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).

ASE: Biomarkers may predict chemo-related cardiotoxicity

According to research presented during the 21st annual scientific sessions of the American Society of Echocardiography (ASE) in San Diego this week, cardiac troponin plasma concentrations and longitudinal strain can predict the development of cardiotoxicity in patients treated with anthracyclines and trastuzumab chemotherapies.

Medtronic discloses nearly $16M in doc payments for Q1

Medtronic has publicly disclosed its U.S. physician relationships that result in aggregate compensation above $5,000 in each calendar year, revealing that the company paid out more than $15.7 million in the first quarter of 2010, which ended March 31.

HFC: CUPID shows love for genetic treatment of HF

Phase 2 of the CUPID trial, which is assessing a gene therapy for heart failure (HF) patients, has met the safety and efficacy endpoints, and has shown to improve heart function, according to a late-breaking trial presentation at Heart Failure Congress 2010 (HFC), the annual meeting of the Heart Failure Association of the European Society of Cardiology in Berlin.

Pfizer halts heart failure trial early because Inspra reaches endpoint

Pfizer plans to halt recruitment to the EMPHASIS-HF trial early on the recommendations of the trial's independent Executive Steering Committee. The recommendations follow a second interim analysis by the Data Safety Monitoring Committee of the EMPHASIS-HF trial confirming the study has reached its primary efficacy endpoint early according to the protocol pre-defined stopping rules, the company reported.

AHA Feature: CV 30-day readmissions greatly reduced w/ transition program

WASHINGTON, D.C.A novel hospital-to-home transition program for patients with cardiovascular disease has shown to significantly reduce 30-day readmission rates and emergency department visits, according to a poster presented at the American Heart Association (AHA) Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke meeting last week.

Aastrom launches trial to asses catheter-based tissue repair cells for HF patients

Aastrom Biosciences has launched a prospective, multicenter clinical trial to evaluate a catheter-based treatment for dilated cardiomyopathy through the treatment of its first patient.

NEJM: Gene-expression profiling prior to heart transplant is efficacious

Gene-expression profiling of patients who received a prior cardiac transplant may be a good alternative to routine biopsies, as rates of adverse events and risk were similar between the two methods, according to the IMAGE trial published May 18 in the New England Journal of Medicine.

Sanofi to assess Multaq's ability to decrease CV events in 10,000 a-fib patients

A Phase IIIb randomized, double-blind clinical trial to study the clinical benefit of dronedarone (Multaq, Sanofi-Aventis) in more than 10,000 patients with atrial fibrillation will assess the drug's capability to reduce major adverse cardiovascular events.

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.