Delve into the cutting-edge world of cardiac imaging with a focus on coronary CT angiography. Discover how CTA influences patient management and risk assessment. Insights from the Scott Heart trials reveal surprising relationships between symptoms and coronary plaque. Furthermore, a critical evaluation of the new EVOQUE valve raises important questions about its real-world effectiveness. Join the discussion on how these advancements reshape cardiology.
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question_answer ANECDOTE
ECG Unknowns Evoke Memories
John Mandrola shared how George Klein's ECG Unknowns brought fond memories of his cardiology training.
This illustrates the enduring value of classical teaching methods in cardiology.
insights INSIGHT
CTA Imaging Improves Risk Stratification
Coronary CTA imaging leads to more accurate risk stratification and modestly better lifestyle improvement.
However, changes in surrogate endpoints don't confirm improved clinical outcomes like MI or death reduction.
volunteer_activism ADVICE
Avoid Imaging to Scare Patients
Avoid using imaging tests solely to scare patients into lifestyle or medication adherence.
Imaging should only be used when evidence shows clear benefit on clinical outcomes.
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A big, deep dive into CTA and fractional flow reserve CT, and a sobering report on the new EVOQUE valve are discussed by John Mandrola, MD, in this week's podcast.
This podcast is intended for healthcare professionals only.
To read a partial transcript or to comment, visit:
III. More on Imaging and CT FFR Symptoms Don’t Always Indicate the Severity of Coronary Artery Disease https://www.medscape.com/viewarticle/symptoms-dont-always-indicate-severity-coronary-artery-2025a1000ge6
JACC has published a sobering research letter on the Transcatheter Tricuspid Valve Replacement called EVOQUE valve.
Lupu et al JACC IV https://doi.org/10.1016/j.jcin.2025.03.019
TRISCEND II https://www.nejm.org/doi/full/10.1056/NEJMoa2401918
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The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington
Questions or feedback, please contact news@medscape.net
This Week in Cardiology