Another day at the office.

In the NOTION-3 trial of percutaneous coronary intervention or conservative treatment in patients undergoing TAVI, PCI was associated with a lower risk of a composite of death, MI, or urgent revascularization at a median of 2 years. Full results: nej.md/3AH5WJo #ESCardio

Transcatheter Valve Repair in Heart Failure with Moderate to Severe Mitral Regurgitation: NEJM 🥸RESHAPE-HF2: Randomized Investigation of the MitraClip Device in Heart Failure: Second Trial in Patients with Clinically Significant Functional Mitral Regurgitation 😱 Summary 👇

In patients with heart failure & mildly reduced or preserved ejection fraction, #finerenone resulted in a significantly lower rate of a composite of total worsening #heartfailure events & death from #cardiovascular causes than placebo. nejm.org/doi/full/10.10…

SENIOR RITA presentation by Professor Vijay Kunadian It's an almost impossible to do study and congratulations! No changes of composite end point and CV death but reduced repeat mi or readmission. #ESCCongress2024

New ESC CCS Guidelines IA recommendations. LM stenoses with Syntax Score<=22 (LM +/-1 vessel): PCI equivalent to CABG - as long as full revascularisation is achievable. Image-guided PCI: a must for LM/ bifurcation/long lesions GACI European Society of Cardiology #CardioTwitter #ESC2024

Being presented at #ESCCongress ⬇️ Optical coherence tomography-guided versus angiography-guided percutaneous coronary intervention for complex lesions (OCCUPI): a multicentre, open-label, randomised controlled trial hubs.li/Q02M1sCG0 European Society of Cardiology

#ESCCongress European Society of Cardiology PCRonline 🫀 DCB with rescue stenting versus intended stenting for de novo CAD: a multicenter, non-inferiority trial (REC-CAGEFREE I) • DCB with rescue stenting failed to reach non-inferiority compared to intended DES • DES implantation should remain

In patients with de novo, non-complex coronary artery disease, irrespective of vessel diameter, a strategy of DCB angioplasty with rescue stenting did not achieve non-inferiority compared with the intended DES implantation in terms of the DoCE at 2 years. This is the first of a

A strategy of DCB angioplasty with rescue stenting didn’t achieve non-inferiority compared with intended DES in patients with de novo, non-complex coronary artery lesions, based on results from REC-CAGEFREE I presented at #ESCCongress and published in The Lancet. Read more:

"Our results show that the attempted strategy of 'leave nothing behind' by using paclitaxel-coated balloons in de novo noncomplex coronary artery disease was disproven, and DES implantation should continue to be the standard of care for these patients," - Ling Tao, Senior author

LANCET publication 👇 doi.org/10.1016/S0140-…

More on the differences between OCT and IVUS, in the randomized OPINION-ACS trial, now published. Among patients with ACS, OCT- and IVUS-guided PCI were equally safe and feasible, with comparable in-stent minimum lumen areas at 8 months. IVUS-guided PCI may facilitate larger

Pearl of the day. How would you treat it? 68👨🏼‍🦳, CKD on dyalisis, ACS, bilateral inf limb amputation, EF 40’s, s/p PCI to RCA & LCA 8m ago.

It’s during that awkward silence that the light gets in #cmgsays Fahad Waqar, MD

Last 5 clinic blood pressures for one of my patients: 121/84, 120/85, 118/82, 131/89, 135/89 Home readings consistently in the 140-150s systolic 24-hour ambulatory readings Masked hypertension is real. Believe those home readings

Updated my Severe Hypertension algorithm to reflect recentupdates. AHA 2024 recommends dropping MAP by 15% in 1H towards goal SBP < 180 in ischemic stroke without stratifying by tPA versus no tPA; followed uptodate's recommendations on this

🥸 1️⃣4️⃣ Complete revascularization reduced the primary endpoint in both NSTEMI (HR 0.71) and STEMI patients (HR 0.75), showing consistent benefits across both groups. 😱 ~ this is great!

We have a complex coronary interventional fellow post at Glenfield Hospital available in the new year. The post offers exposure to all aspects of complex and CTO PCI. Feel free to contact me if you are interested and would like to discuss. Link below 👇 jobs.nhs.uk/candidate/joba…

DCB for STEMI ? Anyone? Thoughts?