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#7: Post-stroke DOACs, SGLT-2 inhibitors and hematocrit, post-discharge rivaroxaban for COVID-19, plus the influence of age on statin efficacy

#7: Post-stroke DOACs, SGLT-2 inhibitors and hematocrit, post-discharge rivaroxaban for COVID-19, plus the influence of age on statin efficacy

FromMedmastery's Cardiology Digest


#7: Post-stroke DOACs, SGLT-2 inhibitors and hematocrit, post-discharge rivaroxaban for COVID-19, plus the influence of age on statin efficacy

FromMedmastery's Cardiology Digest

ratings:
Length:
16 minutes
Released:
Jan 30, 2024
Format:
Podcast episode

Description

Welcome to the latest episode of Cardiology Digest, where we dive into the pressing questions of today's medical research. Here's a glimpse of what's to come:   STUDY #1: Have you ever wondered about the optimal timing for introducing DOACs (direct-acting oral anticoagulants) after strokes due to atrial fibrillation? This New England Journal of Medicine study dives into the potential advantages of early DOAC introduction. You might be surprised at the rates of symptomatic intracranial hemorrhage. But remember, patient profiles vary—for example, what works for those with mild neurologic deficits might not hold true for everyone. Fischer, U, Koga, M, Strbian, D, et al. 2023. Early versus later anticoagulation for stroke with atrial fibrillation. N Engl J Med. 26: 2411–2421. (https://doi.org/10.1056/NEJMoa2303048)   STUDY #2: Next, we’ll take a look at the curious case of rising hematocrit in certain chronic kidney disease patients who have anemia and were treated with SGLT-2 inhibitors. Did they have a genuine improvement in anemia or was it merely an illusion? SGLT-2 inhibitors are the focal point, and we'll dissect their multifaceted effects that may be at play here.  Koshino, A, Schechter, M, Chertow, GM, et al. 2023. Dapagliflozin and anemia in patients with chronic kidney disease. NEJM Evid.  6. (https://doi.org/10.1056/EVIDoa2300049)   STUDY #3: Hospitalization due to COVID-19 has presented a conundrum regarding post-discharge thromboprophylaxis. With the pandemic making such profound impacts on global health, it's crucial to address these concerns. See how new findings align with prior observational studies, and where rivaroxaban fits into all of this. Wang, TY,  Wahed, AS, Morris, A, et al. 2023. Effect of thromboprophylaxis on clinical outcomes after COVID-19 hospitalization. Ann Intern Med. 4: 515–523. (https://doi.org/10.7326/M22-3350)   STUDY #4: Cholesterol management remains pivotal in cardiac care. But the question our fourth study poses is this: do age differences impact the effectiveness of statins, particularly in lowering LDL cholesterol? A dive into this study could reshape perceptions on dosage recommendations for certain patient demographics. Corn, G, Melbye, M, Hlatky, MA, et al. 2023. Association between age and low-density lipoprotein cholesterol response to statins: A Danish nationwide cohort study. Ann Intern Med. 8: 1017–1026. (https://doi.org/10.7326/M22-2643)   So, arm yourself with your favorite beverage and comfy earphones, and join us in uncovering the gems these studies hold. The revelations might just change the way you see these medications and treatments! ??? For show notes, visit us at https://www.medmastery.com/podcasts/cardiology-podcast.
Released:
Jan 30, 2024
Format:
Podcast episode

Titles in the series (13)

Welcome to Medmastery's Cardiology Digest. We are the leading clinical skills training platform, trusted by hundreds of thousands of clinicians worldwide. We have won many teaching awards and are highly recommended by the British Medical Association. In this podcast, we simplify the latest developments and trends in cardiology and medicine. Our weekly episodes are designed to help you stay up-to-date with the most important advancements in the field. Let us sift through the cardiology literature. Then lean back and enjoy our bite-sized summaries and interpretations. We'll make complex studies simple and accessible for you. Cardiology is a complex and rapidly evolving field, with new treatments and technologies emerging all the time. It can be tough to keep up with all the papers that are being published on a daily basis. That's where we come in. Our cardiology experts select the most important papers and we break them down into digestible, easy-to-understand nuggets. Our aim is to help you stay informed and empowered, so you can make the right decisions for your patients. From heart disease to arrhythmias, we cover a range of topics that are relevant to the field of cardiology. We also discuss cutting-edge diagnostic tools and treatment options, so you can stay informed about the latest developments. So if you're looking for a simple, accessible way to stay up-to-date with the latest trends and advancements in cardiology and medicine, tune in to Medmastery's Cardiology Digest every week. Visit us at www.medmastery.com!