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Conversations in Cardiology: Music in the Cath Lab?

Conversations in Cardiology: Music in the Cath Lab?
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High- and Low-Dose Aspirin Equivalent in ASCVD: ADAPTABLE

May 15, 2021 Treating patients with atherosclerotic cardiovascular disease (ASCVD) with low-dose aspirin is just as effective as using the 325-mg dose for the prevention of major cardiovascular events, and both doses are associated with a very low rate of bleeding, according to findings from the open-label, pragmatic ADAPTABLE trial. The results, presented as a late-breaking clinical trial during the American College of Cardiology 2021 Scientific Session and published simultaneously in the New England Journal of Medicine, suggest equivalence between the two doses and should help inform clinical practice in the United States, where there is some uncertainty about the right aspirin dose for secondary prevention, say investigators.

Radial Superior to Femoral Access in Patients With Prior CABG

April 07, 2021 For patients with a history of CABG surgery in need of a diagnostic catheterization and/or PCI, radial artery procedures are associated with a significantly lower risk of death, bleeding, and vascular complications when compared with procedures performed with femoral access, according to an observational study. Experts say the new report provides yet more evidence for the “radial-first” approach advocated by the American Heart Association, and hope it will encourage more US operators to adopt radial access for patients with surgical grafts. This analysis confirms such a strategy is used in fewer than one in five patients in this subset.

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