Managing Chronic Coronary Artery Disease – Part 1:

?? Our latest Cardio Buzz episode delves into the medical management of coronary artery disease (CAD) – a condition that demands a precise, evidence-based approach to slow disease progression, relieve symptoms, and prevent major cardiovascular events.

?? What You’ll Learn in This Episode:

1?? Lifestyle Modifications – A Cornerstone of Cardiac Health:

? Smoking cessation: Quitting smoking reduces premature death by 36%. When counseling isn’t enough, we discuss strategies like nicotine replacement therapies and Bupropion.

? The truth about e-cigarettes and why they should only be part of formal cessation programs. ??

? Mediterranean diet: A plant-based gold standard for reducing CV mortality.

? Exercise: 150 minutes of aerobic activity + resistance training for profound CV benefits.

? Mental health: Depression and anxiety worsen outcomes – identifying and treating them improves adherence and reduces mortality.

2?? Semaglutide – A Paradigm Shift:

? A landmark trial of 17,000+ patients showed 20% fewer cardiovascular eventsin overweight individuals, with or without diabetes.

? Semaglutide now holds a Class 2A recommendation for CV event reduction.

3?? Optimizing Antiplatelet Therapy:

? For chronic coronary syndromes, clopidogrel emerges as the superior choice, outperforming aspirin for event prevention while minimizing bleeding risk.

? Extended dual antiplatelet therapy (DAPT) tailored to thrombotic vs. bleeding risk improves outcomes.

4?? Targeting Inflammation:

? Inflammation drives atherosclerosis. The COLCOT and LODOCO2 trials demonstrated that low-dose colchicine reduces CV events by 23-31%.

5?? Angina Relief – Tailoring Therapy:

? From beta-blockers to newer agents like ranolazine, we explore how to tailor therapies to individual patients’ needs.

Why Watch This Episode?

Understanding these key pillars – lifestyle, medications, and symptom relief – is essential for every clinician managing CAD patients.

?? Watch the full episode here: https://youtu.be/HpV1H02sAqU?si=GtWrH1U-YbCtntYI

?? Next Episode: We’ll explore revascularization strategies – when to choose PCI over CABG and how to combine interventions with medical therapy for optimal outcomes.

Let’s keep learning and improving patient care together!

Warm regards,

Dr. Hussien Heshmat

#Cardiology #MedicalManagement #CardioBuzz #CAD #Atherosclerosis #HealthcareEducation ??