Papers from every journal, all in one place. أنشئ موجزات مخصصة.
Tailored plans needed to improve GDMT access in older HF patients; extends recommendations to address age-specific barriers.

Exercise Performance With Aficamten vs Metoprolol in Obstructive Hypertrophic Cardiomyopathy
Aficamten may be preferred over metoprolol for exercise capacity in symptomatic obstructive HCM; extends RCT evidence for myosin inhibitors versus beta-blockade.
““These findings provide compelling justification for aficamten treatment as an appropriate alternative to current first-line treatment with metoprolol, to treat exercise intolerance in oHCM.””

10-Year Randomized Outcomes of Transcatheter or Surgical Aortic Valve Replacement in Intermediate-Risk Aortic Stenosis
May favor surgery over early-generation TAVR for 10-year survival in intermediate-risk patients; challenges assumptions of long-term equivalence.
“Taken together, the studies show a likely early advantage of TAVR with respect to the important primary clinical endpoints, with a later catch-up of surgery, such that there are no major differences between the therapies at 5 years.”

Prescribe physical activity for cardiometabolic gains irrespective of weight loss; extends evidence for multimodal obesity management.

Scientific statement examines risk assessment for improving cardiovascular disease prevention strategies.

May inform perinatal HF care via expert consensus; leaves open standardized definitions and screening tools.

May enhance CV endpoint consistency in oncology trials; leaves open effects on outcomes or regulatory decisions pending validation.

10-Year Outcomes of SAPIEN 3 Transcatheter Aortic Valve Replacement or Surgery in Intermediate-Risk Patients
Supports TAVR durability in intermediate-risk patients; extends PARTNER 2 follow-up yet leaves open need for randomized confirmation.
“Taken together, the studies show a likely early advantage of TAVR with respect to the important primary clinical endpoints, with a later catch-up of surgery, such that there are no major differences between the therapies at 5 years. However, we know that 6 to 10 years and beyond is really the test of time for these valves, and that’s where we’re starting to see some differences emerge.”

Resistance Training, Aerobic Activity, Television Viewing, and Risk of Major Cardiovascular Events in U.S. Women
Observational data should not yet change practice; extends evidence on resistance training for CVD prevention in women but requires trials.
“These findings suggest that, within an already active population, RT is associated with additional reductions in [cardiovascular disease] risk above and beyond overall aerobic activity. Alongside aerobic activity and reductions in sedentary behavior, RT may be an important component of public hea...”

Finerenone Across Cardiovascular-Kidney-Metabolic Syndrome Stages
Supports finerenone across CKM stages in T2D-CKD; extends prior RCTs to include syndrome regression.
“Importantly, participants who experience new-onset AFib/AFL were at a substantially higher subsequent risk of adverse cardiovascular and kidney outcomes than were those who remained free of AFib/AFL during follow-up. These findings highlight the role of finerenone in reducing the risk of new-onset AFib/AFL, mitigating downstream complications, and ultimately improving outcomes in patients across the CKM spectrum.”
