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This Week in Cardiology

Apr 26 2024 This Week in Cardiology

This Week in Cardiology

Medscape Podcasts

Medicine, Science, Health & Fitness

4.9963 Ratings

🗓️ 26 April 2024

⏱️ 28 minutes

🧾️ Download transcript

Summary

A listener defends colored boxes in guidelines; mysteries of non-culprit coronary lesions during PCI, and of AF ablation; and surrogate markers 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. Mystery of What to Do in the Cath Lab after Fixing the Culprit Lesion – The FULL REVASC Trial

Complete Revascularization Not Superior to Culprit-Only PCI After MI

https://www.medscape.com/viewarticle/complete-revascularization-not-superior-culprit-only-pci-2024a10007ik

  • FULL REVASC Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2314149
  • FIRE Trial https://www.nejm.org/doi/10.1056/NEJMoa2300468
  • COMPLETE Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1907775
  • Cohen Tweet on FULL REVASC https://x.com/djc795/status/1781361606238085532

II. AF Ablation Mysteries

New Expert Consensus on Ablation Strategies for AF

https://www.medscape.com/viewarticle/new-expert-consensus-ablation-strategies-af-2024a1000851

  • Bern Study of Remapping https://doi.org/10.1016/j.jacep.2024.02.026
  • Natural History of SCAF https://doi.org/10.1016/j.jacc.2019.09.050
  • Liverpool Study: Thermal PV Isolation in Persistent AF https://doi.org/10.1016/j.hrthm.2024.04.061

III. Surrogate Markers

  • JAMA: Surrugate Markers and Clinical Outcomes https://jamanetwork.com/journals/jama/fullarticle/2817850
  • BP Surrogate Meta-analysis https://doi.org/10.1016/S0140-6736(21)00590-0
  • JAMA: Nonfatal MI as Surrogate for Mortality https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2785560

You may also like:

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 news@medscape.net

Transcript

Click on a timestamp to play from that location

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

0:34.4

skills search for Medscape Medical Minute and click enable then say

0:38.8

Alexa what's the news or Alexa what's my flash briefing I hope you'll join us.

0:45.0

Hi everyone this is John Mandiola from the heart

0:48.1

dot org medscape cardiology and this is this week in

0:51.5

cardiology for April 26, 2024.

0:55.0

This week, a listener comment about colored boxes and guidelines,

1:00.0

the mysteries of what to do with non-culpate coronary lesions during PCI for my

1:06.0

and the mysteries of AF oblation and the problem of surrogate markers.

1:12.0

First some listener feedback.

1:15.0

I received feedback this week on comments I made during the March 29th podcast regarding guidelines.

1:22.0

I opined as I often do on the complexity of medical practice

1:27.0

and the folly of guideline writers trying to simplify things with colored boxes with grade

1:32.4

one, two or three recommendations.

...

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