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Benzodiazepine use before heart surgery: Should it be embraced or restricted? | Beta-blockers & takotsubo syndrome

News You Need to Know Today
Benzodiazepine use before heart surgery: Should it be embraced or restricted? | Beta-blockers & takotsubo syndrome
Tuesday, February 11, 2025
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Today's News and Trends

Benzodiazepine use before heart surgery: Should it be embraced or restricted?

Benzodiazepines are administered before a majority of cardiac surgeries to lower the risk of intraoperative awareness. At the same time, however, recent studies have suggested they increase the risk of postoperative delirium.

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heart surgery cardiac surgeons
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Benzodiazepine use before heart surgery: Should it be embraced or restricted?

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heart surgery cardiac surgeons
Benzodiazepines are administered before a majority of cardiac surgeries to lower the risk of intraoperative awareness. At the same time, however, recent studies have suggested they increase the risk of postoperative delirium.
READ MORE >

Treating a broken heart: Beta-blockers improve survival in patients with takotsubo syndrome

Takotsubo syndrome, commonly known as “broken heart syndrome,” is often treated as if it was heart failure, but the optimal clinical approach remains a bit of a mystery.

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2024 has been a banner year for structural heart treatments, especially those focused on the tricuspid valve. In February, for example, Edwards Lifesciences made history when its Evoque transcatheter tricuspid valve replacement (TTVR) system became the first device of its kind to gain U.S. Food and Drug Administration (FDA) approval for treating tricuspid regurgitation (TR). Two months later, Abbott’s TriClip transcatheter edge-to-edge repair (TEER) system also gained FDA approval for the treatment of TR.
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Treating a broken heart: Beta-blockers improve survival in patients with takotsubo syndrome

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2024 has been a banner year for structural heart treatments, especially those focused on the tricuspid valve. In February, for example, Edwards Lifesciences made history when its Evoque transcatheter tricuspid valve replacement (TTVR) system became the first device of its kind to gain U.S. Food and Drug Administration (FDA) approval for treating tricuspid regurgitation (TR). Two months later, Abbott’s TriClip transcatheter edge-to-edge repair (TEER) system also gained FDA approval for the treatment of TR.
Takotsubo syndrome, commonly known as “broken heart syndrome,” is often treated as if it was heart failure, but the optimal clinical approach remains a bit of a mystery.
READ MORE >

Featured Articles

AI brings cardiology, neurology teams together to boost care for stroke patients

A new post-stroke care pathway from Viz.ai and Medtronic is associated with significant benefits, including higher patient and clinician satisfaction.

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artificial intelligence consultation
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AI brings cardiology, neurology teams together to boost care for stroke patients

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artificial intelligence consultation
A new post-stroke care pathway from Viz.ai and Medtronic is associated with significant benefits, including higher patient and clinician satisfaction.
READ MORE >

FDA warns that atherectomy devices are breaking during use—30 serious injuries, 4 deaths reported

More than 100 incidents have been reported so far. The FDA is still evaluating this issue, but the agency wanted to raise awareness as quickly as possible.

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The U.S. Food and Drug Administration (FDA) has shared a new warning about ongoing safety issues with atherectomy devices sold and distributed by Bard Peripheral Vascular, an Arizona-based subsidiary of Becton, Dickinson and Company (BD). The warning includes multiple models of Bard Peripheral Vascular’s Rotarex Atherectomy System, which is designed to target high-risk plaques and blood clots in the peripheral arteries by rotating at a high speed.
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FDA warns that atherectomy devices are breaking during use—30 serious injuries, 4 deaths reported

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The U.S. Food and Drug Administration (FDA) has shared a new warning about ongoing safety issues with atherectomy devices sold and distributed by Bard Peripheral Vascular, an Arizona-based subsidiary of Becton, Dickinson and Company (BD). The warning includes multiple models of Bard Peripheral Vascular’s Rotarex Atherectomy System, which is designed to target high-risk plaques and blood clots in the peripheral arteries by rotating at a high speed.
More than 100 incidents have been reported so far. The FDA is still evaluating this issue, but the agency wanted to raise awareness as quickly as possible.
READ MORE >

ASE shares new guidelines for ultrasound-guided vascular access

The American Society of Echocardiography included descriptions, diagrams and ultrasound images in the new document to make it as helpful as possible. 

