Apr 25 2025 This Week in Cardiology

This Week in Cardiology

Medscape Podcasts

Cardiology, Science, Medicalpractice, Electrophysiologist, Medscape, Internalmedicine, Medicaldecisionmaking, Expertcommentary, Eartrhythmdisorder, Health, Perspective, Medicine, Healthnews, Medicalexpert, Endoflifecare, Clinicaltrials, Health & Fitness

4.9 • 876 Ratings

🗓️ 25 April 2025

⏱️ 28 minutes

🔗️ Recording | iTunes | RSS

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Summary

AI and ECGs, novel ways to treat hypertension, combined lipid-lowering therapy after myocardial infarction, PFA and silent stroke, a move toward accountability in AF ablation, and pacing issues in TTVR 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 Help with ECGs in the ED

AI Shows Promise for Rapid NSTEMI Diagnosis

https://www.medscape.com/viewarticle/ai-shows-promise-rapid-nstemi-diagnosis-2025a10009pw

Buscher et al https://doi.org/10.1093/eurheartj/ehaf254

II A Novel way to Treat HTN

A Pacemaker to Control BP Gets FDA Breakthrough Designation

https://www.medscape.com/viewarticle/pacemaker-control-bp-gets-fda-breakthrough-designation-2025a10009t3

JAHA paper https://www.ahajournals.org/doi/10.1161/JAHA.120.020492
Backbeat https://clinicaltrials.gov/study/NCT06059638

III Type of PFA may matter for Silent Cerebral Lesions

Paper https://www.ahajournals.org/doi/10.1161/CIRCEP.125.013719

IV Accountability coming to US AF ablation

Heart Rhythm Society Releases a Document on Establishing Centers of Excellence for AF ablation -- Press Release https://www.hrsonline.org/news/new-white-paper-on-atrial-fibrillation-centers-of-excellence/

V Pacing in Patients with Undergoing Transcatheter Tricuspid Valve Replacement

Paper https://doi.org/10.1016/j.hrthm.2025.02.004

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The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington

Questions or feedback, please contact [email protected]

Transcript

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0:00.0	You're listening to This Week in Cardiology from the heart.org, Medscape Cardiology.
0:05.7	This podcast is intended for health care professionals only.
0:08.8	Any views expressed are the presenters' own and do not necessarily reflect the views of WebMD or Medscape.
0:15.2	Hi, everyone.
0:16.6	This is John Mandrola from the Heart.org Medscape Cardiology, and this is this week in
0:21.5	cardiology for April 25th, 2025.
0:25.3	This week, AI and ECGs, a novel way to treat hypertension, combined in early lipid-lowering
0:33.8	therapy after MI, a move toward accountability and a.F. ablation, and pacing issues
0:40.9	with trans catheter tricuspid valve replacement. First topic, help with ECG reading in the
0:47.3	emergency department. Now, I want to say that I chose cardiology in the first place because I was
0:52.8	enamored by ECG reading. I read ECGs at
0:55.7	Indiana with the famous Dr. Charles Fish and it was exhilarating. To this day, the ECG helps me
1:01.9	understand arrhythmias in the EP lab. But ECG reading seems to have gone the way of
1:07.0	auscultation. People seem to struggle with it. This has direct impact, obviously, in the
1:13.5	emergency department where missed ischemic changes can delay revascularization. What I remain
1:19.2	confused about is how AI, machine learning, hasn't simply taken over the pattern recognition
1:24.8	in an ECG. I mean, I can have a full conversation with Claude
1:28.9	or perplexity about the most nuanced aspects of almost anything in the world. And we don't yet
1:34.9	have an AI that can properly read an ECG. It's all pattern recognition. I don't get it.
1:40.6	Now, the Queen of Hearts team have made great progress and now a study from the group at the University of Munster in Germany may have also advanced the process of improving ECG reading in the emergency department.
1:52.6	The European heart journalist published a paper, and it was a late breaker at ACC.
1:57.5	Before I see anything I need to set out that I am not an expert in AI-type studies and the primary
	...

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