Aditya A Joshi Profile picture
Advanced HF Cardiologist in making @UWCardiology. Son, Husband to @AvanteeG, Dad, Physician. @FCBarcelona. Opinions own.

Sep 26, 2020, 12 tweets

The first debate between Dr Johnson and Dr Miller! Dr Johnson presents a case to begin the talk.

Here is the cath and the FFR!

SKepticism for PCI from both physicians and the guidelines committee.

He then goes into dissecting five different endpoints!

We look at 5 different trials that have tried to answer the question about these endpoints.
No benefit for CV death but consistent benefit for spontaneous MIs!!

Significant improvement in angina from PCI compared to medical treatment.

Rates of spontaneous MI have been more common compared to peri procedural MI.

Benefits are indeed in addition to medical treatments.

He debates that these results are not really summarized well and with nuance.
Suggestion that the confusion arises from use of composite endpoint and not dissecting it in detail!

PCI added to medical treatment has consistently benefited spont MIs.This has been now reflected in newer guidelines.

And that is it from Dr Johnson. Lets see what Dr Miller has in his talk for us! @MyASNC #CVNuc #ASNC2020 @NitiCardio @krishnapatel888 @MrinShettyMD @eakintoyeMD @biljana_parapid @RBP0612 @MasriAhmadMD

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