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Routine heart CT scanning is not warranted after stenting for left main coronary artery disease, trial results indicate

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  • 2025-09-02 01:50 event
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Routine heart CT scanning is not warranted after stenting for left main coronary artery disease, trial results indicate
Routine coronary computed tomography (CCT)-based follow-up after percutaneous coronary intervention (PCI) of the left main coronary artery did not reduce death, myocardial infarction (MI), unstable angina or stent thrombosis compared with symptom-based follow-up, according to late-breaking research presented in a Hot Line session at the ESC Congress 2025.

1.212. Patient-operated ECGs reveal AF burden predicts long-term outcomes during early rhythm control

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An analysis of patient-operated ECGs from the EAST—AFNET 4 trial revealed: A low AF burden below 6% in the first year of early rhythm control therapy was associated with low cardiovascular event rates during the subsequent 4 years of follow-up. Patients with a higher AF burden on early rhythm control suffered more AF-related events. The findings were presented by AFNET board member Prof. Ulrich Schotten, Maastricht University, in a hotline session at the annual congress of the European Society of Cardiology (ESC) in Madrid.

1.213. Fascin-1 protein identified as driver of cervical cancer spread and drug resistance

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Cervical cancer remains one of the most common malignancies in women, ranking as the fourth most prevalent cancer worldwide. Most cases are caused by high-risk strains of human papillomavirus (HPV), particularly HPV16 and HPV18.

1.214. Olezarsen reduces levels of the blood fat, triglycerides, in patients at high cardiovascular risk: Clinical trial

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Olezarsen decreased levels of triglycerides compared with placebo in patients with moderate hypertriglyceridemia and elevated cardiovascular risk, according to a late-breaking trial presented in a Hot Line session at the ESC Congress 2025 and simultaneously published in the American Heart Journal.

1.215. Clinical trial finds pulsed field ablation was not superior to radiofrequency ablation in paroxysmal atrial fibrillation

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Pulsed field ablation did not have superior efficacy to radiofrequency ablation in patients with drug-resistant paroxysmal (intermittent) atrial fibrillation, according to results from a late-breaking trial presented in a Hot Line session at the ESC Congress 2025.

1.216. No support found for dual antiplatelet therapy after cardiac bypass surgery over aspirin alone

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Dual antiplatelet therapy after cardiac bypass surgery is no more effective than acetylsalicylic acid alone and also increases the risk of serious bleeding. This is shown in a study by researchers at Karolinska Institutet and the University of Gothenburg published in the journal the New England Journal of Medicine.

1.217. Clinical trial finds aficamten is superior to metoprolol for symptomatic obstructive hypertrophic cardiomyopathy

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Aficamten treatment was associated with significant improvements in exercise capacity and symptoms compared with metoprolol in patients with symptomatic obstructive hypertrophic cardiomyopathy (HCM), according to late-breaking research presented in a Hot Line session at ESC Congress 2025 and simultaneously published in the New England Journal of Medicine.

1.218. Exploring criminal behavior in patients with dementia

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A suspected perpetrator who can barely remember his name, several traffic violations committed by a woman in her mid-fifties who is completely unreasonable and doesn't understand her behavior—should such cases be brought before a court? And how does the state deal with people who commit acts of violence without meaning to?

1.219. Neuroscientists show for first time that precise timing of nerve signals determines how brain processes information

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It has long been known that the brain preferentially processes information that we focus our attention on—a classic example is the so-called cocktail party effect.

1.220. A potential new Blue Zone: Region in Finland stands out for its populace's longevity

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Swedish-speaking Ostrobothnia in Finland stands out as a potential Blue Zone, thanks to factors such as long life expectancy, good health and a lifestyle resembling those in well-known Blue Zones. Åland, which boasts the highest life expectancy and best health, fails to meet the lifestyle principles of Blue Zones, except when it comes to providing a pleasant environment, according to a study from Åbo Akademi University.

1.221. Routine heart CT scanning is not warranted after stenting for left main coronary artery disease, trial results indicate

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Routine coronary computed tomography (CCT)-based follow-up after percutaneous coronary intervention (PCI) of the left main coronary artery did not reduce death, myocardial infarction (MI), unstable angina or stent thrombosis compared with symptom-based follow-up, according to late-breaking research presented in a Hot Line session at the ESC Congress 2025.

1.222. Blood-pressure lowering effects of zilebesiran found in hypertensive patients at high cardiovascular risk

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Among individuals with cardiovascular disease or high cardiovascular risk and uncontrolled hypertension on multiple anti-hypertensive agents, a single subcutaneous dose of zilebesiran 300 mg led to a 5-mmHg reduction in systolic blood pressure at Month 3 compared with placebo, a difference that did not reach statistical significance. These results were presented as a late-breaking trial in a Hot Line session today at ESC Congress 2025.

1.223. Evidence appears supportive for the initiation of SGLT2 inhibitors in patients hospitalized for heart failure

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In-hospital initiation of dapagliflozin did not significantly reduce the short-term risk of cardiovascular death or worsening heart failure (HF) in patients admitted for HF, although positive effects were seen when combining trial data, according to late-breaking research presented in a Hot Line session at ESC Congress 2025. Findings were also published in the journal Circulation.

1.224. 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.

1.225. 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.

1.226. 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.

1.227. 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.

1.228. 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.

1.229. 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.

1.230. 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.

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