Myocardial Minute

Latest CV research across societies & journals — one succinct brief. No more hunting feeds. Edu only—not advice/CME. Free YT. Mon 90s · Thu 60s

[Myocardial Minute @CardioMinute]

Myocardial Minute — 60–90s cardiology briefs for practicing physicians.

Free on YouTube:
• Mon Sep 7 — STAREE / 5th UDMI / TRIC-I-HF → https://t.co/ipkmjLvu5l
• Thu Sep 10 — tirzepatide CV claim → https://t.co/B2EOpkOgUH

[Myocardial Minute @CardioMinute]

Free weekly email digest + full $8 archive: https://t.co/iEIjHxhidh · Educational only, not medical/financial advice.

[Myocardial Minute @CardioMinute]

Did AF ablation beat sham on QoL? PVI-SHAM-AF: AFEQT Δ 2.6, P=0.36 (NS).

Ablation vs sham in symptomatic AF, N=262 (Lancet 2026). Both arms improved; between-group QoL superiority not shown.

Educational only, not medical advice.
#Cardiology #AFib

[Myocardial Minute @CardioMinute]

https://t.co/n3mu5xI0uv

[Myocardial Minute @CardioMinute]

Free weekly email digest + full $8 archive: https://t.co/iEIjHxhidh · Educational only, not medical/financial advice.

[Myocardial Minute @CardioMinute]

Potent P2Y12 with a DOAC in AF + ACS? EPIDAURUS: BARC ≥3 bleeding 4.8% vs 1.4% at 6 wk (secondary endpoint).

DOAC + prasugrel/ticagrelor vs DOAC + clopidogrel. Stopped early at 602 of 1,474; neither primary endpoint differed.

Educational only, not medical advice.
#Cardiology

[Myocardial Minute @CardioMinute]

Full 60s breakdown on YouTube: https://t.co/HBdg3aX4ud

[Myocardial Minute @CardioMinute]

@mmamas1973 Key caveat for HRT data: observational cohorts are prone to healthy-user bias, and timing matters (starting near menopause vs years later). Route may matter too, as transdermal and oral estrogen may differ in VTE risk. RCTs remain the anchor for counseling.

[Myocardial Minute @CardioMinute]

@JAHA_AHA Worth noting surgical LAAO is done during another cardiac operation, so these patients differ from percutaneous LAAO candidates. Postoperative AF is often transient, which raises the practical question of how long to continue anticoagulation after surgery.

[Myocardial Minute @CardioMinute]

@CircAHA @yreddyhf @TChaikijurajai Caveat: V-wave height depends on LA compliance and volume status at the moment of cath, so it can shift with diuresis or exercise. In ≈1100 HFpEF patients the link fits LA myopathy, but it's observational, so V-waves look more like a marker of atrial disease than a target.

[Myocardial Minute @CardioMinute]

Free weekly email digest + full $8 archive: https://t.co/iEIjHxhQ2P · Educational only, not medical/financial advice.

[Myocardial Minute @CardioMinute]

Warfarin to apixaban? FDA label: warfarin discontinued, apixaban started when INR is below 2.0. ARISTOTLE (N 18,201, BMS/Pfizer-funded): stroke/SE HR 0.79 (0.66–0.95), major bleeding HR 0.69 (0.60–0.80) vs warfarin. Not for mechanical valves or mod-severe rheumatic MS.

[Myocardial Minute @CardioMinute]

https://t.co/RcL2D7JyIx

[Myocardial Minute @CardioMinute]

Warfarin to apixaban? FDA label: warfarin discontinued, apixaban started when INR is below 2.0. ARISTOTLE (N 18,201, BMS/Pfizer-funded): stroke/SE HR 0.79 (0.66–0.95), major bleeding HR 0.69 (0.60–0.80) vs warfarin. Not for mechanical valves or mod-severe rheumatic MS.

[Myocardial Minute @CardioMinute]

Free weekly email digest + full $8 archive: https://t.co/iEIjHxhQ2P · Educational only, not medical/financial advice.

[Myocardial Minute @CardioMinute]

Statins after 70 without CVD? STAREE: MACE 6.0% vs 8.3%, HR 0.70 #Cardiology

Atorvastatin 40 mg vs placebo, N=9,971, 70+, no CVD, diabetes or dementia (NEJM 2026). Disability-free survival NS (12.8% vs 13.6%). Counsel MACE, not longevity.

Educational only, not medical advice.

[Myocardial Minute @CardioMinute]

60-second breakdown on YouTube: https://t.co/zErz64cA54

[Myocardial Minute @CardioMinute]

Free weekly email digest + full $8 archive: https://t.co/iEIjHxhQ2P · Educational only, not medical/financial advice.

[Myocardial Minute @CardioMinute]

PRAGUE-26 (NEJM): intermediate–high-risk PE, N=558. Catheter-directed alteplase + anticoagulation vs anticoagulation alone: 7-day death/recurrent PE/decompensation 0.7% vs 6.8%, RR 0.10. Bleeding similar; intracranial bleed 2 vs 0. Open-label. Educational only.

[Myocardial Minute @CardioMinute]

https://t.co/1yAGsq05Yb

[Myocardial Minute @CardioMinute]

@ESC_Journals A useful reminder that a troponin rise in septic shock is often written off as demand alone. When the pattern or the echo doesn't fit, myocarditis belongs on the differential rather than being attributed to sepsis by default.