Welcome to today’s podcast, covering American College of Cardiology Scientific Sessions & Expo. From 6–8 April 2024, in Atlanta, Georgia, over 17,000 cardiovascular professionals from around the globe came together to debate and discuss practice-changing science and innovations. Today, I was able to interview 2 of the late-breaking trialists.
Firstly, we speak with Prof. Gregg Stone, MD, a professor of cardiology and population health sciences at Icahn School of Medicine at Mount Sinai, opened the festivities by presenting findings from RELIEVE-HF, a randomised trial designed to evaluate the safety and effectiveness of treating heart failure patients with an interatrial shunt. Prof. Stone and colleagues randomised more than 500 patients in North America, Europe, Israel, Australia, and New Zeeland to either receive the V-Wave Ventura Interatrial Shunt System—a small device designed to reduce pressure on the left atrium and the lungs—or undergo a placebo procedure. The results are clear, and keep listening to hear his interpretation of the results.
Next, we speak with Prof. Javed Butler, MD, president of the Baylor Scott and White Research Institute, who presented results from the EMPACT-MI randomised trial, which examined treating patients with empagliflozin following a heart attack. Treatment with empagliflozin did not significantly impact the study’s primary endpoint—the combination of heart failure hospitalisations and all-cause mortality—but it did appear to dramatically improve heart failure hospitalisation rates when tracked on their own. These results add to our understanding of SGLT2 inhibitors and contribute to the body of evidence across 6 clinical studies examining the potential for empagliflozin to impact major outcomes in a broad population of adults with heart failure, chronic kidney disease or type 2 diabetes.
Enjoy listening!
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Table of Contents: ACC 2024
Featured articles
Matters of the heart: late-breaking news from the American College of Cardiology
KARDIA-2: Add-on zilebesiran effectively lowers blood pressure
STEP-HFpEF DM: Semaglutide beneficial in patients with HFpEF and diabetes
Online First
IVUS-guided PCI beats angiography in patients with acute coronary syndrome
To stent or not to stent? Favourable results for preventive PCI in vulnerable atherosclerotic plaques
Peripheral artery disease: procedure-guidance by IVUS superior to angiography
SGLT2 inhibition in heart failure more advantageous for women than men
Microaxial flow pump safes lives but comes with a price tag
KARDIA-2: Add-on zilebesiran effectively lowers blood pressure
Safety of TAVI non-inferior to SAVR in patients with lower surgical risk
New PCSK9 inhibitor achieves LDL-C goals in high-risk and very high-risk patients
Protein drinks and exercise intervention improve physical performance in frail patients undergoing TAVR
AEGIS-II: Negative primary endpoint but infusions might benefit subgroups of patients
STEP-HFpEF DM: Semaglutide beneficial in patients with HFpEF and diabetes
RELIEVE-HF: Inter-atrial shunt might be advantageous in HFrEF
BE ACTIVE shows that small incentives increase daily steps in high-risk patients
“Inclisiran first” strategy highly effective regarding LDL control in ASCVD
Olezarsen highly effective in lowering triglycerides
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