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3/11
Remarkable back-to-back! #HeartFailure2025 #LBCT by
Marianna Fontana.

Nex-z CRISPR gene editing based therapy in #ATTRCM. Main paper in @nejm.org www.nejm.org/doi/full/10....

New data by #ATTR type with consistent and durable TTR lowering

#CardioSky #MedSky #Cardiology

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1/11
Muthu Vaduganathan helped us share insights from #HeartFailure2025. Here are some highlights:

#LBCT by Marianna Fontana

#HELIOSB Recently FDA approved Vutrisiran RNAi therapeutic reduces mortality through 42 months in #ATTRCM

#CardioSky #MedSky #Cardiology

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Starting tomorrow ➡️ #HeartFailure2025 🎉🎉

What I am most looking forward to:
⭐️ Topnotch #LBCT sessions
⭐️ #HFAYoung track - not to miss sessions ‼️
⭐️ #HFA_ESC millionaire quiz - daily at the HFA stage 🏆
⭐️ Meeting old & new friends ✨

Will I see you there? 🙋‍♀️
@novitham.bsky.social @escardio.bsky.social

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Exciting data for new LBBAP ICD lead which is preliminary 200/300 pts completed. Excellent DFTs IF the ICD coil is pushed enough into the RV! Congratulations to the authors. #EPeeps #CardioSky #LBCT

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First 500 patients in Align-AR trial using TAVR for pure aortic regurgitation show strong outcomes Raj Makkar, MD, Cedars-Sinai, explains the late-breaking data from the Align-AR trial on the first 500 patients treated for aortic regurgitation using the Jena Valve TAVR device.

#FlashbackFriday back to #ACC25!
Dr. Raj Makkar interviewed by Cardiovascular Business on the data from his #LBCT presentation of the Align-AR trial.
cardiovascularbusiness.com/topics/clini...

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#LBCT #EAPC #ESCPrev2025
@PatriciaPalau1 presented RCT examining #CardiacRehab in #HFpEF + Chronotropic incompetence
✨4 different arms: adding in HRT or LRT 🆚 Regular 🆚 home
✨supervised exercise training=⬆️ peak Vo2, HR & QOL
✨moderate to high intensity stretch training best
#cardiosky #CVPrev

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So honoured to be invited to #EAPC #EScPrev2025 and cochairing the #LBCT was quite fun with the amazing caliber of work presented
#CVPrev #CardioSky

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#LBCT at #ESCPrev2025 @EJPCEiC #INTERASPIRE
✨Cardiac rehab globally varies in referal (Go Poland!🇵🇱)
✨over all 34% referral & 57% attendance
@escardio.bsky.social

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#LBCT #EAPC #ESCPrev2025
@escardio.bsky.social
Queen of Hearts study@ChahindaGhoss
✨retrospective comparison of onset of CVD risk factors in women w/ preeclampsia 🆚 controls
✨CVD risk factors appear earlier in those with preeclampsia except T2DM compared with controls
#cardioobstetrics #cardiosky

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#LBCT #ESCPrev2025
✨BA did not help lower LDL beyond the other patients in the control
✨ safe but ineffective
#BEMPED study @escardio.bsky.social

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#LBCT #ESCPrev2025
#BEMPED study presented examining if the addition of bempedoic acid to statin+ezetimide improved a lipid control in ACS patients: RCT
✨no significant difference in % that for LDL <55mg/dL
#CVprev

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WARRIOR study: Intensive medical therapy does not help or harm women with chest pain Eileen M. Handberg, PhD, ARNP, FACC and C. Noel Bairey Merz, MD, FACC, FAHA shares their  insights on the WARRIOR study, presented at the American College of Cardiology Scientific Session.

#FlashbackFriday to last week's #ACC25 #LBCT
Hear from @smidtheart.bsky.social @womensheart.bsky.social Dr. Noel Bairey Merz & #UFmedicine Dr. Eileen Handberg on the largest trial on #INOCA the #WARRIORtrial.
#CardioSky
medicaldigest.org/scientific-c...

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#DECODECKD trial #ACC25 #LBCT

Assessing DAPA CVD effects in CKD using echo to understand the mechanism of benefit
🫀<1/3 female ❌
🫀LV mass ⬇️ significantly in Dapa arm 🆚 placebo after 6m
🫀no change in LVEF or proBNP or Troponin, UACR but ⬇️eGFR
@accintouch.bsky.social

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#ACC25 #LBCT
Preop Tx with Digifab on Acute Renal Injury undergoing CABG in those at risk for AKI
📌 <1/4 female, mean Cr 1.0 eGFR was 77
📌non significant diff in eGFR change or Cr
📌incidence of AKI was less in digifab arm
❤️ Phase 2 trial shows ⤵️ AKI but need larger studies
#cardiosky #CVPrev

