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This Week in Cardiology

Dec 13 2024 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

🗓️ 13 December 2024

⏱️ 29 minutes

🧾️ Download transcript

Summary

US doc's pay, the ticagrelor controversy and new RCTs, clopidogrel beats ASA, holding antiplatelets for non-cardiac surgery, and Prof Cleland and ASA dogma are the topics John Mandrola, MD, covers this week.

This podcast is intended for healthcare professionals only.

To read a partial transcript or to comment, visit:

https://www.medscape.com/twic

I. US Healthcare

Mandrola’s Top 10 Stories in 2024 https://www.medscape.com/viewarticle/mandrolas-top-10-stories-2024-2024a1000mxe?_gl=1*dcvmkh*_gcl_au*MTgzOTY2ODQ0Ni4xNzI5MjU4NjUz

  • CMS Proposal

II. Ticagrelor Controversy

New Investigation Casts Doubt on Landmark Ticagrelor Trial

https://www.medscape.com/viewarticle/new-investigation-casts-doubt-landmark-ticagrelor-trial-2024a1000n1d

  • Doshi Review https://www.bmj.com/content/387/bmj.q2550
  • PLATO https://www.nejm.org/doi/full/10.1056/NEJMoa0904327
  • ISAR REACT 5 https://www.nejm.org/doi/full/10.1056/NEJMoa1908973
  • Bates Review https://www.ahajournals.org/doi/epub/10.1161/JAHA.123.031606
  • Victor Serebuany and Dan Atar Editorial https://doi.org/10.1093/eurheartj/ehp545

III. New Ticagrelor vs Clopdiogrel trial

  • Preprint: https://www.medrxiv.org/content/10.1101/2024.11.06.24316875v1.full-text

IV. Clopidogrel Better Than ASA Even in HBR

  • Substudy Long-Term Aspirin vs Clopidogrel After Coronary Stenting by Bleeding Risk and Procedural Complexity
  • HOST-EXAM 10.1016/S0140-6736(21)01063-1
  • HOST-EXAM-Extended https://doi.org/10.1161/CIRCULATIONAHA.122.062770

V. ASA During Non-Cardiac Surgery

  • ASSURE DES https://doi.org/10.1016/j.jacc.2024.08.024

VII. Professor Cleland on ASA for Secondary Prevention

  • Cleland Editorial https//jamanetwork.com/journals/jamacardiology/article-abstract/2827201
  • ASA Meta-analysis 10.1016/S0140-6736(09)60503-1
  • AMIS https://jamanetwork.com/journals/jama/fullarticle/368745
  • SAPAT 10.1016/0140-6736(92)92619-Q

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 [email protected]

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, Medscape Cardiology.

0:05.8

This podcast is intended for healthcare professionals only.

0:08.8

Any views expressed are the presenters own and do not necessarily reflect the views of WebMD or Medscape.

0:14.6

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

0:24.2

the top medical stories of the day.

0:26.4

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

0:30.4

on Amazon and click Enable.

0:32.3

Or open the Amazon Alexa app, go to Skills, search for Medscape Medical Minute, and click

0:37.4

enable.

0:38.3

Then say, Alexa, what's the news?

0:40.5

Or Alexa, what's my flash briefing?

0:43.1

I hope you'll join us.

0:44.4

Hi, everyone.

0:45.4

This is John Mandrola from the heart.org medscape cardiology, and this is this week in

0:50.7

cardiology for December 13th, 2024.

0:54.6

This week, U.S. Dr. Pay is on the slide.

0:58.7

The ticagular controversy is back, including some new RCT data,

1:04.2

clopidigril beats aspirin again, holding anti-plalids before non-cardiaciac surgery and Professor John Cleland questions another

1:14.1

dogma in cardiology. First, some listener feedback. I received a very nice note from a general

1:20.7

cardiologist trained in heart failure who brought up an excellent point regarding my coverage

1:26.2

of how bad palliative care penetration

...

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