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.

Minneapolis Heart Institute Foundation to host conference on valvular heart disease

Despite significant medical advances, there continue to be significant gaps in the health care of the growing number of patients with valvular heart disease. In the USA, the total number of people aged 65 years or older with valvular heart disease will grow to approximately 5.2 million by year 2020, and 6.8 million individuals by the year 2030 1. The Minneapolis Heart Institute Foundation™ (MHIF) has created a scientific program, "Valve Summit 2014: The Science and Delivery of Optimal, Multi-Disciplinary Care," to address the ongoing, complex evolution in the clinical management of patients with valvular heart disease. The conference will be held on April 25th and 26th at the Radisson Blu in downtown Minneapolis.

Endocarditis burden remains high in elderly

Endocarditis continues to cause considerable morbidity and mortality among older Americans, according to a study published Dec. 10 in the Journal of the American College of Cardiology. Although guidelines called for a reduction in the use of antibiotic prophylaxis for endocarditis, the rates of hospitalization and mortality have not increased, but remain high.

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FDA advises owners to inspect HeartStart AEDs

The FDA advised consumers and first responders to monitor the readiness of some HeartStart automated external defibrillators (AEDs), which it warned may fail to deliver a shock in an emergency.

Patients with PTSD less likely to take hypertension meds

Patients with post-traumatic stress disorder (PTSD) and hypertension were found to be significantly less adherent with their blood pressure medication that hypertensive patients with no PTSD symptoms, based on findings in a research letter published online Dec. 2 in JAMA Internal Medicine.

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Overview sets foundation for catheter-based mitral valve therapies

Four cardiovascular societies offered recommendations to help get use of transcatheter therapies for mitral regurgitation off on the right foot in an overview released Nov. 25.

FDA removes restrictions on rosiglitazone

The FDA lifted prescribing and dispensing restrictions on the drug rosiglitazone, saying it did not pose increased cardiac risks compared with other diabetes medications.

Xigduo (dapagliflozin and metformin hydrochloride) receives positive CHMP opinion in the European Union for the treatment of type 2 diabetes

AstraZeneca and Bristol-Myers Squibb today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has adopted a positive opinion recommending approval of Xigduo™ (dapagliflozin and metformin hydrochloride) for adults aged 18 and older with type 2 diabetes mellitus as an adjunct to diet and exercise to improve glycaemic control in patients inadequately controlled on their current metformin-based treatment regimen or who are currently being treated with the combination of dapgliflozin and metformin as separate tablets.

U.S. TAVR outcomes match trial results

The transition of transcatheter aortic valve replacement (TAVR) from a procedure performed at an initial 17 clinical trial sites with highly trained physicians to almost 250 facilities in the U.S. appears to be going smoothly, the registry leaders reported in the Nov. 20 issue of JAMA.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

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