Oct 27 2023 This Week in Cardiology
This Week in Cardiology
Medscape Podcasts
4.9 • 963 Ratings
🗓️ 27 October 2023
⏱️ 30 minutes
🧾️ Download transcript
Summary
More on the Million Hearts RCT, ENRICH AF, TAVI vs SAVR, the Partner 3 and Evolut-low-risk trials, and myocardial viability are the topics John Mandrola, MD, covers in this week'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. Listener Feedback
Million Hearts
CMS 'Million Hearts' CVD Risk Reduction Model Works
https://www.medscape.com/viewarticle/997551
- RCT JAMA - https://jamanetwork.com/journals/jama/fullarticle/2810696
AC in ICH - ENRICH AF
Oral Anticoagulation in ICH Patients With AF: New Data https://www.medscape.com/viewarticle/997547
- Lancet Neurology Meta-analysis https://doi.org/10.1016/S1474-4422(23)00315-0
- ENRICH AF letter https://doi.org/10.1016/S0140-6736(23)02025-1
II. TAVI vs SAVR
Low-Risk TAVR Studies: Divergent Long-Term Results
https://www.medscape.com/viewarticle/997784
- Partner 3 Main Results
- Partner 3 – Five Year
- Original EVOLUT -LR https://www.nejm.org/doi/10.1056/NEJMoa1816885
- EVOLUT 3-year https://doi.org/10.1016/j.jacc.2023.02.017
- EVOLUT -LR 4-year https://doi.org/10.1016/j.jacc.2023.09.813
III. Myocardial Viability
Viability-Guided PCI Doubted in Stable Severe CAD: REVIVED-BCIS2
https://www.medscape.com/viewarticle/989101
- Revived BCIS – Original paper https://www.nejm.org/doi/10.1056/NEJMoa2206606
- JAMA Cardiology Viability paper https://jamanetwork.com/journals/jamacardiology/fullarticle/2810727
- STICH Viability Paper - https://www.nejm.org/doi/full/10.1056/NEJMoa1100358
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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 |
| 0:03.4 | org medscape cardiology this podcast is intended for health care |
| 0:07.6 | professionals only any views expressed are the presenters own and do not |
| 0:11.2 | necessarily reflect the views of WebMD or Medscape. |
| 0:15.1 | You can now access the latest in medical news on your Amazon Alexa-enabled device. |
| 0:19.9 | Join me, Perry Wilson, every weekday morning for Medscape Medical Minute where I highlight the top |
| 0:24.7 | medical stories of the day. |
| 0:26.5 | To add Medscape Medical Minute to your flash briefing, search for Medscape Medical |
| 0:30.1 | Minute on Amazon and click enable or open the Amazon Alexa app go to skills |
| 0:34.7 | search for Medscape Medical Minute and click enable then say Alexa what's the |
| 0:40.1 | news or Alexa what's my flash briefing I hope you'll join us. |
| 0:44.0 | Hi everyone this is John Mandrola from the Heart.org Medscape |
| 0:49.0 | and this is this week in cardiology for October 27th 2023 this This week I want to do an addendum on the Million Heart Study, some feedback on the |
| 1:00.4 | Enrich AF study. Tavi versus Saver, the Partner Three and |
| 1:05.8 | evolute low-risk trials have reported and is measuring myocardial |
| 1:11.0 | viability dead. |
| 1:13.5 | I first want to do a brief addendum on my report last week on the Million Hearts model |
| 1:17.6 | randomized controlled trial. |
| 1:19.7 | Now the idea of the Million Hearts model is a good one. It is to pay health care organizations |
| 1:24.4 | to assess and reduce cardiovascular risk. At least initially, this was focused on the highest risk |
| 1:30.7 | patients. This was an RCT published in Jama in which organizations |
| 1:35.8 | were randomized to the Million Hearts model of incentives to measure and lower |
... |
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