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Figure from the new ASE guideline for ultrasound guided vascular access, showing vessel and probe orientation on the transverse plane short axis (SAX) view perpendicular to the vessels, or in longitudinal long axis plane (LAX) coaxial to the vessels. Image courtesy of ASE
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ASE shares new guidelines for ultrasound-guided vascular access

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Figure from the new ASE guideline for ultrasound guided vascular access, showing vessel and probe orientation on the transverse plane short axis (SAX) view perpendicular to the vessels, or in longitudinal long axis plane (LAX) coaxial to the vessels. Image courtesy of ASE
The American Society of Echocardiography included descriptions, diagrams and ultrasound images in the new document to make it as helpful as possible. 
READ MORE >

Family of heart patient who died after missing medications in jail settles lawsuit

A 54-year-old heart transplant recipient was unable to take doctor-prescribed medications during his brief stay at a local jail. He died a few days after being released. 

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heart drugs with stethoscope
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Family of heart patient who died after missing medications in jail settles lawsuit

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heart drugs with stethoscope
A 54-year-old heart transplant recipient was unable to take doctor-prescribed medications during his brief stay at a local jail. He died a few days after being released. 
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In Case You Missed It

Philips to sell its emergency care business to private equity firm

Bridgefield Capital, founded in 2015, has previously invested in such popular brands as Cirque Du Soleil, Del Monte and Quiksilver. This transaction is expected to be completed in the second half of 2025. 

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AED in a hospital
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Philips to sell its emergency care business to private equity firm

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AED in a hospital
Bridgefield Capital, founded in 2015, has previously invested in such popular brands as Cirque Du Soleil, Del Monte and Quiksilver. This transaction is expected to be completed in the second half of 2025. 
READ MORE >

New transcatheter tricuspid treatment options poised to drive surgical volume growth

Gilbert Tang, MD, explains how transcatheter tricuspid TEER and total valve replacement options will likely lead to higher tricuspid valve surgical volumes in the years ahead.

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Gilbert Tang, MD, explains how new transcatheter tricuspid options will help drive surgical volume growth. #TTVR
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New transcatheter tricuspid treatment options poised to drive surgical volume growth

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Gilbert Tang, MD, explains how new transcatheter tricuspid options will help drive surgical volume growth. #TTVR
Gilbert Tang, MD, explains how transcatheter tricuspid TEER and total valve replacement options will likely lead to higher tricuspid valve surgical volumes in the years ahead.
READ MORE >

SAVR/CABG vs. TAVR/PCI: Key differences when heart patients present with severe AS and CAD

Surgery offers multiple long-term benefits when compared to a more interventional approach, though it is still associated with certain risks of its own. In the end, researchers agree, the decision is one that should involve input from surgeons, cardiologists and others.

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A study that analyzed patient outcomes in coronary artery bypass grafting (CABG) in veterans showed outcomes for on-pump and off-pump procedures over 10 years to be similar. Photo by Jim Lennon
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SAVR/CABG vs. TAVR/PCI: Key differences when heart patients present with severe AS and CAD

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A study that analyzed patient outcomes in coronary artery bypass grafting (CABG) in veterans showed outcomes for on-pump and off-pump procedures over 10 years to be similar. Photo by Jim Lennon
Surgery offers multiple long-term benefits when compared to a more interventional approach, though it is still associated with certain risks of its own. In the end, researchers agree, the decision is one that should involve input from surgeons, cardiologists and others.
READ MORE >

In Other News

Gottlieb: Let’s not slap the label ‘medical device’ on AI software that only helps clinicians make care decisions

Standing FDA guidance reflects concern over physicians deferring to AI-aided CDS recommendations when pressed for time or uncertain of their own judgments. Is that stance outdated? 

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scott gottlieb md
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Gottlieb: Let’s not slap the label ‘medical device’ on AI software that only helps clinicians make care decisions

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scott gottlieb md
Standing FDA guidance reflects concern over physicians deferring to AI-aided CDS recommendations when pressed for time or uncertain of their own judgments. Is that stance outdated? 
READ MORE >

Pennsylvania, South Carolina propose requiring insurers to cover breast MRI, ultrasound

Gaps in coverage result in individuals paying anywhere from $234 for a follow-up diagnostic mammogram to over $1,000 for a breast MRI, Komen estimates. 

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Pennsylvania, South Carolina propose requiring insurers to cover breast MRI, ultrasound

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Gaps in coverage result in individuals paying anywhere from $234 for a follow-up diagnostic mammogram to over $1,000 for a breast MRI, Komen estimates. 
READ MORE >

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