This Week in Cardiology Jan 23 2026 This Week in Cardiology
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Jan 23, 2026 Listener mail and procedural history set the stage for a deep dive into operator and hospital volume effects on TAVR and M-TEER outcomes. Data-driven debate on centralization versus access and training trade-offs follows. A study links myocardial fibrosis to ventricular arrhythmias in older male endurance athletes. A discussion contrasts 10-year versus 30-year horizons for predicting and treating cardiovascular risk.
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Listener Feedback Shapes Perspective
- John Mandrola shares two listener feedbacks that corrected and refined his prior coverage of Withdraw AF and the Vector procedure.
- He uses these messages to emphasize careful interpretation, appropriate credit, and humility in medical commentary.
Volume Correlates With Better Structural Outcomes
- Analysis of STS/ACC TVT registry data links lower operator volume to worse short-term outcomes for TAVR and M-TEER.
- The findings support a causal inference that procedural experience and systems-level factors improve care quality.
Centralize Complex Structural Procedures
- Concentrate complex structural procedures in high-volume centers and ensure robust mentoring for newcomers.
- Prioritize quality and support systems over mere convenience for patients and operators.