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🚨 #LBCT Align-AR
Dr. Raj Makkar presented data on patients with aortic regurgitation treated with a transcatheter aortic valve.
#ACC25 #CardioSky

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#ACC25 #LBCT 5 year #EVOLUT Trial
❤️Low risk patients with symptomatic AS: what are the 5y outcomes of Sx 🆚 TAVI
💔1/3 Female
💔 all-cause Mortality gap ⬇️ with time
💔 CV mortality ⬇️ for TAVI
💔more pacemaker with EVOLUT

💥EVOLUT IN LOW RISK PATIENTS SAFE ALTERNATIVE TO Sx

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BHF #protecttavi
#ACC25 #LBCT
❓Does routine use of Sentinel in TAVI reduce stroke

💥PROTECT TAVI demonstrates NO difference in Tx vs Control group in Stroke rate: currently would not use this in routine clinical practice
@nejm.org

www.nejm.org/doi/full/10....

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Intensive medical therapy did not significantly impact the rate of serious CV events at five years in women w/ suspected INOCA, according to findings from WARRIOR presented during a #LBCT session at #ACC25.

Learn more: bit.ly/44a7uYO #MedSky #CardioSky

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#APICAT trial at #ACC25 #LBCT #cardioonc

🩸apixaban low 2.5 mg vs full dose 5mg in patients with cancer+VTE: primary endpoint recurrent VTE
🩸more than half female! 👏🏽👏🏽
🩸the low dose was significant for noninferiority for efficacy & ⤵️ bleed
🩸no increase in deaths

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#ACC25 #STRIDE examined Semaglutide in PAD #LBCT
👟function impairment is common in PAD with limited Tx
👟93% completed trial, 1/3 women,~ BMI 28, functionally limited (0.1/mile)
👟Sema 💉🆚UC in T2DM+symptoms PAD: walking distance ⤴️ by 13% out to 1 year🤯💥

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#AHA24
#CVPrev
#LBCT
🫀178 patients with ASCVD
🫀dosing below 🆚 Placebo
🫀⤵️ Lp(a) by >80% during 36 weeks of tx, no safety concerns
@AHAScience @JAMA_current
📎 jamanetwork.com/journals/jam...

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Catheter Ablation or Antiarrhythmic Drugs for Ventricular Tachycardia | NEJM Patients with ventricular tachycardia and ischemic cardiomyopathy are at high risk for adverse outcomes. Catheter ablation is commonly used when antiarrhythmic drugs do not suppress ventricular tac...

Among patients with ischemic cardiomyopathy & VT an initial strategy of catheter ablation ⚡️led to a lower risk of a composite primary end-point event 🆚 antiarrhythmic drug therapy 💊
#AHA24 #VANISH2 #LBCT
📎 www.nejm.org/doi/full/10....

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First evidence of in vivo CRISPR/cas9 gene editing in ATTR-CM where targeting TTR has ⤵️ disease progression
#AHA24 #LBCT
💥💥💥💥💥💥💥💥
Wow! This is such amazing work and imagine what can be done if we diagnose early and can stop or reduce progression
#CardioSky

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#AHA24 #LBCT ATTR-CM presented by Dr. Fontana
🫀 ATTR-CM is a progressive and deadly disease
🫀does TTR ⤵️improve outcomes? CRISPR/Cas9 can do this by targeting the gRNA as done here
🫀 97% male,22% Black
💥 ALL patients had ⤵️ TTR (⤵️89%) and most stable or improved PA& QoL
#CardioSky

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#LBCT #SUMMIT trial #AHA24
💥 Treatment with tirzepatide led to ⤵️risk of a composite of death from cardiovascular 🫀 causes or worsening heart failure 🆚 placebo and improved health status in patients with HFpEF+obesity
📎 @NEJM www.nejm.org/doi/full/10....

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Welcome @ahascience.bsky.social to BlueSky! I just arrived in Chicago and looking forward to #AHA24, seeing colleagues & hearing about the latest in CV Medicine. #CardioSky. I will be co-moderating the late breaking clinical trial session #LBCT 8 on Monday, all about #lipids !

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#HRS2024 #LBCT by Dr Jeffrey Healey ARTESIA subclinical AF substudy eliquis vs ASA my take-home message: Eliquis >>> aspirin if CHADS VASc >4

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#HRS2024 #LBCT on #CIED by Dr Yong-Mei Cha: CRT for LBBB in HFmodrEF (avg EF 42%, 43% ICM, avg QRS 156, 25% NYHA I) w/ crossover

✅Significant ESV ⬇️ w CRT
✅At least 5% ⬆️ in LVEF, many to >50%
✅Benefits of CRT persist despite CRT being turned off

?? Implications for LBBP/CSP

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#HRS2024 #CIED #LBCT by @LarryChinitz on #LBBAP #CSP with stylet driven (solia) leads

✅Have low complication, lead dislodgement rates
✅Does not prolong procedure time
✅Stable pacing/sensing parameters at 3 months

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