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The Intern At Work: Internal Medicine

277. The Rounds Table- Top Papers from the 2025 American College of Cardiology (ACC) Session

Apr 3, 2025
In a rapid-fire session, experts discuss groundbreaking findings from the 2025 American College of Cardiology conference. They dive into the efficacy of reduced-dose apixaban for cancer-related blood clots, highlighting its potential advantages. The DAPA-TAVI trial sheds light on the promising role of SGLT2 inhibitors in heart failure management. Additionally, the cardiovascular benefits of oral semaglutide in high-risk diabetes patients are explored, revealing significant reductions in adverse events. A sprinkle of humor is added with a mention of a new comedy series.
20:40

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Quick takeaways

  • The study on reduced-dose apixaban in cancer patients showed lower bleeding risks while maintaining efficacy in preventing thromboembolic events.
  • The DAPA-TAVI trial highlighted dapagliflozin's potential to significantly reduce death or worsening heart failure post-aortic valve implantation despite adverse effect concerns.

Deep dives

Extended Reduced Dose Apixaban for Cancer-Associated VTE

The study on extended reduced dose apixaban focuses on patients with cancer-associated venous thromboembolism and aims to determine if this treatment approach improves outcomes regarding recurrent thromboembolic events while reducing bleeding risks. Conducted as a double-blind, randomized control trial, the research included approximately 1,700 patients with active cancer who had previously completed at least six months of anticoagulation treatment. The results indicated that the reduced dose group experienced a recurrent or fatal VTE rate of 2.1% compared to 2.8% in the full dose group, suggesting that the lower dose was non-inferior. Furthermore, the bleeding risk was lower in the reduced dose group, pointing to a potentially significant shift in treatment protocols for these high-risk patients.

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