ACC 2017

Best of the 2017 American College of Cardiology Scientific Session & Expo

Best of the 2017 American College of Cardiology Scientific Session & Expo

Highlights from the 2017 American College of Cardiology Scientific Session & Expo.

Instantaneous Wave-Free Ratio Noninferior to Fractional Flow Reserve for Guiding PCI

Instantaneous Wave-Free Ratio Noninferior to Fractional Flow Reserve for Guiding PCI

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Both iFR and FFR groups experienced similar rates of composite nonfatal myocardial infarction, unplanned revascularization, or all-cause death within 1 year post-procedure.

Higher Hospital Admissions in Takotsubo Cardiomyopathy During Late Summer

Higher Hospital Admissions in Takotsubo Cardiomyopathy During Late Summer

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Although more women are admitted with Takotsubo cardiomyopathy, more men ultimately die.

Uninterrupted Anticoagulation With Dabigatran Improves Atrial Fibrillation Ablation Outcomes, Expert Q&A

Uninterrupted Anticoagulation With Dabigatran Improves Atrial Fibrillation Ablation Outcomes, Expert Q&A

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Incidence of major bleeding events was lower with dabigatran vs warfarin in atrial fibrillation ablation.

Safety of Same-Day Discharge Following PCI for Non-ST Elevation ACS

Safety of Same-Day Discharge Following PCI for Non-ST Elevation ACS

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Researchers found that same-day discharge in PCI for non-ST-segment elevation acute coronary syndromes.

Delay Between Antiplatelet Therapy And PCI Improves Coronary Reperfusion

Delay Between Antiplatelet Therapy And PCI Improves Coronary Reperfusion

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A longer wait between administration of antiplatelet therapy and primary percutaneous intervention has been linked to improved coronary reperfusion.

Analyzing Patient Heterogeneity Upon Antihypertensive Therapy Initiation to Personalize Prognosis

Analyzing Patient Heterogeneity Upon Antihypertensive Therapy Initiation to Personalize Prognosis

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Patients with higher baseline blood pressure had higher 6-month combined cardiovascular disease incidence after adjustments.

Preventing Supraventricular Tachyarrythmia With Sotalol Vs Alternative Antiarrhythmics

Preventing Supraventricular Tachyarrythmia With Sotalol Vs Alternative Antiarrhythmics

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Researchers conducted a meta-analysis to compare the safety and efficacy of sotalol vs amiodarone or beta-blockers to prevent supraventricular arrhythmias.

Evaluating Cangrelor Vs Clopidogrel In Percutaneous Coronary Intervention

Evaluating Cangrelor Vs Clopidogrel In Percutaneous Coronary Intervention

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Researchers studied the safety and efficacy of cangrelor in patients receiving unfractionated heparin for PCI.

Statin Eligibility Requirements In African Americans With Atherosclerosis

Statin Eligibility Requirements In African Americans With Atherosclerosis

According to ACC/AHA Guidelines presented at ACC 2017, targeted imaging should be used to personalize statin recommendation programs.

Cognition Not Adversely Affected by Evolocumab With Statin Therapy

Cognition Not Adversely Affected by Evolocumab With Statin Therapy

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No differences were seen in measures of executive function between the evolocumab and placebo groups.

Cardiac MRI Critical in Diagnosing Takotsubo Cardiomyopathy

Cardiac MRI Critical in Diagnosing Takotsubo Cardiomyopathy

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Cardiac MRI should be used to differentiate Takotsubo cardiomyopathy from similar conditions.

Target Lesion Failure and Stent Thrombosis Rates Low With SYNERGY

Target Lesion Failure and Stent Thrombosis Rates Low With SYNERGY

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Target lesion failure was 5.8% at 1 year after implantation with the SYNERGY stent.

Everolimus-Eluting vs Sirolimus-Eluting Stents in Coronary Artery Disease

Everolimus-Eluting vs Sirolimus-Eluting Stents in Coronary Artery Disease

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After 5 years, the cumulative incidence of MACE was 6.7% in the everolimus-eluting stent group and 11.2% in the sirolimus-eluting stent group.

