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May enhance CV endpoint consistency in oncology trials; leaves open effects on outcomes or regulatory decisions pending validation.
Beta-blockers after myocardial infarction: indication, ejection fraction, and de-escalation pathway
Supports de-escalation of beta-blockers post-MI by EF and indication; challenges routine indefinite continuation in all patients.
Randomized Controlled Trial of Internet‐Delivered Cognitive Behavioral Therapy After Myocardial Infarction With Nonobstructive Coronary Arteries or Takotsubo Syndrome
Does not meet primary endpoint; leaves open possible TS subgroup benefit and secondary anxiety effects for larger trials.
Oncology trials warrant routine CV safety integration; leaves open optimal monitoring protocols for practice.
Cardiac Rehabilitation for Angina with Non-Obstructive Coronary Arteries: A Scoping Review
May support tailored CR programs for ANOCA; leaves open efficacy confirmation in RCTs before practice change.
Social Frailty in Heart Failure: A Scoping Review of Prevalence, Impact and Critical Knowledge Gaps
Inconsistent social frailty measures in heart failure warrant clinical caution; leaves open need for consensus definitions and prospective studies.
Effects of lipid-lowering therapies on vascular parameters: a systematic review and meta-analysis of randomized controlled trials
LLTs may enhance vascular function in clinical care; reinforces RCT evidence for FMD and PWV benefits.
Artificial intelligence in the clinical management and prognostication of mitral regurgitation: a systematic review
AI may refine MR assessment precision in practice; extends AI evidence in valvular disease but leaves open need for prospective trials.

Modified ResNet-50 and custom CNN ensembles achieve near perfect STEMI detection on European ST-T database
Supports integration of ensemble deep learning into diagnostic pathways; extends prior AI benchmarks with RCT validation.

Association Between Home-Based Exercise Modality and Improvements in Exercise Capacity During Outpatient Cardiac Rehabilitation ― A Retrospective Observational Study ―
Ergometer-based exercise was associated with higher peak VO2; hypothesis-generating given observational design and self-efficacy attenuation.