💥My top 10 learning points from the #ESCCongress💥
A thread for cardiologists/general physicians
1) Post acute MI, transfuse if ≤8g/dL
Evidence: REALITY trial- not yet published – summary reported acc.org
1/n
A thread for cardiologists/general physicians
1) Post acute MI, transfuse if ≤8g/dL
Evidence: REALITY trial- not yet published – summary reported acc.org
1/n
2) SGLT2i in addition to standard HF treatment significantly ⬇️CV death, including in non-diabetic pts
Evidence: EMPEROR-Reduced (nejm.org)
& metanalysis of DAPA-HF and EMPEROR-Reduced (thelancet.com)
#ESCCongress
2/n
Evidence: EMPEROR-Reduced (nejm.org)
& metanalysis of DAPA-HF and EMPEROR-Reduced (thelancet.com)
#ESCCongress
2/n
3) Colchicine 0.5mg od in pts with chronic coronary disease⬇️CV death/MI/CVA
Evidence: LoDoCo 2 -nejm.org
#ESCCongress
3/n
Evidence: LoDoCo 2 -nejm.org
#ESCCongress
3/n
4) Dapagliflozin in pts with CKD, with or without T2DM, significantly ⬇️risk of kidney failure, CV death and HF hospitalisation
Evidence: DAPA CKD – not yet published - escardio.org
#ESCCongress
4/n
Evidence: DAPA CKD – not yet published - escardio.org
#ESCCongress
4/n
5) Digoxin could be considered as a first-line approach for rate control in older adults with AF
Evidence: RATE-AF – not yet published - cardiacrhythmnews.com
#ESCCongress
5/n
Evidence: RATE-AF – not yet published - cardiacrhythmnews.com
#ESCCongress
5/n
6) There is a new treatment option for HOCM – mavacamten
Evidence: EXPLORER-HCM - thelancet.com
#ESCCongress
6/n
Evidence: EXPLORER-HCM - thelancet.com
#ESCCongress
6/n
7) No need to stop ACEi/ARB in COVID pts
Evidence: BRACE CORONA - not yet published - escardio.org
#ESCCongress
7/n
Evidence: BRACE CORONA - not yet published - escardio.org
#ESCCongress
7/n
8) Early rhythm control decreases risk of adverse cardiovascular outcomes in AF
Evidence: EAST AFNET 4 nejm.org
#ESCCongress
8/n
Evidence: EAST AFNET 4 nejm.org
#ESCCongress
8/n
9)Post TAVI, aspirin alone is a better strategy than aspirin and clopidogrel
Evidence: POPULAR TAVI nejm.org
#ESCCongress
9/n
Evidence: POPULAR TAVI nejm.org
#ESCCongress
9/n
10) Either the sPESI or the HESTIA score can be used to identify ~ a third of pts with PE who can be discharged early and treated at home
Evidence: HOME PE - not yet published - escardio.org
#ESCCongress
10/10
Evidence: HOME PE - not yet published - escardio.org
#ESCCongress
10/10
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