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.

Health insurance marketplaces open for business

Despite congressional efforts to delay Affordable Care Act implementation, the Health Insurance Marketplaces, where individuals and groups (or families) can find, compare, choose and buy private health insurance, officially opened in all 50 states and the District of Columbia on Oct. 1, as scheduled.

FDA flags chemo drug after reports of MIs

The FDA issued a safety communication over the leukemia chemotherapy drug ponatinib (Iclusig) after receiving reports of adverse cardiovascular events in patients taking the drug.

Shutdown imperils studies’ progress

The New York Times reports that the government shutdown has crippled clinical trial activity at the National Institutes of Health. Only 12 patients have been enrolled since Oct. 1. Normally enrollment averages 200 new patients a week.

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Bystander CPR, survival rates leap higher in Denmark

Thirty-day and one-year survival rates for out-of-hospital cardiac arrest tripled in Denmark between 2001 and 2010. The improvement coincides with the introduction of initiatives to educate the public about cardiopulmonary resuscitation (CPR), but other factors likely contributed as well.

Atherotech presents latest evidence showing how comprehensive lipid testing can help improve cardiovascular disease outcomes

New research reveals the advantages of new, more accurate risk assessment methodologies over the basic lipid panel. Atherotech Diagnostics Lab, a leading clinical reference laboratory specializing in advanced cardiometabolic testing and disease management solutions, will highlight recent evidence for improved cardiovascular disease assessment and prevention at the eighth annual Cardiometabolic Health Congress (CMHC) October 2-5, at the Sheraton Hotel in Boston.    

Little support for disease prevention benefits from hormone replacement therapy

Postmenopausal hormone replacement therapy may not prevent chronic diseases in women, based on an extended study of data from the Women’s Health Initiative studies. The trials assessed the effects of therapy on heart disease, fractures, breast cancer and colorectal cancer in more than 27,000 women across the U.S.

Equine-derived estrogen may hold higher risk than estradiol

Two types of pharmaceutical estrogens prescribed to women to manage postmenopausal symptoms may have differing safety profiles. An observational study published online Sept. 30 in JAMA Internal Medicine found women taking oral conjugated equine estrogens had a higher risk of venous thrombosis compared with those taking oral estradiol.

Bill gives FDA oversight of compounders

A bill that would give the FDA greater oversight of compounded drugs won bipartisan support from both Senate and House committees. The legislation is designed to prevent outbreaks from contaminated products.

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.