Jul 26, 2024 This Week in Cardiology Podcast

Jul 26, 2024

In this discussion, John Mandrola, MD, delves into the intricate ties between health and income, reviewing fascinating studies on cash giveaways and their health impacts. He also navigates the challenges of managing elevated blood pressure in hospitals with a six-step strategy, emphasizing personalized care. Lastly, he explores subclinical atrial fibrillation management, shedding light on anticoagulant therapy and the significance of CHADS-VASC scores, all while confronting the uncertainties in treatment decisions.

Ask episode

Chapters

Transcript

Episode notes

Intro

00:00 • 10min

Navigating Elevated Blood Pressure Management in Hospitals

10:22 • 3min

Navigating the Challenges of Subclinical Atrial Fibrillation Management

13:02 • 11min

Health and income, high BP in the hospital, and more on subclinical AF and when to use anticoagulants are the topics John Mandrola, MD, discusses 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. Health and Income

A Cash Giveaway to Improve Health

https://www.medscape.com/viewarticle/cash-giveaway-improve-health-2024a1000dhf?form=fpf

JAMA RCT https://jamanetwork.com/journals/jama/fullarticle/2821454
NBER RCT https://www.nber.org/papers/w32711
Have We Missed the Hidden Cause of Medical Overuse? https://www.medscape.com/viewarticle/908309
Mar 17, 2023 This Week in Cardiology Podcast https://www.medscape.com/viewarticle/989775

Other References

Health Care Access and Management of Cardiovascular Risk Factors Among Working-Age Adults With Low Income by State Medicaid Expansion Status https://jamanetwork.com/journals/jamacardiology/article-abstract/2793120
Rand Link https://www.rand.org/pubs/reports/R3055.html
The Oregon Health Insurance Experiment https://www.healthaffairs.org/do/10.1377/hpb20150716.236899/full/
Effect of Health Insurance in India: A Randomized Controlled Trial https://www.nber.org/papers/w29576
Full Coverage for Preventive Medications after Myocardial Infarction https://www.nejm.org/doi/full/10.1056/nejmsa1107913
Effect of Medication Co-payment Vouchers on P2Y12 Inhibitor Use and Major Adverse Cardiovascular Events Among Patients With Myocardial InfarctionThe ARTEMIS Randomized Clinical Trial https://jamanetwork.com/journals/jama/fullarticle/2720024

II. Elevated BP in the hospital

JAMA-IM https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2821364

III. Short-duration Subclinical AF

Apixaban Cuts Stroke but Ups Bleeding in Subclinical AF: ARTESIA

https://www.medscape.com/viewarticle/998379

ARTESiA https://www.nejm.org/doi/full/10.1056/NEJMoa2310234
ARTESiA CHADSVASC Subgroup https://www.jacc.org/doi/10.1016/j.jacc.2024.05.002
NOAH https://www.nejm.org/doi/full/10.1056/NEJMoa2303062
EHJ NOAH subanalysis https://doi.org/10.1093/eurheartj/ehae225
Stroke: Prolonged Heart Rhythm Monitoring After Stroke https://www.ahajournals.org/doi/10.1161/STROKEAHA.123.045843
EHRA Analysis https://esc365.escardio.org/EHRA-Congress/sessions/10668

You may also like:

The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington

Questions or feedback, please contact news@medscape.net