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Cardiology Trial’s Substack

A review of clinical trials in cardiovascular medicine that have had a major impact on the field. The trials are indexed according to major subject headings and presented in chronological order of publication date.

Newsletter · By Cardiology Trials · English · Official site

Indexed issues, last 90 days
12
Latest publication
Sep 29, 2026
Audience
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Earliest in this view
Jul 28, 2026

Latest issues

  1. Issue · Sep 29, 2026

    Review of the PFA-SHAM trial (opens the original)

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    Circulation 2026;153:1984-1998Background: Catheter ablation for atrial fibrillation (AF) is one of the most commonly performed cardiovascular procedures, and randomized trials have shown that it outperforms antiarrhythmic drugs at preventing arrhythmia recurrence. A mortality benefit was seen in patients with systolic heart failure (see CASTLE -AF and CASTLE-HTx - these trials had limita

  2. Issue · Sep 22, 2026

    Review of the SHAM-PVI trial (opens the original)

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    JAMA. 2024;332(14):1165-1173Background: Pulmonary vein isolation (PVI) for atrial fibrillation (AF) is a frequently performed procedure. At the time of writing this review, it’s estimated that over 100,000 AF ablation procedures are performed in the United States each year. Prior trials of AF ablation showed reduction in AF burden and improvement in symptoms and quality of life. However, these trials were unblinded making these endpoints subject to performance bias and/or placebo effect. The SHA

  3. Issue · Sep 15, 2026

    Summary and discussion of CABANA and EARLY-AF (opens the original)

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  4. Issue · Sep 8, 2026

    Review of the CASTLE-HTx trial (opens the original)

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    N Engl J Med. 2023;389(15):1380-1389.Background: Catheter ablation was tested in patients with atrial fibrillation (AF) and heart failure (HF). However, prior trials, notably in CASTLE-AF and RAFT-AF, didn’t include patients with advanced end-stage heart failure - those already being evaluated for heart transplantation or left ventricular assist device (LVAD) implan

  5. Issue · Sep 4, 2026

    Review of the RAFT-AF trial (opens the original)

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    Circulation 2022;145:1693-1704 Background: Atrial fibrillation (AF) and heart failure (HF) frequently coexist. Patients with both conditions carry worse prognosis than patients with either condition alone. Pharmacologically based rhythm control has not been shown to be superior to rate control for AF in patients with HF, in trials such as AFFIRM and AF-CHF. Whether catheter abla

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