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Antifibrotic Drug Shows Promise in HFpEF


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A novel approach to heart failure with preserved ejection fraction (HFpEF) that takes a page from fibrotic lung disease appeared to pay off, with a reduction in myocardial fibrosis, the phase II PIROUETTE trial showed.
The antifibrotic drug pirfenidone (Esbriet, approved for idiopathic pulmonary fibrosis) reduced myocardial extracellular volume by 1.21 percentage points more than placebo over 52 weeks (0.7% decline vs 0.5% increase,
P=0.009).
A treatment effect of that magnitude would be expected to translate to a 9% to 28% reduction in heart failure hospitalization or death, based on recent observational studies, reported Christopher Miller, MBChB, PhD, of the University of Manchester in England, at the virtual American College of Cardiology (ACC) meeting. ....

United States , Baylor College Of Medicine , Dipti Itchhaporia , Mary Norine Walsh , Millerc Pirfenidone , Biykem Bozkurt , Christopher Miller , American College Of Cardiology , University Of California Irvine , University Of Manchester , Vincent Heart Center , American College , Kansas City Cardiomyopathy Questionnaire , Baylor College , Heart Failure , Idiopathic Pulmonary Fibrosis , Pulmonary Fibrosis , Heart Failure With Preserved Ejection Fraction , ஒன்றுபட்டது மாநிலங்களில் , பேலர் கல்லூரி ஆஃப் மருந்து , மேரி நோரின் வால்ஷ் , கிறிஸ்டோபர் மில்லர் , அமெரிக்கன் கல்லூரி ஆஃப் இருதயவியல் , பல்கலைக்கழகம் ஆஃப் கலிஃபோர்னியா இவைந் , பல்கலைக்கழகம் ஆஃப் மான்செஸ்டர் , வின்சென்ட் இதயம் மையம் ,

PARADISE-MI: ARNI Doesn't Surpass ACE Inhibitor After Acute MI


May 15, 2021
For immediate post-MI patients, sacubitril/valsartan (Entresto; Novartis) does not significantly decrease the risk of heart failure (HF) or CV death compared with an ACE inhibitor, the PARADISE-MI trial shows.
sacubitril/valsartan is superior to an ACE inhibitor in patients who have symptomatic HF with reduced ejection fraction when it comes to reducing both HF events and total mortality, PARADISE-MI fell short by missing its primary endpoint of a 15% reduction in events needed to demonstrate superiority of the angiotensin receptor neprilysin inhibitor (ARNI) over an ACE inhibitor, ramipril, in this acute MI population. Nevertheless, there was a 10% reduction in the sacubitril/valsartan group and positive reports of reduced events from investigators who participated in the large multinational trial. ....

United States , Mary Norine Walsh , Marc Pfeffer , Lynne Warner Stevenson , Marca Pfeffer , American College Of Cardiology , Md Vanderbilt University Medical Center , Phd Harvard Medical School , Vincent Heart Center , Harvard Medical School , American College , Vanderbilt University Medical Center , Norine Walsh , ஒன்றுபட்டது மாநிலங்களில் , மேரி நோரின் வால்ஷ் , மார்க் பிபெப்பேற் , லின் எச்சரிக்கை ஸ்டீவன்சன் , மார்கா பிபெப்பேற் , அமெரிக்கன் கல்லூரி ஆஃப் இருதயவியல் , ம்ட் வாண்டர்பில்ட் பல்கலைக்கழகம் மருத்துவ மையம் , ஃப்ட் ஹார்வர்ட் மருத்துவ பள்ளி , வின்சென்ட் இதயம் மையம் , ஹார்வர்ட் மருத்துவ பள்ளி , அமெரிக்கன் கல்லூரி , வாண்டர்பில்ட் பல்கலைக்கழகம் மருத்துவ மையம் , நோரின் வால்ஷ் ,

After the Pandemic: Organ Transplants Bounce Back Amid Lingering Questions


s After the Pandemic series, we asked our editorial board
members to discuss what significant and lasting effects the COVID-19 pandemic will have on medicine and the delivery of healthcare.
Here, we interview Mary Minnow Walsh, MD, heart failure cardiologist at
St. Vincent Heart Center in Indianapolis, Indiana, and past
president of the American College of Cardiology.
Can you share an anecdote about a patient of yours and how the pandemic influenced their situation? What was the outcome?
Walsh: We had a patient, for whom we had a donor heart, decline transplantation during the early part of the pandemic. He was overwhelmed by the possible risk to him and the prospect that visitor restrictions would result in him being in the hospital without family. He is stable and still awaiting transplant. ....

United States , American College Of Cardiology , Vincent Heart Center , For Medpage Today , American College , ஒன்றுபட்டது மாநிலங்களில் , அமெரிக்கன் கல்லூரி ஆஃப் இருதயவியல் , வின்சென்ட் இதயம் மையம் , அமெரிக்கன் கல்லூரி ,

$45 Million OHSU Lawsuit Hits a Nerve for #CardiologyToo


March 05, 2021
Cardiologists and other healthcare professionals may be shocked by the specifics set out in this week’s news of a $45 million lawsuit against Oregon Health & Science University (OHSU) and a former anesthesia resident. But they’re also not surprised.
Jason Campbell, MD, who is widely known as the TikTokDoc and whose dance moves brought joy during the COVID-19 pandemic, is accused in the suit of sending explicit texts, photos, and messages as well as sexual assault.
What stands out is here not the months-long, all-too-common ordeal described in the lawsuit. Rather, it’s the time line showing that the woman, an employee at the Portland VA Medical Center, where Campbell occasionally worked, had to repeatedly push for OHSU to put the behavior to an end. ....

United States , University Of Florida , Cindy Grines , Jason Campbell , Gina Lundberg , Harriette Van Spall , Oscar John Ma , Meena Zareh , Arghavan Salles , Ray Bignall Drray , Nasrien Ibrahim , Martha Gulati , Esther Choo , Md Emory University , American College Of Cardiology , Portland Va Medical Center , Accreditation Council For Graduate Medical Education , Vincent Heart Center , Society For Cardiovascular Angiography , Oregon Health Science University , Md Northside Hospital Cardiovascular Institute , Dphil Keele University Royal Stoke Hospital , Oregon Health , Science University , Times Up Healthcare , American College ,