Internet-Based Lifestyle Counseling Reduces Hypertension, Improves CVD Risk

Internet-Based Lifestyle Counseling Reduces Hypertension, Improves CVD Risk

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Participants who received e-counseling had lower systolic blood pressure and pulse pressure at 12 months

VTE Recurrence Risk Reduced With Rivaroxaban: Q&A With EINSTEIN CHOICE Investigator

VTE Recurrence Risk Reduced With Rivaroxaban: Q&A With EINSTEIN CHOICE Investigator

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Results from the EINSTEIN CHOICE trial plus an interview with investigator Philip Stephen Wells, MD, FRCP(C), MSc.

Atrial Fibrillation Associated With Higher Mortality in STEMI

Atrial Fibrillation Associated With Higher Mortality in STEMI

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Atrial fibrillation was associated with a higher risk of adjusted in-hospital mortality and bleeding complications after both PCI and CABG.

Women With STEMI Experience Treatment Delays

Women With STEMI Experience Treatment Delays

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Women with ST-segment elevation myocardial infarction often experience prehospital delays to reperfusion.

LDL-C Lowered Below Current Targets Beneficial to Atherosclerotic CVD

LDL-C Lowered Below Current Targets Beneficial to Atherosclerotic CVD

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Evolocumab reduced LDL-C levels by 59% and lowered the risk of CV death, MI, stroke, hospitalization for unstable angina, or coronary revascularization by 15%.

TAVR Demonstrates Noniferiority to Surgery in Intermediate-Risk Patients

TAVR Demonstrates Noniferiority to Surgery in Intermediate-Risk Patients

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At 2 years, the estimated incidence of the primary end point was 12.6% in the TAVR group vs 14% in the surgery group.

Bococizumab Reduced Cardiovascular Events in High-Risk But Not Low-Risk Patients

Bococizumab Reduced Cardiovascular Events in High-Risk But Not Low-Risk Patients

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In the combined SPIRE trials, the mean change in LDL-C levels was −56.0% in the bococizumab group and +2.9% in the placebo group.

Hormone Replacement Therapy Associated With Lower Coronary Artery Calcium Scores

Hormone Replacement Therapy Associated With Lower Coronary Artery Calcium Scores

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Hormone replacement therapy in postmenopausal women was associated with lower coronary artery calcium scores as well as lower risk of long-term all-cause mortality.

Elevated Mortality Risk in Women With Acute Coronary Syndrome

Elevated Mortality Risk in Women With Acute Coronary Syndrome

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Data from almost 15,000 patients were analyzed to determine the links among age, acute coronary syndrome severity, and 30-day mortality.

On-Treatment Low-Density Lipoprotein Level Differences in Women vs Men

On-Treatment Low-Density Lipoprotein Level Differences in Women vs Men

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Women have lower rates of major adverse cardiovascular events despite having higher on-treatment low-density lipoprotein cholesterol levels than men.

Surgical Pulmonary Embolectomy Outcomes Not Affected by Thrombus Location

Surgical Pulmonary Embolectomy Outcomes Not Affected by Thrombus Location

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Survival rates were high for patients with both central and peripheral pulmonary emboli.

Suspected Coronary Artery Disease: Coronary CT Angiography vs Standard Care

Suspected Coronary Artery Disease: Coronary CT Angiography vs Standard Care

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Coronary computed tomographic angiography does not reduce cardiac events in patients with suspected coronary artery disease.

Mitigating Poor Cardiovascular Outcomes in Diabetes Using Angiography

Mitigating Poor Cardiovascular Outcomes in Diabetes Using Angiography

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Patients with diabetes had more CV risk factors and higher rates of noninvasive testing positivity as well as 60-day aspirin, statin, ACE inhibitor, and ARB use.

Oxidized Lipoprotein Biomarker Levels Affected by Age, Ethnicity

Oxidized Lipoprotein Biomarker Levels Affected by Age, Ethnicity

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Elevated IgG MDA-LDL levels are associated with a higher risk of subclinical atherosclerosis and may serve as accurate predictors of MACE

ST-Segment Elevation Myocardial Infarction Symptom Presentation With Diabetes

ST-Segment Elevation Myocardial Infarction Symptom Presentation With Diabetes

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Patients with diabetes presented with ST-segment elevation myocardial infarction symptoms, on average, 50 minutes later than patients without diabetes.

MACE Prediction in Coronary Angiography Using Multiple Biomarkers Score

MACE Prediction in Coronary Angiography Using Multiple Biomarkers Score

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A multiple biomarker score has been developed for the prediction of MACE in coronary angiography.

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