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This Week in Cardiology

Apr 30, 2021 This Week in Cardiology Podcast

This Week in Cardiology

Medscape Podcasts

Medicine, Science, Health & Fitness

4.9963 Ratings

🗓️ 30 April 2021

⏱️ 23 minutes

🧾️ Download transcript

Summary

COVID-19 and global vaccinations, AF screening, conduction-system pacing, FDA ban on menthol tobacco, and a heartfelt essay are the topics John Mandrola, MD, discusses in this week's podcast. https://www.medscape.com/twic

COVID-19

Indians Rush for COVID-19 Vaccines as Death Toll Passes 200,000 https://www.medscape.com/viewarticle/950095

- Vaccine Breakthrough Infections with SARS-CoV-2 Variants https://www.nejm.org/doi/full/10.1056/NEJMoa2105000

AF Screening:

Modest Clinical Gain for AF Screening of Asymptomatic Elderly: STROKESTOP https://www.medscape.com/viewarticle/949950

- Mass Screening for Untreated Atrial Fibrillation

The STROKESTOP Study https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.114.014343

- Does screening for disease save lives in asymptomatic adults? Systematic review of meta-analyses and randomized trials https://pubmed.ncbi.nlm.nih.gov/25596211/

- Toward evidence-based medical statistics. 2: The Bayes factor https://pubmed.ncbi.nlm.nih.gov/10383350

Conduction System Pacing

Keeping Pace: His-Bundle CRT for Heart Failure Impresses in Second Randomized Trial https://www.medscape.com/viewarticle/950037

- A Randomized Trial of His pacing versus Biventricular pacing in Symptomatic Heart Failure Patients with left bundle branch block (His-Alternative) https://www.jacc.org/doi/10.1016/j.jacep.2021.04.003

- His Corrective Pacing or Biventricular Pacing for Cardiac Resynchronization in Heart Failure https://www.jacc.org/doi/full/10.1016/j.jacc.2019.04.026

FDA

FDA Moves to Ban Menthol in Tobacco Products https://www.medscape.com/viewarticle/950223

Features:

Losing Both Parents During COVID: A Physician's 'Unwitnessed Grief' https://www.medscape.com/viewarticle/949490

You may also like:

Medscape editor-in-chief Eric Topol, MD, and master storyteller and clinician Abraham Verghese, MD, on Medicine and the Machine https://www.medscape.com/features/public/machine

The Bob Harrington Show with Stanford University Chair of 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.org on medscape.

0:09.7

You can now access the latest in medical news on your Amazon Alexa enabled device.

0:14.3

Join me, Perry Wilson, every weekday morning for Medscape Medical Minute,

0:18.1

where I highlight the top medical stories of the day.

0:21.1

To add Medscape Medical Minute to your flash briefing, search for Medscape

0:24.4

Medical Minute on Amazon and click enable. Or open the Amazon Alexa app, go to

0:29.0

skills, search for Medscape Medical Minute and click enable. Then say,

0:33.4

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

0:38.6

Hi everyone, this is John Mandrola from the Heart.org medscape cardiology and this is

0:45.9

this week in cardiology for April 30th 2021. This week COVID

0:51.8

AFIB screening a a medically conservative take on conduction system pacing,

0:58.4

tobacco, and a truly heartfelt essay. First up is COVID.

1:04.0

Now the main thing to say is that the vaccine works.

1:08.0

In the US, in Israel, we see that as the numbers of vaccinated adults go up, cases go down.

1:15.0

Just as the trial results would predict, but that's not the best part.

1:19.0

New England Journal had a brief report on breakthrough infections after vaccinations in two patients.

1:25.0

That's right, two of 417 employees of a university in New York City.

1:30.0

Neither of these patients had severe disease.

1:33.0

And I think this is the prevailing message.

1:36.0

Vaccination massively almost completely reduces the chance of severe COVID illness.

1:42.0

But sadly, the global situation remains dire in South

1:46.2

America and India. Now one thought I had as a total non-expert in public health or economics or policy is this.

...

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