Nov 5, 2021 This Week in Cardiology Podcast
This Week in Cardiology
Medscape Podcasts
4.9 • 963 Ratings
🗓️ 5 November 2021
⏱️ 25 minutes
🧾️ Download transcript
Summary
FFR-guided PCI, ISCHEMIA trial challenged, QFR, and one of the most important studies of 2021 are discussed by John Mandrola, MD, in this week's podcast. To read a partial transcript or to comment, visit: https://www.medscape.com/twic
I - FFR-Guided PCI
- FFR-Guided PCI Falls Short vs CABG in Multivessel CAD: FAME 3 https://www.medscape.com/viewarticle/962274
- Fractional Flow Reserve–Guided PCI as Compared with Coronary Bypass Surgery https://www.nejm.org/doi/full/10.1056/NEJMoa2112299
- The fallacies of fractional flow reserve https://pubmed.ncbi.nlm.nih.gov/31889563/
II - ISCHEMIA-Trial Challenged
- How Applicable is ISCHEMIA Trial to US Clinical Practice? https://www.medscape.com/viewarticle/962233
- Comparison of Patients Undergoing Percutaneous Coronary Intervention in Contemporary U.S. Practice With ISCHEMIA Trial Population https://www.jacc.org/doi/full/10.1016/j.jcin.2021.08.047
- The Glass Is at Least Half Full https://www.jacc.org/doi/10.1016/j.jcin.2021.08.054
- Initial Invasive or Conservative Strategy for Stable Coronary Disease https://www.nejm.org/doi/full/10.1056/nejmoa1915922
III - QFR
- FAVOR III China: QFR-Guided PCI Shows Advantage Over Angiography https://www.medscape.com/viewarticle/962328
- Angiographic quantitative flow ratio-guided coronary intervention (FAVOR III China): a multicentre, randomised, sham-controlled trial https://doi.org/10.1016/S0140-6736(21)02248-0
Features:
- The MI–Mortality Mismatch: When Lowering MI Doesn't Extend Life https://www.medscape.com/viewarticle/962276
- Assessment of Nonfatal Myocardial Infarction as a Surrogate for All-Cause and Cardiovascular Mortality in Treatment or Prevention of Coronary Artery Disease https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2785560
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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 Cardiology and this is this week in |
| 0:45.0 | cardiology for November 5th, 2021. This week, first a correction. FFR guided PCI fails, the ischemia trial challenged, perhaps QFR is the better way |
| 0:59.9 | to assess coronary disease, and one of the most important studies of 2021. |
| 1:06.2 | First, no COVID this week. |
| 1:08.5 | We are moving on. |
| 1:10.2 | I'll start with a correction on last week's podcast. |
| 1:14.0 | Last week I mentioned a research letter that published in the |
| 1:17.1 | Journal of the American Heart Association that reported on an increasing |
| 1:20.9 | incidence of takasubu karymopathy. on an academic cardiobu cardiomyopathy, but an academic cardiologist who is more familiar with the data source used in that study, this was the national Inpatient Sample Database. |
| 1:33.5 | He let me know that I may have missed the boat. |
| 1:36.3 | I was struck by the increased incidents of Takasubo |
| 1:39.2 | Cardiomopathy, but my colleague pointed out |
| 1:41.5 | that there were many reasons that the national inpatient |
| 1:45.0 | sample could show an increase in incidents. |
... |
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