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This Week in Cardiology

Sep 17, 2021 This Week in Cardiology Podcast

This Week in Cardiology

Medscape Podcasts

Medicine, Science, Health & Fitness

4.9963 Ratings

🗓️ 17 September 2021

⏱️ 26 minutes

🧾️ Download transcript

Summary

Cardiac arrest care, finerenone, carotids, meds post TAVI: less is more and the new may not be as grand as the tried and true. John Mandrola, MD, provides a third ESC review. To read a partial transcript or to comment, visit: https://www.medscape.com/twic

I - Cardiac Arrest Care

- Angiography Can Wait for Cardiac Arrest Without ST-Elevation https://www.medscape.com/viewarticle/957471

- Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation https://www.nejm.org/doi/full/10.1056/NEJMoa2101909

- Coronary Angiography after Cardiac Arrest without ST-Segment Elevation https://www.nejm.org/doi/full/10.1056/NEJMoa1816897

II - Finerenone

- FIDELITY: Finerenone Cuts CV Risk in T2D Across CKD Spectrum https://www.medscape.com/viewarticle/957470

- Cardiovascular Events with Finerenone in Kidney Disease and Type 2 Diabetes https://www.nejm.org/doi/full/10.1056/NEJMoa2110956

- Effect of Finerenone on Chronic Kidney Disease Outcomes in Type 2 Diabetes https://www.nejm.org/doi/full/10.1056/NEJMoa2025845

III - Carotid Intervention

- ACST-2: Carotid Stenting, Surgery on Par in Asymptomatic Patients https://www.medscape.com/viewarticle/957474

- Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy https://doi.org/10.1016/S0140-6736(21)01910-3

IV - Post TAVI DOAC

- 'Less Is More' for Edoxaban in Post-TAVI Anticoagulation: ENVISAGE-TAVI AF https://www.medscape.com/viewarticle/957466

- Edoxaban versus Vitamin K Antagonist for Atrial Fibrillation after TAVR https://www.nejm.org/doi/full/10.1056/NEJMoa2111016

- ATLANTIS Hints at How to Choose Post-TAVR Antithrombotics https://www.medscape.com/viewarticle/951234

- A Controlled Trial of Rivaroxaban after Transcatheter Aortic-Valve Replacement https://www.nejm.org/doi/full/10.1056/NEJMoa1911425

Features:

- What Are the Implications of ACST-2 for Patients With Asymptomatic Carotid Stenosis? https://www.medscape.com/viewarticle/957502

- Top 5 Studies From ESC 2021 https://www.medscape.com/viewarticle/958598

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

0:46.1

week in Cardiology for September 17, 2021.

0:50.6

This is a third ESC wrap-up show.

0:54.0

Today, cardiac arrest care, pheninaronone, caradids, medicines post-Tavar.

1:01.0

And today we will also hear lessons about less is more and the new treatment

1:07.2

not always being as good as the tried and true. First COVID, of course, the big news this week is the debate on Boosters. This is a

1:17.4

master class of evidence-based medicine. FDA will discuss the evidence in a meeting today.

1:24.0

The agency did strike a cautious tone and release documents this week.

1:29.0

First topic is cardiac arrest care.

1:33.0

Now, I don't know how things are where you are,

1:36.0

but in my zip code, the cardiac cath lab carries a sort of mythical lofty status

1:42.0

of a place where sick patients should go. sort of

1:45.0

mythical, mythical,

1:46.0

and one of the main reasons people suffer cardiac arrest

...

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