This Week in Cardiology Mar 07 2025 This Week in Cardiology
Mar 7, 2025
The discussion centers on asymptomatic aortic stenosis and the debate over when to act. Insights into TAVR vs. SAVR highlight survival rates and treatment options. Coronary artery calcium scoring is evaluated, probing its timing and frequency in testing. Additionally, a meta-analysis examining medical therapy versus procedures for ischemic left ventricular dysfunction sheds light on evolving treatment perspectives. Young cardiologists are rethinking the role of medical therapy, hinting at future orthopedic challenges within cardiology.
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Mentor's Perspective on AS
- John Mandrola shares feedback from a respected mentor disagreeing with his stance on asymptomatic aortic stenosis.
- The mentor argues for earlier intervention based on potential cardiac damage before symptoms.
TAVR Overuse in Young Patients
- TAVR overuse, especially in younger patients, is concerning, exceeding evidence-based recommendations.
- A study showed 42% of AVRs in patients aged 50-64 were TAVR, despite lacking long-term data.
Avoid Unnecessary CAC Scans
- Avoid using CAC scans for young or old patients, or for repeat testing.
- These scenarios offer limited clinical value, contradicting appropriate use guidelines.