The New England Journal of Medicine: Research & Review Articles on Disease & Clinical Practice
The NEJM today publishes the results of some every important cardiovascular intervention trials. This publication is in conjunction with the presentation of the findings from these trials at the annual conference of the American College of Cardiology #ACC2015
. All the major cardiovascular conferences, the 2 American ones - +American Heart Association
and @americancollegeofcardiology and the European , @europeansocietyofcardiology are now huge exciting events associated with the publication of all that matters in the cardiovascular world - abit like an #Apple
keynote in fact. In summary these are the conclusions of the three interventional trials
1. ablation for AF during mitral surgery is not as good as previously advertised, does not have to be applied to both atria and after one year offers no advantages as far as the clinical state of the patient is concerned. I have yet to see a study that convinces me that ablation decreases the most feared consequence of #atrialfibrillation
2. Coronary surgery beats coronary stents AGAIN!!! To paraphrase the late great Norman Shumway - the future of effective coronary intervention is stenting and always will be!
3. If you manually suck clot out of a coronary surgery (into the aorta!!) during primary PCI, the patient ends up getting a stroke - what can I say but 2 things - NOT ROCKET SCIENCE, & DON'T MESS WITH CLOT!