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Implantable cardioverter defibrillators did not improve mortality in selected heart-attack patients

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  • 2025-09-02 00:30 event
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Implantable cardioverter defibrillators did not improve mortality in selected heart-attack patients
Prophylactic implantable cardioverter defibrillator therapy did not reduce mortality in patients with a prior myocardial infarction, persistent moderate left ventricular systolic dysfunction and abnormal ECG markers, according to late-breaking research presented in a Hot Line session today at ESC Congress 2025.

1.220. Digital twin-guided ablation reduces arrhythmia recurrence in persistent atrial fibrillation, clinical trial finds

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Adding digital twin-guided ablation to a standard ablation technique improved outcomes in patients with persistent atrial fibrillation (AF), according to late-breaking research presented in a Hot Line session at the ESC Congress 2025.

1.221. New data to guide the treatment of patients with multivessel coronary artery disease

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Noninferiority was not demonstrated between immediate and staged complete revascularization in patients with ST-segment elevation myocardial infarction (STEMI) and multivessel disease undergoing percutaneous coronary intervention (PCI), according to late-breaking research presented in a Hot Line session at the ESC Congress 2025 and simultaneously published in The Lancet.

1.222. Stopping oral anticoagulation therapy after successful atrial fibrillation ablation may lower risk of harm

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Discontinuing oral anticoagulation (OAC) therapy resulted in a lower risk of a composite of stroke, systemic embolism or major bleeding than continuing OAC therapy in patients who had successful ablation for atrial fibrillation at least 12 months previously, according to results from a late-breaking trial presented in a Hot Line session at ESC Congress 2025 and simultaneously published in the Journal of the American Medical Association.

1.223. Home-based hypertension care is effective in rural South Africa, study reveals

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Home-based hypertension care led to reductions in systolic blood pressure and improvements in hypertension control in South Africa, according to late-breaking research presented in a Hot Line session at the ESC Congress 2025 and simultaneously published in the New England Journal of Medicine.

1.224. New trial evidence on the use of blood thinners after coronary stenting

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Noninferiority was not demonstrated for death and ischemic events between P2Y12 inhibitor monotherapy and dual antiplatelet therapy (DAPT) given for 12 months after stenting in patients with acute coronary syndromes (ACS), according to late-breaking research presented in a Hot Line session at the ESC Congress 2025 and simultaneously published in the New England Journal of Medicine.

1.225. Early escalation, late de-escalation of antiplatelet therapy is not beneficial in patients after complex stenting: Trial

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There was no benefit to modulating the intensity of antiplatelet therapy compared with standard antiplatelet therapy in high-risk patients who had undergone complex stenting procedures, according to late-breaking research presented in a Hot Line session at the ESC Congress 2025.

1.226. Reconditioned pacemakers provide new hope for patients in low- and middle-income countries

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Procedure-related infection rates were similar to reconditioned and new pacemakers, according to late-breaking research presented in a Hot Line session at the ESC Congress 2025.

1.227. Trial findings support 3 months of blood thinners, rather than 12 months, in patients after myocardial infarction

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Three months of dual antiplatelet therapy (DAPT) was associated with signals suggesting improved survival and lower bleeding risk than 12 months of DAPT, in a real-world all-comer population of patients with myocardial infarction (MI), according to late-breaking research presented in a Hot Line session at the ESC Congress 2025.

1.228. Early and sustained LDL-C goal achieved with inclisiran in patients at high cardiovascular risk

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More patients with hypercholesterolemia at high/very high risk of cardiovascular (CV) events achieved low-density lipoprotein cholesterol (LDL-C) goals with inclisiran compared with placebo, when given on top of individually optimized lipid-lowering therapy, according to a late-breaking trial presented in a Hot Line session today at ESC Congress 2025.

1.229. Implantable cardioverter defibrillators did not improve mortality in selected heart-attack patients

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Prophylactic implantable cardioverter defibrillator therapy did not reduce mortality in patients with a prior myocardial infarction, persistent moderate left ventricular systolic dysfunction and abnormal ECG markers, according to late-breaking research presented in a Hot Line session today at ESC Congress 2025.

1.230. Should I limit how often my child eats nuts because they contain fat?

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When I mention kids and nuts in the same sentence, some parents react like I've dropped the F-bomb, thanks to the association of nuts with two other F-words: fat and fear.

1.231. Ultra-processed foods might not be the real villain in our diets—here's what research found

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Ultra-processed foods (UPFs) have become public enemy number one in nutrition debates. From dementia to obesity and an epidemic of "food addiction," these factory-made products, including crisps, ready meals, fizzy drinks and packaged snacks, are blamed for a wide range of modern health problems. Some experts argue that they're "specifically formulated and aggressively marketed to maximize consumption and corporate profits," hijacking our brain's reward systems to make us eat beyond our needs.

1.232. Early aspirin discontinuation linked to benefits in low-risk patients with myocardial infarction

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Among low-risk patients with acute MI who underwent early complete revascularization and received one month of dual antiplatelet therapy (DAPT), P2Y12 inhibitor monotherapy was noninferior to continued DAPT for adverse cardiovascular and cerebrovascular events, while reducing bleeding risk.

1.233. Depression may make learning to avoid unpleasant events harder

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Depression alters how people pursue rewards, but, conversely, whether depressive symptoms influence how people learn to avoid nonrewarding, unpleasant events is less clear.

1.234. Clopidogrel might be better than aspirin for long-term heart disease

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A comprehensive analysis of nearly 29,000 patients with coronary artery disease (CAD) suggests that clopidogrel, a commonly prescribed blood thinner, is more effective than aspirin in preventing serious heart and stroke events, without increasing the risk of major bleeding.

1.235. Kidney donors who give to strangers do just as well as those who give to loved ones

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"Unspecified," "altruistic" or "non-directed" kidney donation refers to a kidney transplant where the donor and recipient do not know each other. These donations are crucial to increasing the number of high-quality kidneys available, but ethical concerns and assumptions that they are inferior to 'specified' donations (usually from a family member or close friend) mean the practice is not widely adopted in many countries around the world.

1.236. Hyperactive blood platelets linked to heart attacks despite standard drug therapy

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Scientists at the University of Augsburg have discovered a particularly active subgroup of blood platelets that may cause heart attacks in people with coronary heart disease despite drug therapy. This discovery may open up new prospects for customized therapies. The research results are published in the European Heart Journal and were presented on August 31 at Europe's largest cardiology congress.

1.237. No significant reduction in death found following comprehensive cardiovascular screening in men aged 60 to 64 years

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An invitation to attend a comprehensive screening examination for the early signs of cardiovascular disease (CVD) did not reduce all-cause death among men aged 60 to 64 years, according to late-breaking research presented in a Hot Line session today at ESC Congress 2025.

1.238. Extended blood-thinning treatment lowers recurrence in at-risk patients with provoked venous thromboembolism: Study

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Apixaban 2.5 mg twice daily significantly reduced symptomatic venous thromboembolism (VTE) recurrence, with a low risk of major bleeding, in patients with provoked VTE and enduring risk factors, according to late-breaking research presented in a Hot Line session today at ESC Congress 2025 and simultaneously published in New England Journal of Medicine.

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