Dec 3, 2021 This Week in Cardiology Podcast
This Week in Cardiology
Medscape Podcasts
4.9 β’ 963 Ratings
ποΈ 3 December 2021
β±οΈ 20 minutes
ποΈ Recording | iTunes | RSS
π§ΎοΈ Download transcript
Summary
The AMAZE trial of left atrial appendage isolation, non-statin oral lipid lowering drugs, EHR alerts, non-MD care, and obesity are the topics John Mandrola, MD, discusses in this week's podcast. To read a partial transcript or to comment, visit: https://www.medscape.com/twic
I β aMAZE Trial
- No Advantage Shown for LAA Ligation as Adjunct to Pulmonary Vein Isolation https://www.medscape.com/viewarticle/962954
- Safety and Procedural Success of Left Atrial Appendage Exclusion With the Lariat Device https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2289126
- Left Atrial Appendage Isolation in Patients With Longstanding Persistent AF Undergoing Catheter Ablation: BELIEF Trial https://pubmed.ncbi.nl m.nih.gov/27788847/
II β Non-Statin Lipid Lowering
- Obicetrapib: CETP Inhibitor Impresses in LDL Lowering https://www.medscape.com/viewarticle/963611
- Daily Oral PCSK9 Inhibitor Encouraging in Phase 1 Trials https://www.medscape.com/viewarticle/963550
III β EHR Alerts and Prognosis
- EHR Alerts Have No Impact on Inpatient HF Treatment or Outcomes https://www.medscape.com/viewarticle/963002
- REVeAL-HF: Design and Rationale of a Pragmatic Randomized Controlled Trial Embedded Within Routine Clinical Practice https://www.jacc.org/doi/full/10.1016/j.jchf.2021.03.006
IV β Non-MD Care Models
- Remote Non-Physician Care Helps BP, LDL Control https://www.medscape.com/viewarticle/963783
- A Remotely Delivered Hypertension and Lipid Program in 10,000 Patients Across a Diverse Health Care Network https://www.abstractsonline.com/pp8/?_ga=2.141042993.2042594723.1635046736-1021258137.1633710264#!/9349/presentation/18153
V β Obesity in the Young
- Obesity Rates Soar in Early Adulthood in the US https://www.medscape.com/viewarticle/963511
- Trends in Obesity Prevalence Among Adults Aged 18 Through 25 Years, 1976-2018 https://jamanetwork.com/journals/jama/article-abstract/2786516
Features
- Doubting the BELIEF Trial on LAA Isolation https://www.medscape.com/viewarticle/850822
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
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| 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, where I highlight |
| 0:18.8 | 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 |
| 0:42.8 | cardiology and this is this week in |
| 0:45.0 | cardiology for December 3rd 2021. |
| 0:49.2 | This week, the Amaze trial, non-Statined Oral Lippid Lowering Drugs, |
| 0:55.0 | EHR Alerts, Non-physician Care, and Obesity. |
| 1:01.0 | First up is the Amaze Trial and Left Atrial Appended. and more destruction in the left atrium improves ablation outcomes. |
| 1:15.0 | Now in patients with persistent or long-standing persistent AFIB |
| 1:18.0 | AMaze trial tested weather add-on left atrial-appended |
| 1:22.6 | ligation with the Lariat device would reduce AF |
| 1:26.4 | compared with standard AF ablation alone, which was PBI. |
| 1:30.2 | The answer was no. |
| 1:31.2 | There was no statistical reduction of AF with more extensive work in the left atrium. |
| 1:35.8 | But Amaze teaches us many other lessons relevant to, say, regulatory approval, critical appraisal, and the value of a medically conservative approach to procedures. |
| 1:48.0 | Now first some specifics on the Amage trial, this was 610 patients randomized with advanced forms of a fib. The |
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