Residual inflammatory & cholesterol risk after PCI
- 15,494 patients on statin tx
- 40% with elevated hsCRP
- hsCRP >2mg/L independently associated with MACE @ 1 yr
- LDL >70mg/dL not associated with MACE @ 1 yr
- Difference in MACE driven by all-cause mortality & spontaneous MI
In this editorial, Prof. Sabaté comments on 3-year outcomes from Tanner et al. on intracoronary brachytherapy for multilayer DES ISR. Despite limitations, the data reintroduce a technique once considered obsolete.
https://t.co/YuImU3JDBX
Does intravascular brachytherapy (IVBT) still have a role in treating in-stent restenosis (ISR)?
Multilayer ISR may be a niche indication for this metal free strategy
With shared decision-making, patients sometimes prefer PCI over the recommended CABG. @DrAnoop_Koshy@GreggWStone@DoctorKini and colleagues investigate the outcomes of such decisions in complex coronary cases. #AHAJournals@MountSinaiHeart https://t.co/EKfHXDiFFc
Novel publ in JAHA from our group at Mt Sinai. 3687 pts with MVD and SS >22. Documents for the first time (to my knowledge) worse outcomes (including death) after PCI in pts eligible and recommended for CABG who refused, even after adjustment for SS and other covariates.
Grand rounds @MountSinaiHeart with expert panelists Dr. Fuster, Dr Bhatt, Dr Adams, Dr Kini, Dr Lerakis moderated by Dr Stone discussing MV disease.
Doesn’t really get better than that!
@DLBHATTMD@DoctorKini@GreggWStone
Proud to be @MountSinaiHeart ❤️team FIRST commercial #TriClip G4 T-TEER to Rx primary TR & #2 overall in US. Large anterior prolapse Quadricuspid TV: 5➡️1+ TR w/ 1 XTW. ⬆️RV flow, BP, ⬇️RAP. Only commissural jet left. No pacer, no AC needed home next day. Big win for our pts!
Out now in @JACCJournals, our analysis on the role of inflammation in risk prediction among HBR patients undergoing PCI, led by @manishvinayak
👉 ⬆️ hsCRP is associated with high ischemic but not bleeding events
👉 measuring hsCRP may help guide antiplatelet tx in HBR patients
Great #AHA23 so far: @AHA_Research
🥸8 Trials: 8 take aways below
Read the read👇👇
1/ATRESIA:
Patients with subclinical atrial fibrillation can benefit from apixaban to reduce the risk of stroke and systemic thromboembolism.