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This Week in Cardiology

Oct 1, 2021 This Week in Cardiology Podcast

This Week in Cardiology

Medscape Podcasts

Medicine, Science, Health & Fitness

4.9963 Ratings

🗓️ 1 October 2021

⏱️ 24 minutes

🧾️ Download transcript

Summary

Coronary artery calcification and exercise, translating clinical trials, the question of metabolically healthy obesity, and Watchman complications 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 - CAC and Physical Activity

- Physical Activity Paradoxically Tied to Higher Coronary Calcium https://www.medscape.com/viewarticle/959366

- Physical activity and the progression of coronary artery calcification http://dx.doi.org/10.1136/heartjnl-2021-319346

II - Translating Clinical Trials

- SYNTAX Score II 2020 Wobbles in Real-World Validation https://www.medscape.com/viewarticle/958834

- Redevelopment and validation of the SYNTAX score II to individualise decision making between percutaneous and surgical revascularisation in patients with complex coronary artery disease: secondary analysis of the multicentre randomised controlled SYNTAXES trial with external cohort validation https://doi.org/10.1016/S0140-6736(20)32114-0

- External Validation of the SYNTAX Score II 2020 https://www.jacc.org/doi/full/10.1016/j.jacc.2021.07.027

III - Healthy and Obesity

- 'Metabolically Healthy Obesity' Has Heart Risks. Is it a Misnomer? https://www.medscape.com/viewarticle/959994

- Metabolically healthy obesity and cardiovascular events: A nationwide cohort study https://doi.org/10.1111/dom.14492

- Relation of Obesity to New-Onset Atrial Fibrillation and Atrial Flutter in Adults https://pubmed.ncbi.nlm.nih.gov/29501206/

- Paediatric obesity appears to lower the risk of diabetes if selection bias is ignored https://pubmed.ncbi.nlm.nih.gov/29374028

IV - Watchman Complications

- FDA Investigating Potential Sex Differences in LAAO Adverse Outcomes https://www.medscape.com/viewarticle/959806

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

Click on a timestamp to play from that location

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

0:45.5

Cardiology for October 1st, 2021.

0:49.8

This week, coronary calcium and exercise, translating clinical trials, the question of

0:57.0

metabolically healthy obesity, and more on left-ahedral appendage closure.

1:03.3

First to note on COVID, it is getting better, thank goodness.

1:07.8

But to not lose any more friends or have any more folks complain to my employer, I will move straight to

1:15.4

cardiology. Let's talk about cornerary calcium and exercise. South Korea investigators have published a provocative paper on the association between

1:27.0

coronary calcium cack and physical activity.

1:31.0

Now, since this involved a seeming paradox, it got a lot of attention. The study was a

1:37.2

convenient sample of about 25,000 participants without coronary artery disease

1:42.4

from two hospitals who happened to have had

1:46.6

two coronary artery calcium scans done.

1:50.9

The authors used three groups based on self-reporting of activity.

1:55.0

Group one, inactive, moderately active was group two, and the third group did health enhancing physical activity.

...

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