Eagle's Eye View: Your Weekly CV Update From ACC.org

In this week’s View, Dr. Eagle looks at major trials presented at the recent ESC Congress in Spain. First, he discusses the MAPLE-HCM trial that investigates aficamten versus metoprolol monotherapy in patients with symptomatic obstructive hypertrophic cardiomyopathy (HCM).  He then explores a set of important presentations on beta blocker therapy following myocardial infarction. Finally, Dr. Eagle talks about new research on the use of reconditioned pacemakers that shows promise for strengthening global cardiovascular health.   Subscribe to Eagle’s Eye View  

In this week’s View, Dr. Eagle evaluates the potential value of self-service blood pressure (BP) kiosks and their potential to improve hypertensive health nationwide. He then discusses the FLAVOUR trial and its comparable outcomes with fractional flow reserve (FFR) and intravascular ultrasound (IVUS)-guided treatment for intermediate coronary stenosis. Finally, Dr. Eagle explores how continuous positive airway pressure {CPAP} may improve cardiovascular outcomes in patients with high-risk obstructive sleep apnea (OSA).  Subscribe to Eagle’s Eye View  

In this week’s View, Dr. Eagle looks at the new ACC/AHA guideline for prevention, detection, evaluation and management of high blood pressure (BP). He then discusses new-onset right bundle branch block (RBBB) post-transcatheter aortic valve replacement (TAVR) and its association with a high risk of permanent pacemaker implantation (PPI). Finally, Dr. Eagle explores gender-affirming hormone therapies and their effect on cardiac repolarization.  Subscribe to Eagle’s Eye View  

In this week’s View, Dr. Eagle looks at whether compression stockings reduce vasovagal syncope recurrence. He then discusses new concise clinical guidance that addresses the evaluation and management of pericarditis. Finally, Dr. Eagle explores early, safe cardiac rehabilitation for critically ill patients hospitalized with acute decompensated heart failure (ADHF).   Subscribe to Eagle’s Eye View    

In this week’s View, Dr. Eagle looks at the SUMMIT trial and considers how body mass index (BMI) and central adiposity affect tirzepatide outcomes for heart failure with preserved ejection fraction (HFpEF). He then discusses bicuspid aortic valves type 0 (BAV-0) and its association with better long-term prognosis in patients with severe aortic stenosis (AS) undergoing tricuspid aortic valve replacement (TAVR). Finally, Dr. Eagle examines long-term risk of infective endocarditis and why it is significantly higher for mitral valve (MV) replacement versus repair.    Subscribe to Eagle’s Eye View  

In this week’s View, Dr. Eagle looks at the PREVENT model and its ability to predict ten-year atherosclerotic cardiovascular disease risk in diverse populations. He then discusses higher carbohydrate quality and fiber-rich foods and their links to better cardiac structure and function. Finally, Dr. Eagle explores increased use of radial access for percutaneous coronary intervention to achieve lower complication rates.   Subscribe to Eagle’s Eye View  

In this week’s View, Dr. Eagle looks at predictors of high-grade atrioventricular block (AV) after transcatheter tricuspid valve replacement (TTVR). He then discusses the challenges and benefits of deep learning in automating cardiac imaging (IMG). Finally, Dr. Eagle explores higher survival benefits after the 2018 U.S. Heart Transplantation Allocation policy change.   Subscribe to Eagle’s Eye View  

Delve into the surprising effects of ischemic preconditioning in noncardiac surgeries and its limited benefits. Discover how microaxial flow pumps enhance treatment for STEMI patients in cardiogenic shock, offering crucial hemodynamic support. Plus, explore the intriguing idea of starting direct oral anticoagulants right after a stroke, possibly reducing future stroke risks and complications. This insightful discussion shines a light on innovative strategies in cardiovascular care.

This episode dives into frailty status and its alarming link to increased mortality during percutaneous coronary intervention. Delays in treating STEMI patients are explored, revealing how timing can significantly impact recovery. The discussion also sheds light on genetic factors influencing arterial events in conditions like heritable thoracic aortic disease and Loeys-Dietz Syndrome. These insights highlight the importance of swift treatment and genetic awareness in managing cardiovascular health.

Discover the latest advancements in cardiac procedures, including the lower risk of major adverse events with the new Watchman 2.4 device for left atrial appendage occlusion. Learn about the intriguing dynamics of heart failure care in private equity hospitals and how these settings are reshaping treatment. Plus, delve into the long-term outcomes for patients with tricuspid regurgitation undergoing mitral valve-in-valve replacements, revealing important prognostic insights.