HELIOS-B trial – Vutrisiran Reduces Risk of Outpatient Worsening Heart Failure in ATTR-CM in a subgroup analysis

Key Points: Transthyretin amyloidosis (ATTR-CM) is a fatal disease caused by the deposition of misfolded amyloid protein in the heart, leading to heart failure and poor cardiovascular outcomes. In the…

Leah Kosyakovsky

ARREST-AF: Aggressive Risk Factor Management After AF Ablation Reduces Arrythmia Recurrence at 12 Months

Key Points Observation data has suggested that improving cardiometabolic risk factors after AF ablation may reduce the recurrence of arrythmias. The ARREST-AF trial provides randomized controlled evidence demonstrating the benefits…

Leah Kosyakovsky

SUMMIT CMR: Tirzepatide Reduces LV Mass and Paracardiac Adipose Tissue in Obesity-Related HFpEF

Key Points Obesity-related heart failure with preserved ejection fraction (HFpEF) is associated with increased left ventricular (LV) concentric remodeling and paracardiac adipose tissue (PAT), which may exacerbate HFpEF through systemic…

Leah Kosyakovsky

SCAN-MP Study: High Prevalence of Transthyretin Cardiac Amyloidosis in Older Black and Hispanic Individuals with Heart Failure

Key Points ATTR cardiac amyloidosis (ATTR-CA) is frequently diagnosed in older Black individuals with heart failure (HF), particularly in men over 75 years of age. The SCAN-MP study provides observational…

Leah Kosyakovsky

LAA Closure Associated With Less Bleeds vs. Oral Anticoagulation Post AF Ablation: OPTION

Key Takeaways: The OPTION TRIAL assessed the safety and efficacy of WATCHMAN FLX in a post-ablation contemporary clinical AF patient population at risk of stroke. The trial showed that left…

Leah Kosyakovsky

Optimization of GDMT Very Modest but Increased Use of MRAs with Audit and Feedback: PHARM-HF A&F Study

Key Points: Over 6 million people in the US live with heart failure (HF), but national rates of GDMT treatment remain low Because pharmacists can prescribe medication and often manage…

Leah Kosyakovsky

A SUMMIT Analysis: Tirzepatide Reduces End Organ Damage in Patients with Obesity and HFpEF

Key Points SUMMIT, a randomized control trial of tirzepatide versus placebo in patients with HFpEF and obesity, found that tirzepatide significantly reduced the risk of worsening heart failure events and…

Leah Kosyakovsky

NUDGE-FLU Pool Analysis: Email Reminders Highlighting CV Benefits of Flu Shots Effective for Increasing Vaccine Uptake Post-MI

Key Points Three prior randomized trials including over two million adults in Denmark demonstrated that a variety of electronic message reminders, or “nudges”, to receive the influenza vaccination led to…

Leah Kosyakovsky

Edoxaban Comparable to Warfarin After Surgical Bioprosthetic Valves Implantation: ENBALV Trial

Key Points: In patients after surgical bioprosthetic valves, it remains unclear if edoxaban is safe and effective in preventing valve complicates early after surgery. In this randomized clinical trial, 389…

Leah Kosyakovsky

PanEcho: AI-Based Automated Image Analysis Improved Quality and Efficiency in Echocardiography

Key Points: Transthoracic echocardiography is foundational to diagnosis and evaluation of myriad conditions, but image interpretation and results reporting depends on manual reporting As opposed to previous applications of artificial…

Leah Kosyakovsky

TOPSPIN- A: Three-Combination of Antihypertensive Meds Provided Similar BP Control

Key Points: The global burden of hypertension (HTN) with high globally at 1.3 billion people and locally in India with 300 million affected Despite making up 25% of the global…

Leah Kosyakovsky

Personalized App-Based Coaching Improved Physical Activity in HFpEF Patients (MyoMobile Study)

Key Points: Though physical inactivity leads to poor cardiovascular outcomes, especially for those with cardiovascular disease, few studies have been performed to validate the utility of effective lifestyle interventions in…

Leah Kosyakovsky

ZODIAC: A Risk-based Decision Support System Did Not Significantly Improve Lipid-Lowering vs Usual Care

Key Points Maximizing lipid lowering therapy (LLTs) to optimize residual cardiovascular disease (CVD) risk after acute coronary syndrome (ACS) is usually a stepwise approach that can take months or years…

Leah Kosyakovsky

Exenatide, a GLP-1 Analog, Did Not Reduce Organ Injury, Stroke or Death During Cardiac Surgery: GLORIOUS Trial

KEY POINTS: Exenatide is a glucaon-like-peptide-1 agonist (GLP-1) improves glycemic control, and other medications in this class, appear to reduce the risk of cardiovascular disease The GLORIOUS Trial evaluated intravenous…

Leah Kosyakovsky

Plozasiran Showed Sustained Reductions in TG in Familial Chylomicronemia Syndrome: PALISADE Trial

Key Points: Familial chylomicronemia syndrome (FCS) is characterized by extremely high plasma triglycerides (TGs) due to failure of clearance of chylomicrons, of which the most severe sequela is acute pancreatitis…

Leah Kosyakovsky

Catheter Ablation Better Than Antiarrhythmic Drugs for VT in Ischemic Cardiomyopathy With ICD: VANISH2 Trial

Key Takeaways: The VANISH2 trial compared catheter ablation with systematic antiarrhythmic drug therapy as a first-line treatment strategy in patients with an ICD ischemic cardiomyopathy, and ventricular tachycardia who had…

Leah Kosyakovsky

CLEAR SYNERGY: No Benefit with Routine Spironolactone in MI Patients

Key Takeaways: The CLEAR SYNERGY trial was a multicenter trial with a 2-by-2 factorial design which randomly assigned patients with myocardial infarction who had undergone percutaneous coronary intervention to receive…

Leah Kosyakovsky

CRISPR-Cas9 Gene Editing with Nexiguran Ziclumeran Associated with Durable Reductions in Serum TTR levels for ATTR -CM

Key Takeaways: A single dose of nexiguran ziclumeran (nex-z), a CRISPR-Cas9-based therapy, achieved a 90% reduction in serum transthyretin (TTR) levels at 12 months (95% CI, −93 to −87). NT-proBNP levels showed…

Leah Kosyakovsky

SUMMIT: Tirzepatide Decreased The Risk Of Worsening HF And CV Death in HFpEF + Obesity

Key Points SUMMIT was a multi-national trial that compared cardiovascular outcomes among patients with heart failure with preserved ejection fraction (HFpEF) and obesity that were randomized to tirzepatide (a GLP-1…

Leah Kosyakovsky

BPROAD: Intensive Blood Pressure Target Reduces MACE in Type 2 Diabetes

Key Points BPROAD was a randomized control trial in China that assigned nearly 13,000 participants with type 2 diabetes (T2DM) and hypertension (HTN) to either a systolic blood pressure target…

Leah Kosyakovsky