π₯My top 10 learning points from the #ESCCongress 2022π₯
A thread for cardiologists/general physicians
1) Addition of IV acetazolamide to IV furosemide in AHF results in 46% higher incidence of successful decongestion after 3 days
EVIDENCE: ADVOR nejm.org
A thread for cardiologists/general physicians
1) Addition of IV acetazolamide to IV furosemide in AHF results in 46% higher incidence of successful decongestion after 3 days
EVIDENCE: ADVOR nejm.org
2) Revascularization with PCI does not improve event-free survival in pts with severe LVSD over OMT alone
(HF cohort, not acute ACS pts or significant angina)
Evidence: REVIVED
nejm.org
#ESCCongress
(HF cohort, not acute ACS pts or significant angina)
Evidence: REVIVED
nejm.org
#ESCCongress
3) In pts with rheumatic heart disease and AF, RCT evidence supports VKA use over rivaroxaban, with decreased composite of CV events and death with VKA and no increase in bleeding.
Evidence: INVICTUS nejm.org
#ESCCongress
Evidence: INVICTUS nejm.org
#ESCCongress
4) There is no difference in outcomes taking antihypertensive medications in either morning or evening.
Evidence: TIME
#ESCCongress
Evidence: TIME
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5) Dapagliflozin reduces the risk of CV death or worsening HF in pts with mildly reduced or preserved EF.
Evidence: DELIVER
nejm.org
#ESCCongress
Evidence: DELIVER
nejm.org
#ESCCongress
6) Treatment with a polypill containing aspirin, ramipril and atorvastatin after MI resulted in a significantly decreased risk of major adverse events than usual care
Evidence: SECURE
nejm.org
#ESCCongress
Evidence: SECURE
nejm.org
#ESCCongress
7) There is no difference in rates of death or severe disability/coma between OOHCA pts on ICU treated with a restrictive (target PaO2 9-10kPa) or liberal (Pa02 13-14kPa) oxygen strategy during mechanical ventilation.
Evidence: BOX
nejm.org
#ESCCongress
Evidence: BOX
nejm.org
#ESCCongress
8) An ordinary smartphone can be useful to detect treatment-relevant AF, using the standard camera lens.
Evidence: eBRAVE AF
#ESCCongress
Evidence: eBRAVE AF
#ESCCongress
9) Metanalysis shows muscle symptoms are common in pts on statins, but 93% are NOT attributable to statins
Evidence: thelancet.com
#ESCCongress
Evidence: thelancet.com
#ESCCongress
10) Metanalysis supports pts with Marfan Syndrome being given both ARB and BB to slow rate of aortic enlargement.
Evidence: thelancet.com
#ESCCongress
Evidence: thelancet.com
#ESCCongress
Thanks to @escardio for putting on a great conference, and for maintaining a 'virtual' option alongside the in person event.
#ESCCongress
#ESCCongress
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