Feb 21 2025 This Week in Cardiology
This Week in Cardiology
Medscape Podcasts
4.9 • 876 Ratings
🗓️ 21 February 2025
⏱️ 29 minutes
🔗️ Recording | iTunes | RSS
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Summary
Blanking period after AF ablation, periprocedural MI after PCI in non-STEMI, predicting AF after ischemic stroke, and the proper standards for mitral valve repair in primary mitral regurgitation 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 AF blanking period
- CIRCA DOSE Research letter https://www.ahajournals.org/doi/10.1161/CIRCEP.124.013232
- Circa-Dose https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.119.042622
- COMPARE CRYO
 https://doi.org/10.1016/j.jacep.2024.03.021 - Mohanty et al
 10.1016/j.hrthm.2024.08.011 - Ruzieh, Foy, Mandrola Patients’ Lives Don’t Pause for Blanking Periods https://doi.org/10.1016/j.ahjo.2024.100497
II Periprocedural MI and Future events
- Circulation paper https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.124.070729
III AI to detect AF related stroke
- eClinical Medicine Paper
 https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(25)00050-1/fulltext
IV Mitral Valve Repair
- JACC paper -- https://doi.org/10.1016/j.jacc.2024.10.108
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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. |
| 0:15.5 | Hi, everyone. |
| 0:17.1 | This is John Mandrolo from the Heart.org Medscape Cardiology, and this is this week in cardiology for February 21, 2025. |
| 0:26.6 | This week, we're talking blanking period after a.F. Ablation. |
| 0:30.6 | Perip procedural MI after PCI and non-stemmy. |
| 0:34.6 | Predicting AFib after a schematic stroke, and proper standards for mitral valve repair |
| 0:41.3 | in primary mitral regurgitation. Before starting, I'll apologize a bit for my voice, as this is |
| 0:48.8 | day eight of the influenza A and my utter failure to respond to the mandated flu shot that I received. |
| 0:57.3 | I and other members of the mandorola compound have been decimated by influenza A. |
| 1:03.3 | Our hospital has been overflowing, and it has been a tough time for influenza here in this community. |
| 1:10.6 | But I have improved and survived as have all the |
| 1:13.8 | mandrolas. And let's start talking about these cardiology topics. And the first is the blanking |
| 1:20.5 | period after a.F. ablation. And I have numerous studies to speak about and some opinions about |
| 1:27.2 | this blanking period business. |
| 1:30.3 | As many of you know, EP doctors have blessed themselves with something called a blanking |
| 1:35.3 | period after a.F. Ablation. That is, that AF that occurs in the 12 weeks or eight weeks |
| 1:41.3 | or sometime after the procedure is encountered against procedural success. |
| 1:47.5 | It's one of these dogmas that got established and has never been questioned. |
| 1:52.0 | The idea being that thermal energy from the ablation can actually cause the irritability |
| 1:57.3 | of the atrium and then it might cause a fib that then settles down. |
... |
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