ESC 2026 DiscussionExplore the Hot Line trials, expert perspectives, and key takeawaysExplore the discussion→Papers from every journal, all in one place. Create custom feeds.
CVD risk equations may not generalize across high- and non-high-income settings in diabetes; leaves open need for local derivation and validation.

CRT-linked metabolomic shifts in HFrEF may indicate better substrate use; hypothesis-generating for response prediction, needs prospective validation.

LMNA carriers with dilated cardiomyopathy may warrant closer AF monitoring; extends genotype-specific risk data but leaves practice change open pending trials.

Recurrence identifies higher-risk patients; leaves open whether intensified monitoring or therapy improves outcomes.

Baseline severe TR doubles mortality risk after successful M-TEER; leaves open whether TR-directed intervention improves outcomes.

Comparable reintervention mortality irrespective of initial valve type supports standardized approaches; leaves open mechanism-specific prospective trials.

Real-world data support Trilogy TAVR feasibility in AR; leaves open need for RCTs on durability and outcomes.

Meta-analysis of randomized trials demonstrates the efficacy and safety of pulsed-field ablation in paroxysmal atrial fibrillation, highlighting a viable non-thermal alternative.
May aid post-CABG risk stratification as a metabolic marker; extends observational evidence on TyG prognostic value.

Supports OAC discontinuation after successful AF ablation without excess stroke; challenges guidelines recommending indefinite therapy based on risk scores alone.
