Eagle's Eye View: Your Weekly CV Update From ACC.org Management of Myocarditis; Sex Differences in PCI vs. CABG; RVOT Dysfunction in Repaired TOF
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Dec 11, 2024 Discover groundbreaking strategies for diagnosing and managing myocarditis, highlighting its often asymptomatic presentation and the diagnostic power of cardiac MRI. Dive into intriguing sex-based differences in outcomes between PCI and CABG from recent trials. Finally, explore effective long-term management techniques for right ventricular outflow tract dysfunction in those who've had repaired tetralogy of Fallot. Each topic opens up essential conversations about patient care and tailored approaches in cardiology.
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Myocarditis Diagnosis
- Myocarditis can present with various symptoms or be asymptomatic, requiring a high index of suspicion in specific cases.
- Diagnostic tests like ECGs, ECHOs, and troponin assays are helpful, but cardiac MR provides more detailed information.
Myocarditis Management
- Limit strenuous physical activity for 3-6 months after stage C or D myocarditis.
- Transfer patients with poor prognostic factors to a heart failure center for advanced support.
Sex Differences in Revascularization
- Women in the FAME-3 trial experienced similar MACE rates with PCI and CABG, unlike men who fared better with CABG.
- Men generally had better outcomes with CABG compared to PCI, while women showed comparable results.