Aug 18 2023 This Week in Cardiology

Aug 18, 2023

Cardiologist John Mandrola discusses ICD generator changes, less is more in VT management, comorbidity in HF, and SGLT2i after AF ablation. Topics include patient perspectives on generator exchanges, ischemia testing and monomorphic VT storm, hospital admissions in the last year of life of HF patients, and the impact of SGLT2 inhibitors on AFib recurrence.

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Introduction

00:00 • 2min

Seminole Trials and ICD-Generator Surgeries

02:15 • 9min

Management of Sustained Monomorphic VT in Patients with Previous Structural Heart Disease

11:20 • 5min

Protocol for Monomorphic VT Patients and Comorbidity in Patients with Heart Failure

16:04 • 4min

Comprehensive Care for Heart Failure Patients and the Impact of SGLT2 Inhibitors on AFib

19:36 • 10min

ICD generator change, less is more in VT management, co-morbidity in HF, and SGLT2i after AF ablation are the topics discussed by John Mandrola, MD, 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. ICD Gen Change

- Patients’ Perspectives Regarding Generator Exchanges of Implantable Cardioverter Defibrillators https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.122.009827

- DEFINITE https://www.nejm.org/doi/10.1056/nejmoa033088

- SCD-HeFT https://www.nejm.org/doi/full/10.1056/nejmoa043399

- DANISH https://www.nejm.org/doi/10.1056/NEJMoa1608029

- Poole and colleagues; 11-year follow-up of SCD-HeFT https://doi.org/10.1016/j.jacc.2020.05.061

- Editorial – Howell/Stecker https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.123.010266

II. VT Therapy

Crossed Wires: Ischemia Testing and Monomorphic VT Storm

https://www.medscape.com/viewarticle/995401

- Cleveland Clinic Study

https://doi.org/10.1016/j.jacep.2023.04.030

III. Co-Morbidity in HF

- Hospital admissions in the last year of life of patients with heart failure

https://doi.org/10.1093/ehjqcco/qcad047

- Four Horsemen of Apocalypse Lecture

http://www.louisvillelectures.org/imblog/2017/10/5/whw8sf0m1k0wi6lm6kvjsx4nxzzjg5

IV. SGLT2i After Ablation for AF

SGLT2 Inhibitors Curb AF Post-Ablation Recurrences in Diabetes

https://www.medscape.com/viewarticle/995415

- Observational Study – Abu-Qaoud et al

https://www.jacc.org/doi/full/10.1016/j.jacep.2023.06.008

- Meta-analysis SGLT2i and AF

https://www.ahajournals.org/doi/full/10.1161/JAHA.121.022222

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