10 ACC.26 Trials Shaping Cardiology Right Now 

From lower LDL targets to less invasive interventions, ACC.26 delivered key updates across prevention, structural heart, and post-MI care. Here are the trials and takeaways worth keeping on your radar.

Our All Star Healthcare Solutions team spent three energizing days in New Orleans at the American College of Cardiology’s Annual Scientific Session (ACC.26) from March 28–30 — connecting with attendees, catching up with familiar faces, and meeting cardiologists from across the country. 

A big thank-you to everyone who stopped by booth #2457 to talk locum tenens and explore how we help cardiologists find more freedom and flexibility in their careers. 

Beyond the booth, ACC.26 delivered a steady stream of new data and clinical insights shaping how cardiologists think about care — from precision interventions to more proactive disease management. 

If you couldn’t make it this year — or just want a quick refresher between cases — here’s a look at the trials and takeaways worth keeping on your radar. 

Top Takeaways at a Glance 

  • Lower LDL targets continue to improve outcomes in secondary prevention, without added safety concerns  
  • Primary prevention is expanding, with earlier use of advanced lipid-lowering therapies in high-risk populations  
  • Less invasive and more streamlined approaches continue to perform well across interventional and structural care  
  • Long-standing therapies are being re-evaluated, including beta-blocker duration after MI  
  • Lifestyle interventions are becoming more structured, scalable, and clinically actionable 

Key Clinical Trials from ACC.26

Trial Focus Area Key Finding Why it Matters Source 
Ez-PAVE Lipid lowering in ASCVD (secondary prevention) LDL-C <55 mg/dL reduced major cardiovascular events by ~33% vs. <70 mg/dL    Supports more aggressive LDL targets in secondary prevention    Read study  
VESALIUS-CV Primary prevention in high-risk diabetes (no known ASCVD)    Evolocumab reduced first major CV events vs. placebo; 89% were on lipid-lowering therapy    Supports earlier intensification of lipid-lowering therapy in high-risk primary prevention    Read study  
CHAMPION-AF Atrial fibrillation stroke prevention       Left atrial appendage closure was noninferior to NOAC therapy, with lower non–procedure-related bleeding       Supports device-based alternatives to long-term anticoagulation in select patients    Read study 
PRO-TAVI Structural heart / valve intervention    Deferring PCI until after TAVI was noninferior, with lower bleeding in older, high-risk patients    Supports deferring routine PCI in selected elderly TAVI patients    Read study  
SMART-DECISION Post-MI secondary prevention Stopping beta-blockers at 1 year was noninferior to continuation in stable post-MI patients    Supports reassessing long-term beta-blocker use in select patients    Read study  
GoFreshRx Nutrition / lifestyle intervention    DASH-aligned grocery delivery improved BP and LDL-C vs. stipend plus basic guidance    Reinforces structured dietary intervention in CV risk reduction    Read study  
THRIVE Culturally tailored nutrition      Food-is-medicine program significantly lowered SBP vs. fresh produce alone  Highlights value of culturally responsive prevention strategies    Read study  
FAST III Coronary physiology (PCI guidance)    vFFR was noninferior to wire-based FFR for clinical outcomes    Supports less invasive physiology-guided PCI strategies    Read Study 
ALL-RISE AI-guided coronary assessment    Angiography-derived FFR was noninferior to wire-based FFR for outcomes in PCI evaluation Enables faster, less invasive physiology assessment in the cath lab    Read study 
HI-PEITHO Acute intermediate-risk pulmonary embolism    Catheter-directed fibrinolysis reduced adverse PE outcomes vs. anticoagulation alone       Supports selective use of catheter-based therapy in higher-risk PE patients    Read study 

What This Means for Your Practice 

Together, these studies reflect a broader shift in cardiology toward more individualized care and greater use of physiology- and data-driven decision-making. 

Across prevention, intervention, and long-term management, clinicians are increasingly refining when and how therapies are used to better balance outcomes, safety, and patient quality of life. 

Rather than isolated breakthroughs, ACC.26 points to a consistent direction: more precise risk reduction, more streamlined procedures, and deeper integration of pharmacologic and evidence-based care. 

Advance Your Cardiology Career with Greater Flexibility 

Our locum tenens cardiologists have the flexibility to work across a range of clinical settings — whether it be stepping into high-impact environments, caring for new patient populations, supporting evolving protocols, or gaining exposure to advanced and complex procedures. 

With All Star, you can apply the latest research in real-world practice, broaden your clinical experience, and continue delivering high-quality care without compromise. 

Missed us at ACC.26? You can still connect with our team — send us your CV to get started, or, check out our open cardiology opportunities nationwide. Plus, stay informed on the latest compensation trends with our Cardiologist Salary Guide

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