Mar 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 March 2025

⏱️ 32 minutes

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Summary

Listener feedback on asymptomatic aortic stenosis (AS), transcatheter aortic valve replacement (TAVR) vs surgical aortic valve replacement (SAVR), coronary artery calcium (CAC), and revascularization for patients with ischemic LV dysfunction are discussed by John Mandrola, MD, 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 Aortic Valve Intervention for Asymptomatic AS

Asymptomatic Aortic Stenosis: “Time to Act” or Not So Fast?

https://www.medscape.com/viewarticle/asymptomatic-aortic-stenosis-time-act-or-not-so-fast-2025a10005o9

EARLY TAVR: A Positive Trial That Fails to Inform Clinical Decisions

https://www.medscape.com/viewarticle/early-tavr-positive-trial-fails-inform-clinical-decisions-2024a1000kec

Reddy et al: https://doi.org/10.1016/j.jacc.2024.12.031
Wallach editorial https://doi.org/10.1016/j.jacc.2025.01.020
Guerrero https://www.tctmd.com/slide/tavr-young-patients-current-treatment-patterns-us

II CAC - Coronary Artery Calcium

Coronary Artery Calcium Testing—Too Early, Too Late, Too Often https://jamanetwork.com/journals/jamacardiology/fullarticle/2830950

CAUGHT-CAD https://jamanetwork.com/journals/jama/fullarticle/2831115

III CABG, PCI or Meds for Ischemic LV Dysfunction

STICH https://www.nejm.org/doi/full/10.1056/NEJMoa1100356
STICHES https://www.nejm.org/doi/full/10.1056/NEJMoa1602001
REVIVED BCIS https://www.nejm.org/doi/full/10.1056/NEJMoa2206606
EHJ paper https://doi.org/10.1093/eurheartj/ehaf080

IV Preview

https://www.medscape.com/viewarticle/shed-lead-and-injuries-should-cath-labs-go-lead-free-2024a1000hnb

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

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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.
0:14.8	Hi, everyone.
0:16.2	This is John Mandrola from the Heart.org Medscape Cardiology,
0:20.1	and this is this week in cardiology for
0:22.8	March 7th, 2025. This week, some listener feedback on asymptomatic aortic stenosis, Tava versus
0:31.6	saver, coronary artery calcium, and revascularization for patients with ischemic left ventricular dysfunction.
0:40.9	Two listener feedback comments today. The first is that on February 14th I misspoke about
0:48.2	the NOAA and Artesia trials. I said that the NOAA trial was Riveroxiband versus placebo,
0:54.0	but of course NOAA was Edooxiband versus placebo, but of course NOAA was edoxiband versus placebo.
0:57.6	Two listeners have written to me about that, and I will change the transcript, and sorry for the mistake, I was just going too fast.
1:05.2	The second or listener feedback is worth expanding a bit based on some new papers published in Journal American College of
1:12.1	Cardiology, and this is in regard to the treatment of patients with asymptomatic aortic stenosis.
1:18.5	I received a note this week from a doctor for whom I have the highest respect for. He was, in fact,
1:24.7	one of my mentors at Indiana, and he was actually instrumental in me choosing
1:29.2	cardiology as a career. I offer this to you because I put this person in the 99th percentile
1:35.4	doctors I have worked with in the past three decades. My mentor did not agree with my opposition
1:41.4	to operating on asymptomatic patients with severe AS. I felt the
1:46.6	evidentiary support for this was weak, that severe aortic stenosis is not even simple to diagnose
1:52.8	on echo, and a change in practice pattern would lead to even more low-risk patients getting
1:59.1	transcatheter aortic valve replacement or taver.
	...

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