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Part 2 | Session 6 BHF PROTECT-TAVI: Cerebral Embolic Protection in TAVI
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Part 3 | Session 1 The Phase 3 REVERSE-IT Trial
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Part 3 | Session 2 EVOLUT Low Risk: 5Y Outcomes After TAVR or SAVR in Low-Risk Patients with AS
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Part 3 | Session 3 SMART-CHOICE 3: Clopidogrel vs Aspirin Monotherapy in High-Risk PCI Patients
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Part 3 | Session 6 MIGHTy-Heart: Mobile Integrated Health in Heart Failure
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Part 3 | Session 10 Lifetime Benefit by Control of Modifiable Risk Factors
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Part 3 | Session 11 CardiAMP-HF: Autologous Cell Therapy in Patients With HFrEF
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Part 4 | Session 1 4 Trials That Will Change My Practice with Dr Ambarish Pandey
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Part 4 | Session 2 4 Trials That Will Change My Practice with Dr Dipti Itchhaporia
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Part 1 | Session 1 View from the Thoraxcenter: What's Hot at ACC.25?
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Part 1 | Session 2 View from the Thoraxcenter: ACC 25 Wrap-Up
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Part 2 | Session 1 ADVANCE-HTN: Lorundrostat in Patients with Uncontrolled Hypertension
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Part 2 | Session 2 STRIDE: Semaglutide for Functional Capacity in Patients with T2D and PAD
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Part 2 | Session 3 API-CAT: Reduced Vs Full Dose Apixaban for Cancer-Associated Thrombosis
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Part 2 | Session 4 FRESH-UP: Liberal Intake Vs Fluid Restriction in Chronic Heart Failure
ACC 25 - SOUL shows oral semaglutide was superior to placebo in reducing the incidence of 3-point MACE in patients with type 2 diabetes and atherosclerotic cardiovascular disease and/or chronic kidney disease.
Late-breaker host, Dr Harriette Van Spall (McMaster University, Hamilton, CA) is joined by Dr Darren McGuire (UT Southwestern Medical Center, Dallas, US) to discuss the findings from the large-scale SOUL trial, which investigated the impact of oral semaglutide on type 2 diabetes patients with prior cardiovascular or chronic kidney disease. Patients were randomized 1:1 to recieve either a daily oral semaglutide tablet (3mg/7mg/14mg titration) or an oral placebo tablet. The primary outcome was time to first occurence of MACE, whilst secondary outcomes included a composite of renal outcomes, major adverse limb outcomes, heart failure outcomes, all-cause mortality, changes in HbA1c and body weight, and hypoglycemia episodes.
Findings showed that oral semaglutide had proven cardiovascular benefits, with consistent cardiovascular efficacy across subgroups by sex, age, BMI, eGFR and concomitant medication.
Recorded onsite at ACC 2025, Chicago.
Editors: Jordan Rance, Yazmin Sadik
Videographers: Dan Brent, David Ben-Harosh
Support: This is an independent interview produced by Radcliffe CVRM.
Keep up-to-date with our video collection on the American College of Cardiology's 74th annual congress, covering late-breaking science, featured science and clinical horizon sessions. Don't miss the preview and wrap-up of the congress in our View From the Thoraxcenter series, concise Expert Interviews with select faculty offering take-home messages for practice, and our Highlights summarising the most influential trials.
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Faculty Biographies

Harriette Van Spall
Associate Professor of Medicine, Director of E-Health and Virtual Care
Dr Harriette Van Spall is an Associate Professor of Medicine and cardiologist and serves as Director of E-Health at McMaster University, Canada. She completed her medical and postgraduate clinical training at the University of Toronto and earned a Master of Public Health degree at Harvard University, US. Dr Van Spall is a Canadian Institutes of Health Research-funded clinical trialist and researcher with a focus on heart failure, health services, and health disparities.
She has garnered more than $4 million in research funding, has won several research awards, and has published her work in high-impact medical journals. She is an invited speaker, media correspondent, and editorial board member active in peer review at several high-impact medications journals and grant funding agencies, including Canadian Institutes of Health Research and Heart and Stroke Foundation of Canada.
Dr Van Spall is an Editorial Board…
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