Key Points of Coronary Artery Disease Studies in 2023:
• ORBITA-2: Confirmed PCI's role in relieving angina symptoms for stable patients.
• SELECT: Semaglutide (Ozempic) reduced cardiovascular events in overweight/obese patients with existing CVD.
• Left Main CAD Revascularization: Guidelines downgraded PCI to less strong recommendation for low-risk patients.
• ROMA-Women: Launched to study gender differences in CABG outcomes.
• New Chronic Coronary Disease Guidelines: Recommend SGLT2 inhibitors and GLP-1 agonists in select cases.
• REPRIEVE: Pitavastatin lowered cardiovascular risk in HIV patients on antiretroviral therapy.
• BIOVASC: Immediate PCI was safe and effective as staged procedures in ACS patients.
• Imaging Wars: ILLUMIEN IV showed a limited benefit of OCT, while RENOVATE-COMPLEX-PCI found value in complex cases.
• DAPT Duration: Studies suggest shorter regimens may be beneficial in certain patients.
• DAPA-MI: Mixed results for dapagliflozin in acute MI, but improved cardiometabolic outcomes.
• MINT: No harm seen with liberal transfusion strategy in anemic acute MI patients.
• Oral PCSK9 Inhibitor: Potential future breakthrough for LDL cholesterol control.
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