Alcohol Use and Cardiovascular Disease: A Scientific Statement From the American Heart Association: @CircAHA
🥸 Great work from @AHAScience
😱 No level of alcohol is truly “safe”: Summary
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🥸1️⃣ Alcohol use and cardiovascular disease (CVD) have a complicated and often debated relationship; this AHA statement reviews decades of research on coronary artery disease (CAD), stroke, heart failure (HF), arrhythmias, and cardiomyopathy.
🥸2️⃣ Most evidence linking alcohol and CVD is observational, with strong risks for bias and confounding; randomized trials are rare, and definitive answers are lacking.
Tirzepatide as Compared with Semaglutide for the Treatment of Obesity: @NEJM
🥸 SURMOUNT-5 Trial: Wow!
😱 Summary
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🥸 1️⃣ SURMOUNT-5 directly compares tirzepatide and semaglutide for obesity in adults without diabetes. First head-to-head randomized trial of these two GLP-1–based agents. Published @NEJM, May 2025.
[DOI: 10.1056/NEJMoa2416394]
🥸 2️⃣ 751 adults with BMI ≥30 or ≥27 + 1 comorbidity (HTN, dyslipidemia, OSA, or CVD) were randomized to tirzepatide (10 or 15 mg) or semaglutide (1.7 or 2.4 mg) once weekly for 72 weeks. No participants had type 2 diabetes.
Healthy ageing in older adults with cardiovascular disease: @ESC_Journals
🥸 So proud of Nathalie, Jon & @KritiKalra092 for their hard work
😱 With my friend @MichaelGNanna in published in the European Heart Journal
🥸What is healthy aging? How do we achieve it?
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🥸 1️⃣ Healthy ageing in cardiovascular disease matters because by 2050, adults 65+ will represent over 20% of the U.S. and nearly 30% of Europe's population, dramatically shifting healthcare needs.
🥸 2️⃣ Cardiovascular disease already leads all causes of death globally, and as populations age, CVD-related disability and healthcare costs will keep rising.
Extended Reduced-Dose Apixaban for Cancer-Associated Venous Thromboembolism: @NEJM
🥸 - good work #ACC25 @ACCinTouch
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🥸1️⃣ In cancer-associated VTE, extended anticoagulation is common—but the dose remains uncertain. The API-CAT trial tested reduced-dose vs. full-dose apixaban after 6 months of initial therapy.
🥸2️⃣ 1,766 patients with active cancer and prior VTE were randomized to apixaban 2.5 mg BID or 5 mg BID for 12 months. Median follow-up was nearly 12 months.
Global Effect of Cardiovascular Risk Factors on Lifetime Estimates: @NEJM
🥸 Great work from Germany on global life time risk of CVD risk
😱 Summary
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🥸1️⃣ Lifetime cardiovascular risk increases with the number of classic risk factors you carry at age 50. The Global Cardiovascular Risk Consortium analyzed over 2 million people to estimate how much risk factors shorten life and healthspan.
🥸2️⃣ Five risk factors were studied: high blood pressure, high cholesterol, diabetes, smoking, and unhealthy body weight.
Lepodisiran — A Long-Duration Small Interfering RNA Targeting Lipoprotein(a): @NEJM #ACC25
🥸This is a great trial
😱 Let's summarize
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🥸1️⃣ Elevated concentrations of lipoprotein(a) are a strong, independent risk factor for cardiovascular disease. Lepodisiran, a long-acting small interfering RNA, targets hepatic production of lipoprotein(a).
🥸2️⃣ In the ALPACA trial, 320 adults with baseline lipoprotein(a) ≥175 nmol/L were randomly assigned to receive lepodisiran (16 mg, 96 mg, or 400 mg) or placebo.