Clinical

This channel newsfeed includes clinical content on treating patients or the clinical implications in a variety of cardiac subspecialties and disease states. The channel includes news on cardiac surgery, interventional cardiologyheart failure, electrophysiologyhypertension, structural heart disease, use of pharmaceuticals, and COVID-19.   

PCI perplexities: Radial shunned despite bleeding advantage

Operators more often chose transfemoral over transradial PCI in a patients with higher predicted bleeding risks, despite evidence of fewer bleeding complications with the latter approach. Transfemoral PCI patients also tended to be sicker, according to this observational study.

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Riata, TAVR & legacies

Are Riata concerns a thing of the past and transcatheter aortic valve replacement (TAVR) for almost anyone with severe aortic stenosis the way of the future? Presentations at recent cardiology conferences addressed those questions.

Adults reporting depression more likely to experience strokes

An analysis of U.S. adults older than 50 found that people with high depressive symptoms during consecutive interviews during a two-year period were twice as likely to have a stroke compared with those who had no or few depressive symptoms.

Survival rates increase with more activity in patients with ICDs and CRT devices

Patients with implantable cardioverter-defibrillators (ICDs) or cardiac resynchronization therapy (CRT) devices who were most active had improved health outcomes and were more likely to survive, according to a registry analysis.

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Truly informed PCI patients

Sometimes a finding doesn’t reach the bar for statistical significance, but that doesn’t mean it isn’t intriguing. Interventional cardiologists might take note of a study on informed decision making that showed them more likely to touch on key elements than general cardiologists.

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Edwards temporarily freezes enrollment in mitral valve program

Edwards Lifesciences put enrollment into a program using its FORTIS transcatheter valve replacement therapy on hold, announcing that it wants to investigate reports of valve thrombus.

TAVR in low-risk patients holds steady at 2 years

Transcatheter aortic valve replacement (TAVR) continued to hold its own against surgery in low-risk patients with severe aortic stenosis, based on two-year results presented May 19 at EuroPCR in Paris.

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Wide variation in outcomes following CAS procedures at U.S. hospitals

An analysis of a national registry found there were wide variations in care for patients undergoing carotid artery stenting (CAS) at U.S. hospitals. Based on the researchers’ model, outcomes varied fourfold among hospitals and odds of experiencing a stroke or dying varied by 50 percent for two randomly selected hospitals treating the same patient.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.