Feb 07 2025 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

🗓️ 7 February 2025

⏱️ 27 minutes

🔗️ Recording | iTunes | RSS

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Summary

Sugar-sweetened beverages, the epidemiology of driving after an ICD, BP measurements, and massive EBM lesson in EVT for acute stroke are the topics John Mandrola, MD, discusses in today'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. Sugar-Sweetened Beverages

Sugary Drinks Fuel Millions of Diabetes and CVD Cases https://www.medscape.com/viewarticle/sugary-drinks-fuel-millions-diabetes-and-cvd-cases-2025a10002wr

Nature Medicin;e Epidemiologic Study https://www.nature.com/articles/s41591-024-03345-4
JAMA-Network Open; Beverage Tax Observational Study https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2829505
Lancet Regional Health; Beverage Tax Philadelphia EHR 10.1016/j.lana.2024.100906

II. Driving With an ICD

JACC Electrophysiology paper https://doi.org/10.1016/j.jacep.2024.12.002
Earlier HEART paper https://heart.bmj.com/content/110/24/1401

III. Blood Pressure Measurements and Simple RCTs

BP Readings in Noisy Market as Good as Quiet Office?

https://www.medscape.com/viewarticle/bp-readings-noisy-market-good-quiet-office-2025a10002z0

Annals of Internal Medicine Study https://www.acpjournals.org/doi/10.7326/ANNALS-24-00873

IV. A Big Shake-up in Interventional Stroke Care

Endovascular Therapy Fails to Show Benefit in Distal Occlusion Stroke https://www.medscape.com/viewarticle/endovascular-therapy-fails-show-benefit-distal-occlusion-2025a100035u
ESCAPE-MeVO https://www.nejm.org/doi/full/10.1056/NEJMoa2411668
DISTAL trial https://www.nejm.org/doi/full/10.1056/NEJMoa2408954
J. Mocco Editorial https://www.nejm.org/doi/full/10.1056/NEJMe2500492

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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 [email protected]

Transcript

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0:00.0	You're listening to This Week in Cardiology from the heart.org, Medscape Cardiology.
0:05.7	This podcast is intended for health care 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	Hi, everyone.
0:16.0	This is John Mandrola from the heart.org medscape cardiology, and this is this week in cardiology for February 7th,
0:23.7	2025. This week, we're talking sugar, sweetened beverage, the epidemiology of driving after an
0:31.3	ICD, blood pressure measurements, and the massive evidence-based medicine lesson in endovascular therapy for acute stroke
0:40.1	that recently came out in New England Journal of Medicine. So on this week's podcast, I'll start
0:45.5	with soft topics and move to the harder topics. I'll save the best for last. But first, sugar,
0:52.8	sweetened beverages. Multiple studies came out recently focusing on the dangers of these beverages.
0:59.6	It's a timely topic before the Super Bowl, and it's ads that are sure to come advertising these brightly colored drinks.
1:09.1	First is in nature medicine, which is a big epidemiological study designed
1:13.0	to assess the global burden of disease that's attributable to sugar-sweetened beverages. Then I'll talk
1:19.0	about two other population studies that suggest how hard health care policy is regarding these beverages.
1:26.2	First, let's do the Nature Medicine Global Paper.
1:29.4	Now, the methods here are complex, and they involved hundreds of surveys from nearly
1:33.2	3 million people in 118 countries.
1:37.1	The authors did risk assessment and concluded that more than 2 million type 2 diabetes
1:42.5	cases and about 1 million new cardiovascular disease cases could be attributable to sugar sweetened beverages.
1:50.2	And there were geographic patterns in Mexico, Colombia, South Africa were most affected.
1:55.8	And by region, Latin America and the Caribbean had the highest absolute and proportional type 2 diabetes incidents
2:02.0	due to sugar sweetened beverages. Interestingly, Southeast Asia and East Asia had the lowest.
	...

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