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ACC Journal Scan
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The risk of heart attack and stroke is a concern for older people and knowing there is an effective measure for lowering that risk will be a huge reassurance to older people and their families. We hope to see updated guidelines to help clinicians make use of these new findings.
Atorvastatin, Cardiovascular Events, and Disability-free Survival in Older Adults
New England Journal of Medicine · Zoungas et al. ·
Viktor Kočka
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In contrast to interventions for myocardial infarction or stroke, there have been very few advances in the treatment of [PE] over the last 20 years. This has led to a considerable unmet clinical need that we can't ignore.
Catheter-Directed Thrombolysis in Intermediate-High–Risk Pulmonary Embolism
New England Journal of Medicine · Kroupa et al. ·
Jörg Hausleiter
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Among these high-risk patients, transcatheter tricuspid valve repair on top of medical therapy resulted not only in quality-of-life improvements but also in meaningful and sustained reductions in hard clinical outcomes, which has not been demonstrated before with the intervention.
Tricuspid-Valve Intervention in Heart Failure
New England Journal of Medicine · Hausleiter et al. ·
ACC Journal Scan
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Importantly, this was not because coronary access was impaired after TAVI. Rather, once the valve had been treated, the clinical decision about whether PCI was still necessary sometimes changed.
Timing of PCI in Patients Undergoing Transcatheter Aortic-Valve Implantation
New England Journal of Medicine · Stähli et al. ·
ACC Journal Scan
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For the first time, we have shown clinically meaningful improvements in symptoms and exercise capacity with a treatment that targets the cause of the disease.
Aficamten for Symptomatic Nonobstructive Hypertrophic Cardiomyopathy
New England Journal of Medicine · Masri et al. ·
Healio
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“Why is this important in terms of safety? Because milvexian is currently being evaluated in two other large trials: one in atrial fibrillation and one in secondary stroke prevention.”
Milvexian with Antiplatelet Therapy after Acute Coronary Syndrome Event
New England Journal of Medicine · Gibson et al. ·
ACC Journal Scan
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“Despite major advances in pharmacologic and device-based therapies, pulmonary hypertension remains one of the strongest predictors of hospitalization, right ventricular failure, and death in patients with left heart disease and heart failure.”
Pulmonary Denervation for Heart Failure–Related Pulmonary Hypertension
New England Journal of Medicine · Zhang et al. ·
ACC Journal Scan
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Early ECG monitoring did not lead to lower recurrence of syncope than standard care. This finding probably reflects the multifactorial nature of syncope, with a clinically important arrhythmia identified in only 22.0% of the intervention group, a result that limited the effects of rhythm-directed...
Immediate Ambulatory Electrocardiographic Monitoring in Syncope
New England Journal of Medicine · Reed et al. ·
Mathew S. Maurer
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Primary results appeared to be influenced by baseline stabiliser use with no clear benefit in patients receiving background stabiliser therapy, while fewer primary endpoint events occurred with eplontersen in patients not receiving a stabiliser.
Eplontersen for Transthyretin Amyloid Cardiomyopathy
New England Journal of Medicine · Fontana et al. ·
NM
Nick Mills
BHF Professor of Cardiology, University of Edinburgh · University of Edinburgh
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Our findings provide strong evidence that patients who have had a heart attack excluded do not benefit from early outpatient CTCA scans. Once we are confident that they haven't had a heart attack, we can reassure these patients that their future risk is low and send them home.
Targeted Use of Computed Tomographic Coronary Angiography in Acute Chest Pain