Structural Heart Disease

Structural heart diseases include any issues preventing normal cardiovascular function due to damage or alteration to the anatomical components of the heart. This is caused by aging, advanced atherosclerosis, calcification, tissue degeneration, congenital heart defects and heart failure. The most commonly treated areas are the heart valves, in particular the mitral and aortic valves. These can be replaced through open heart surgery or using cath lab-based transcatheter valves or repairs to eliminate regurgitation due to faulty valve leaflets. This includes transcatheter aortic valve replacement (TAVR). Other common procedures include left atrial appendage (LAA) occlusion and closing congenital holes in the heart, such as PFO and ASD. A growing area includes transcatheter mitral repair or replacement and transcatheter tricuspid valve repair and replacement.

TAVR in low-risk patients holds steady at 2 years

Transcatheter aortic valve replacement (TAVR) continued to hold its own against surgery in low-risk patients with severe aortic stenosis, based on two-year results presented May 19 at EuroPCR in Paris.

AstraZeneca and Montreal Heart Institute to screen 80,000 samples for cardiovascular and diabetes genetic traits

AstraZeneca today announced a collaboration with the Montreal Heart Institute (MHI) in Quebec, Canada, to search the genomes of up to 80,000 patients for genes associated with cardiovascular diseases and diabetes, their complications and treatment outcomes. This is one of the largest such screens of its type to date and will drive understanding of the biological mechanisms underlying these conditions and their complications. The analysis will also uncover which genetic traits are linked to better treatment outcomes.

Thumbnail

Melody valve has favorable long-term hemodynamic and clinical outcomes

After a median follow-up period of 4.5 years, most patients who underwent transcatheter pulmonary valve replacement with the Melody valve had positive hemodynamic and clinical results, according to a prospective study.

Tracking via online tool leads to 46% reduction in CVC usage

By using an online tool to track central venous catheters (CVCs), physicians reduced the use of CVCs by 46 percent at two internal medicine teaching clinics.

More than 45% of patients in UK survive 5 years after TAVR

Five years after patients underwent transcatheter aortic valve replacement (TAVR), 45.5 percent were still alive, according to an analysis of a United Kingdom registry.

Sitagliptin noninferior to placebo in cardiovascular outcomes study

Merck announced that the primary endpoint of noninferiority for the composite cardiovascular endpoint had been met in a study that evaluated sitagliptin, an oral dipeptidyl peptidase-4 inhibitor.

Thumbnail

Meta-analysis hints at survival benefit with PCSK9 inhibitors

A meta-analysis of 24 clinical trials on monoclonal antibody treatments for hypercholesterolemia pointed to significant reductions in death and MIs, a finding that likely will catch the eye of the FDA as it considers approval for these new drugs. The results were published online April 28 in the Annals of Internal Medicine.

Thumbnail

Concomitant tricuspid annuloplasty and MV repair is safe and effective

For patients undergoing mitral valve (MV) repair, concomitant tricuspid annuloplasty was safe and effective and minimized the risk of tricuspid regurgitation, according to a retrospective analysis.

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.