This Week in Cardiology Jun 06 2025 This Week in Cardiology
Jun 6, 2025
Listener feedback shines light on cardiac sarcoidosis and emerging awareness of bystander CPR. Experts discuss the phrase 'less is more' in post-stent antiplatelet therapy for better outcomes. Lipoprotein(a) is explored as a significant factor in cardiovascular risk. The complexities of managing atrial fibrillation in patients with heart failure are dissected, emphasizing the need for collaboration with specialists. Engaging insights prompt healthcare professionals to rethink patient care strategies.
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ICD Decisions in Cardiac Sarcoidosis
- Consider ICD implantation in cardiac sarcoidosis patients based on extent and distribution of LGE on CMR.
- Shared decision-making is key, especially when LGE mass exceeds 9.9% or involves more than six LV segments.
Challenges in ICD Risk Stratification
- Dichotomizing ICD implantation decisions based on continuous risk variables makes clinicians uneasy.
- Balancing harm from ICDs and risk of sudden cardiac death remains a clinical challenge without clear-cut answers.
Boosting Bystander CPR Saves Lives
- Promote bystander CPR and public AED availability to improve out-of-hospital cardiac arrest survival.
- Supporting CPR education initiatives is a high-value, low-risk intervention with significant community benefit.