We finish this week of Core Curriculum with a remarkable lecture on cardio-oncology from Dr. Gagan Sahni 🔑take home points

1) Cancer Therapeutic Related Cardiac Dysfunction (CTRCD) defined as decrease in ❤️LVEF >10% from baseline to a value <55%

2) Type 1 cardiotoxicity such as from Anthracyclines 💉is dose related, cumulative, and irreversible and Dexrazoxane can reduce risk

We continue our series on atrial fibrillation, anticoagulation, and left atrial appendage closure with an exceptional lecture by @VivekReddyMD 🔑take home points

1) EAST-AFNET 4 demonstrated benefit of early rhythm control in recently dx AF for CV 💀, stroke, or HF 🏥

2) Most recent ESC guidelines recommend patient choice of therapy, followed by ablation⚡️ for those who fail AADs💊 for symptomatic AF

We continue Summer Core Curriculum with a remarkable review of anticoagulation by worldwide expert Dr. Jonathan Halperin 🔑take home points

1) Substantial advances in OAC options with many nearing timeline for generic options in US 💊

2) Oral Xa inhibitors decrease risk of major bleeding🩸with comparable prevention of ischemic CVA🧠to warfarin