This Week in Cardiology

Jan 30 2026 This Week in Cardiology

Jan 30, 2026
Listener feedback and debates over imaging strategies for AF procedures. Rapid developments and safety concerns in pulsed-field ablation, including rare delayed ischemic events. Rising US obesity trends and their projected impact. A trial of an AI-enhanced diagnostic stethoscope tested in primary care and its implementation challenges.
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ANECDOTE

London Talk And Meeting Impressions

  • John Mandrola recounts speaking at the Advanced Cardiovascular Intervention Meeting in London and enjoying less stuffy British meetings.
  • He thanks Dr. David Hildick-Smith and describes giving talks on poor interventional trials and wasteful AF ablation.
ADVICE

Use TEE Selectively And Consider ICE

  • Use TEE selectively and reserve it for super high-risk patients like persistent AF or unreliable DOAC use.
  • Confirm transseptal tenting and consider ICE for reassurance during puncture despite added cost.
INSIGHT

PFA Matches RF For One-Year Efficacy

  • BEAT-PAROX compared pentaspline PFA to modern contact-force RF in paroxysmal AF and found no efficacy difference at one year.
  • Single-procedure success was 77.2% for PFA and 77.6% for RF using strict recurrence criteria.
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