMoa1513614
II – HF Care
Alerts Improve Prescribing of HF Quadruple Therapy: PROMPT-HF https://www.medscape.com/viewarticle/972079
• Electronic Alerts to Improve Heart Failure Therapy in Outpatient Practice: A Cluster Randomized Trial https://www.jacc.org/doi/10.1016/j.jacc.2022.03.338
• Reassessing Quality Assessment — The Flawed System for Fixing a Flawed System https://www.nejm.org/doi/full/10.1056/NEJMms2200976
III – Three-Vessel Disease
FAME 3 Subanalysis Adds Twist to Negative Primary Results
https://www.medscape.com/viewarticle/971495
• Fractional Flow Reserve–Guided PCI as Compared with Coronary Bypass Surgery https://www.nejm.org/doi/10.1056/NEJMoa2112299
• Quality of Life After Fractional Flow Reserve-Guided PCI Compared with Coronary Bypass Surgery https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.122.060049
IV – Treating Drug Side Effects with More Drugs
DIAMOND: Adding Patiromer Helps Optimize HF Meds, Foils Hyperkalemia https://www.medscape.com/viewarticle/971616
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Questions or feedback, please contact
news@medscape.net
Transcript
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| 0:00.0 | You're listening to this week in cardiology from the heart |
| 0:03.4 | org medscape cardiology this podcast is intended for health care |
| 0:07.6 | professionals only any views expressed are the presenters own and do not |
| 0:11.2 | necessarily reflect the views of WebMD or Medscape. |
| 0:15.1 | You can now access the latest in medical news on your Amazon Alexa-enabled device. |
| 0:19.7 | Join me, Perry Wilson, every weekday morning for Medscape Medical Minute where I highlight the top |
| 0:24.7 | medical stories of the day. |
| 0:26.5 | To add Medscape Medical Minute to your flash briefing, search for Medscape Medical Minute on Amazon |
| 0:31.3 | and click enable or open the Amazon Alexa app go to skills |
| 0:34.7 | search for Medscape Medical Minute and click enable then say Alexa what's the |
| 0:40.1 | news or Alexa what's my flash briefing I hope you'll join us. |
| 0:44.0 | Hi everyone this is John Mandrola from the heart dot org medscape cardiology and this |
| 0:49.8 | is this week in cardiology more from the ACC, ventricular attacker cardioblation, heart failure, |
| 1:01.1 | triple vessel coronary disease, and a doozy. |
| 1:06.0 | So two small randomized controlled trials published recently |
| 1:09.4 | got the EP community excited about quote unquote early VT Ablation. Both of these |
| 1:17.1 | trials had top-line positive results but while I love RCTs and I wish medicine did more of them, these two studies should not change our |
| 1:26.8 | cautious approach to VT Ablation. There are just too many limitations in these papers. |
| 1:35.7 | As background background I'm going to discuss VT Ablation in patients with substantial structural heart disease which is |
| 1:39.7 | usually is schemic. This differs a lot from oblating VT in normal hearts. is |
| 1:45.0 | a systemic. This differs a lot from a blading VT in normal hearts, which is less risky and often curative, |
| 1:48.0 | similar to SVT. |
... |
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