Controversies in Cardiology

Section 1. Special situations of controversial, increased, or unknown cardiovascular risk.- Optimal management of old and new CV risk factors.- Angiographic narrowing prior to ST elevation MI. Are the lesions non-obstructive?.- Preventing future acute coronary events - Identify and treat vulnerable plaques or vulnerable, high risk patients?.- Treatment of diabetes and coronary artery disease.- Elevated triglycerides and atherosclerosis.- Patent foramen ovale and stroke.- Systolic hypertension in the elderly.- Section 2. Cardiovascular diagnosis.- CT angiography vs routine stress testing in patients with chest pain seen in the emergency room to exclude coronary artery disease.- Takotsubo cardiomyopathy- frequency, diagnosis and management.- Chest pain in women - evaluation and management.- Section 3. Cardiovascular management.- Myocardial infarction and "normal" coronary arteries on angiography.- Management of intractable angina when PCI or CABG is not an option.- Invasive management of CAD in patients on anticoagulants.- Managing intracoronary thrombus during PCI.- Optimal management of multivessel disease - PCI vs CABG vs medical therapy alone.- Appropriate therapy for severe left main disease.- Radial vs femoral procedures for angiography and PCI.- DAPT after stenting in stable and acute coronary syndromes - does the drug combination really matter?.- CAD management in patients with significant renal dysfunction or on dialysis.- What is the optimal stent design?.- Oral pharmacotherapy in the prevention of restenosis: prednisolone, rapamune, colchicine and cilostazol.- When should ablation be considered in the treatment of atrial fibrillation?.- Use of advanced and expensive cardiac procedures in the very elderly- Can or should we limit access?.- Cost benefits of TAVR- Should the indications be expanded?.