Heart Failure

Heart failure occurs when the heart cannot pump as much blood as the body requires. This ineffective pumping can lead to enlargement of the heart as the myocardium works harder pump the same amount of blood. Heart failure may be caused by defects in the myocardium, such as an a heart attack infarct, or due to structural issues such as severe heart valve regurgitation. Heart failure can be divided into HF with preserved ejection fraction (HFpEF), and HF with reduced ejection fraction (HFrEF). The disease is further divided into four New York Heart Association (NYHA) classes. Stage IV heart failure is when the heart is completely failing and requires a heart transplant or hemodynamic support from a left ventricular assist device (LVAD).

Shock & awe: Pretreatment plus cell therapy may benefit some HF patients

Left ventricular ejection fraction (LVEF) improved in patients with postinfarction heart failure (HF) who received a shock-wave facilitated infusion of bone marrow-derived cells in a small randomized clinical trial. The improvement at four months was modest but significant, according to CELLWAVE trial researchers.

Wang to lead Division of Cardiovascular Medicine

Thomas Wang, M.D., has joined Vanderbilt as director of the Division of Cardiovascular Medicine and the physician-in-chief of the Vanderbilt Heart and Vascular Institute.

James Fang, M.D., to lead cardiovascular medicine at University of Utah

James Chen-tson Fang, M.D., has been named chief of cardiovascular medicine at the University of Utah School of Medicine and director of the cardiovascular service line at University of Utah Health Care.

CardioGuide System enables real-time navigation of left ventricular leads during Medtronic CRT implants

Medtronic, Inc. (NYSE:MDT) today announced market release of the CardioGuide™ Implant System, a novel real-time navigation system for cardiac resynchronization therapy pacemakers and defibrillators (CRT-P and CRT-D), in the United States and Canada. The system helps physicians determine the most appropriate location for left-ventricular lead placement by generating 3-D images of the cardiac veins; enhanced software for the system will be commercially available later this year that also analyzes the motion of select cardiac vessels on the left side of the heart. Clinical studies have shown that appropriate left-ventricular lead placement may improve CRT response in heart failure patients (1,2,3).

scPharmaceuticals LLC announces strategic partnership with Sensile Medical to develop novel heart failure treatment aimed to reduce readmission rates

scPharmaceuticals LLC today announced that it has entered into a strategic partnership and product development agreement with Sensile Medical Holding AG of Zug, Switzerland to develop an innovative new therapeutic option for patients with heart failure.  The terms of the agreement were not disclosed.

HeartWare patient’s death prompts FDA report

The FDA issued an adverse event report describing the death of a patient whose HeartWare ventricular assist device lost power.

ACC recommends updated coverage for VADs

The American College of Cardiology (ACC) submitted comments to the Centers for Medicare & Medicaid Services in early March urging the agency to consider a new coverage paradigm for Ventricular Assist Devices (VADs).

FDA grants artificial heart HUD designation

The FDA has approved two humanitarian use device (HUD) designations for Syncardia System’s 50cc Total Artificial Heart to be used for destination therapy and pediatric bridge to transplant.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

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