Aug 15 2025 This Week in Cardiology
This Week in Cardiology
Medscape Podcasts
4.9 • 963 Ratings
🗓️ 15 August 2025
⏱️ 23 minutes
🧾️ Download transcript
Summary
Big new hypertension guidelines, ultraprocessed foods, coronary sinus reduction and evidence-based medicine, and more news on pulsed field ablation for atrial fibrillation 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 HTN Guidelines
- BP Meds Should Begin Promptly, New ACC/AHA Guidelines Say
https://www.medscape.com/viewarticle/bp-meds-should-begin-promptly-new-acc-aha-guidelines-say-2025a1000lms
- Guideline for Management of High Blood Pressure https://www.ahajournals.org/doi/10.1161/CIR.0000000000001356
- BPROAD trial https://www.nejm.org/doi/full/10.1056/NEJMoa2412006
- Trial Score Framework https://pmc.ncbi.nlm.nih.gov/articles/PMC6459598/
II UltraProcessed Foods
- AHA statement on Ultraprocessed Foods and Cardiometabolic Health
- https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000001365
III Refractory Angina and the Coronary Sinus Reducer – A Lesson in EBM
- Coronary Sinus Reducer Shows Promise, With Caveats https://www.medscape.com/viewarticle/coronary-sinus-reducer-shows-promise-caveats-2025a1000l76
- Coronary Sinus Reducer — Meta-analysis https://www.jacc.org/doi/10.1016/j.jcin.2025.06.012
- COSIRA II Trial https://clinicaltrials.gov/study/NCT05102019
IV Pulsed Field Ablation Still Looking Strong
- Management of OACs After PFA 10.1016/j.hrthm.2025.03.1952 External Link
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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 news@medscape.net
Transcript
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| 0:00.0 | You're listening to This Week in Cardiology from the heart.org, Medscape Cardiology. |
| 0:05.8 | This podcast is intended for health care professionals only. |
| 0:08.9 | Any views expressed are the presenters' own and do not necessarily reflect the views of WebMD or Medscape. |
| 0:14.9 | Hi, everyone. |
| 0:16.7 | This is John Mandrola from the Heart.org Medscape Cardiology, and this is this week in cardiology for August 15th, 2025. |
| 0:27.5 | This week, big new hypertension guidelines, ultra-processed foods, coronary sinus reduction in evidence-based medicine, and more good news on PFA for AF |
| 0:41.7 | ablation. |
| 0:43.3 | The hypertension guidelines, there are new AHA-led guidelines out yesterday. |
| 0:49.3 | The PDF is more than 100 pages. |
| 0:52.3 | There's no way to hit every highlight. |
| 0:54.1 | I'm going to write a column on |
| 0:55.9 | what I like and don't like for next week on Medscape. Here are some nuggets from the massive document |
| 1:01.5 | that's only been out for a day. The writers start with a top take-home messages section. |
| 1:08.0 | This, actually, I do not like for the same reasons that I don't like summary figures or infographics or three-minute recap videos, no matter how funny the narrator may be. |
| 1:19.6 | Medicine is about details. Evidence-based medicine is about details, and these efforts to reduce a 100-page PDF into take-home messages is, in my opinion, |
| 1:30.2 | a bad idea. Now, I do like the early and well-detailed emphasis on taking blood pressure properly. |
| 1:38.3 | You know, feet on the floor, arm rested, not talking, all that stuff. This is not done this way in many offices, which boggles my mind. |
| 1:48.6 | The committee is strongly against cuffless blood pressure devices, and I actually did not know |
| 1:53.2 | that that was such a prohibition, but it's good to know. |
| 1:56.9 | There's also a nice section on secondary hypertension. |
| 2:00.4 | The two most common causes are primary |
| 2:02.4 | aldosteronism and obstructive sleep apnea, both of which should be referred to specialty physicians. |
... |
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