What Do You Consider to Be the Top Medical Advances of the Past 20 Years?

Ryan Syrek, Editor

Disclosures

May 27, 2015

Coronary CT angiography: The ability to image coronary arteries noninvasively and the derivative technology to measure fractional flow reserve noninvasively will revolutionize the diagnosis of coronary artery disease.

The vulnerable plaque: Understanding the architecture and biology of the vulnerable plaque has informed the mechanism by which medical therapy works and will lead to better treatment of atherosclerosis.

TAVR: Percutaneous valve replacement is a revolutionary alternative to open chest surgery.

Primary PCI for STEMI: Early reperfusion of acutely occluded coronary arteries saves heart muscle, and saves lives.

Statins for secondary prevention: Statins are the cornerstone of therapy for secondary prevention in patients with atherosclerotic cardiovascular disease. Evidence from randomized, controlled trials clearly shows that events are reduced by using the maximum tolerated intensity of statin therapy. Therefore, high-intensity therapy (eg, atorvastatin 40-80 mg or rosuvastatin 20-40 mg) should be prescribed to these patients to maximally decrease low-density lipoprotein cholesterol.

Top cardiology advances selected by David J. Maron, MD, Clinical Professor of Medicine (Cardiovascular); Director, Preventive Cardiology; ISCHEMIA Trial Cochair/Principal Investigator, Stanford University School of Medicine, Stanford, California.

For more on the use of statins for secondary prevention, read here.

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