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Top stories: Cardiac arrest—Patients at risk

HeartRhythm

Curtain etal1 performed an analysis of the VALIANT (Valsartan in Acute Myocardial Infarction) and PARADISE-MI (Prospective ARNi vs ACE Inhibitor Trial to Determine Superiority in Reducing Heart Failure Events After MI) trials to evaluate whether risk of sudden cardiac arrest (SCA) following acute myocardial infarction (MI) has changed over time.

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Rates of Sudden Death After Myocardial Infarction—VALIANT and PARADISE-MI Trials

JAMA Cardiology

This secondary analysis of the Valsartan in Acute Myocardial Infarction (VALIANT) and Prospective ARNi vs ACE Inhibitor Trial to Determine Superiority in Reducing Heart Failure Events After MI (PARADISE-MI) randomized clinical trials investigates the changes over time in sudden death rate after myocardial infarction and the characteristics of people (..)

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Prospective ARNI versus ACE Inhibitor Trial to Determine Superiority in Reducing Heart Failure Events After MI

American College of Cardiology

The goal of the PARADISE-MI trial was to assess the efficacy and safety of sacubitril/valsartan compared with ramipril in a contemporary acute myocardial infarction (AMI) population.

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Sacubitril/valsartan compared to ramipril in high?risk post?myocardial infarction patients stratified according to use of mineralocorticoid receptor antagonists: insight from the PARADISE MI trial

European Journal of Heart Failure

Sacubitril/valsartan and a mineralocorticoid receptor anatogonist (MRA) can be initiated safely and used simultaneously in post-myocardial infarction complicated by left ventricular (LV) dysfunction, congestion or both – Insight from the PARADISE MI trial. Safety was defined as symptomatic hypotension, hyperkalaemia >5.5 mmol/L,

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SGLT-2 Inhibitors Show Mixed Results After Heart Attack

DAIC

The EMPACT-MI trial was designed to determine whether SGLT-2 inhibitors could safely help to prevent heart failure and reduce mortality in people with a high risk of heart failure following a heart attack. The study enrolled 6,522 people treated for acute myocardial infarction at 451 centers in 22 countries.

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Renin-angiotensin system inhibition after surgical aortic valve replacement for aortic stenosis

Heart BMJ

The primary outcome was major adverse cardiovascular events (MACEs; all-cause mortality, stroke or myocardial infarction). Time-updated adjusted Cox regression models were used to compare patients with and without RAS inhibitors. Both treatment with ACE inhibitors (aHR 0.89 (95% CI 0.82 to 0.86), p<0.001).

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EMPACT-MI Trial Outcomes Reported at ACC24: SGLT-2 Inhibitors Show Mixed Results After Heart Attack

DAIC

The EMPACT-MI trial was designed to determine whether SGLT-2 inhibitors could safely help to prevent heart failure and reduce mortality in people with a high risk of heart failure following a heart attack. The study enrolled 6,522 people treated for acute myocardial infarction at 451 centers in 22 countries. 24 conference.