Interventional Cardiology Resource Center Heartwire News High and Low

• Pre-Activation of Cardiac Cath Labs May Improve MI Outcomes Pre-hospital activation of cardiac catheterization laboratories appears to shorten the time to reperfusion in patients with ST-segment-elevation myocardial infarction (STEMI), according to data from the ACTION Registry.
  Reuters Health Information, September 2018
• Diminishing Returns for Off-Pump CABG at 10 Years New registry data show surgery without cardiopulmonary bypass is associated with increased incomplete revascularization, reintervention, and higher mortality, even in experienced hands.
  Medscape Medical News, September 2018
• TAVR Learning Curve, Annual Volume Back in Spotlight New registry data again show greater operator experience is linked to better outcomes, raising the question of who should be doing TAVR procedures.
  Medscape Medical News, September 2018
• Alert FDA OKs PK Papyrus Stent for Acute Coronary Artery Perforations The approval marks the first time in nearly two decades that the agency has approved a coronary stent for this indication.
  FDA Approvals, September 2018
• Avoid Routine PCI for CTOs in Symptomatic CAD: REVASC Published The practice, now less common in cath labs than it used to be, doesn't seem to improve contractility in the served myocardium, at least in patients with stable coronary disease.
  Medscape Medical News, September 2018
• STICH Substudy Disrupts Traditional Take on LVEF Certainty Variability in left ventricular ejection fraction assessment between different imaging modalities calls into question LVEF cut-points for decision making in daily practice and clinical trials.
  Medscape Medical News, September 2018
• ESC 2018MATRIX: Transradial Access Benefits Maintained at 1 Year One-year results from the largest trial to compare radial vs femoral access ought to change practice, so that radial access is the default approach in invasively managed patients with ACS, observers say.
  Medscape Medical News, September 2018
• ESC 2018VERDICT: No Advantage of Early Invasive Strategy in NSTE-ACS Except for those at highest risk, very early invasive coronary evaluation did not improve overall outcomes vs a less urgent approach for patients with non-ST-segment elevation acute coronary syndrome.
  Medscape Medical News, August 2018
• ESC 2018TRICS 3: Restrictive Transfusion Appears Safe in CV Surgery At what point do the risks of transfusion outweigh the risks of anemia? Is a hemoglobin threshold of 7.5 g/dL safe? Six-month findings of TRICS3 suggest this type of restrictive strategy is safe.
  Medscape Medical News, August 2018
• ESC 2018New ESC/EACTS Guideline on Myocardial Revascularization Patients should be involved in deciding which technique to use for myocardial revascularization, say the latest European guidelines, which emphasize the importance of objective decision-making.
  Medscape Medical News, August 2018
• ESC 2018Extended Ticagrelor Monotherapy After Stenting Misses Endpoint A novel antiplatelet regimen of extended ticagrelor monotherapy with aspirin added just for the first month after stenting narrowly failed to show superiority over standard treatment in the GLOBAL LEADERS trial.
  Medscape Medical News, August 2018
• ESC 2018ART: Did Bilateral IMA Bypass Grafts Miss Mark at 10 Years? The long-awaited results failed to show that bilateral internal mammary artery grafts are superior conduit for CABG, but some still found reason for optimism.
  Medscape Medical News, August 2018
• ESC 2018Fourth Universal Definition Separates MI From Myocardial Injury A new multisociety definition of myocardial infarction distinguishes it from myocardial injury but retains the five types of MI.
  Medscape Medical News, August 2018
• ESC 2018Benefit Persists for Culprit-Lesion-Only PCI in MI With Shock One-year follow-up of the CULPRIT-SHOCK trial shows the advantage conferred by PCI only of the culprit lesion vs immediate multivessel PCI at 30 days persists in MI complicated by cardiogenic shock.
  Medscape Medical News, August 2018
• 'NEW' Prehab Prior to Cardiac Surgery May Improve Outcomes A review examines evidence supporting a strategy of using wait times to improve nutrition, exercise, and worry reduction for the growing number of older patients undergoing complex cardiac procedures.
  Medscape Medical News, August 2018
• Simple Lab Score Beats Troponin for MI Diagnosis in the ED A clinical chemistry score incorporating glucose level, eGFR, and hs-cTn was better at predicting risk for MI and death in patients with MI symptoms in the ED than hs-cTn level alone, a study found.
  Medscape Medical News, August 2018
• ESC 2018ESC Congress 2018: New Guidelines, MI Redefined, Preventive ASA Other topics on tap include possible new clinical territory for oral anticoagulants and insights on high-sensitivity troponin assays as the ESC sessions return to Munich.
  Medscape Medical News, August 2018
• Valve-in-Valve TAVR Matches 'Benchmark' of Native TAVR Outcomes were similar or better compared with those of native-valve transcatheter aortic valve replacement, though longer follow-up will tell if it becomes the default strategy for most failed aortic valves.
  Medscape Medical News, August 2018
• Self-discharge: An 'Infrequent but Deadly Problem' After PCI Patients who discharge against medical advice have twice the risk for readmission for acute MI after PCI, prompting observers to call for early recognition and greater involvement of the healthcare team.
  Medscape Medical News, July 2018
• SSRI Given for Post-ACS Depression May Cut Cardiac Event Risk The apparent cardioprotection in such patients put on the selective serotonin reuptake inhibitor escitalopram lasted 8 years in a single-center but randomized trial.
  Medscape Medical News, July 2018