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.

Unused medications may lead to abuse, overdoses

Painkillers, antibiotics and cardiovascular medications made up the bulk of unused first-time prescriptions turned in during a recent National Drug Take-Back event, according to a study published in the July-August issue of The American Journal of Pharmacy Benefits.

CDC: 200,000 heart disease deaths preventable

While cardiovascular disease causes nearly one-third of deaths in the U.S. every year, the Centers for Disease Control and Prevention reported in its Sept. issue of Vital Signs reported that at least 200,000 of these deaths can be prevented through lifestyle changes. 

Certain risk factors may predict poor pediatric cardiomyopathy prognosis

The existence of certain risk factors at the time children are diagnosed with hypertrophic cardiomyopathy may signal a worse prognosis, according to a study published online Sept. 3 in The Lancet. Researchers found that diagnosis at younger than one year of age, inborn errors of metabolism, mixed types of hypertrophic cardiomyopathy, low body weight, congestive heart failure or abnormal structure or function of the left ventricle as indicated by echocardiography were associated with a higher risk of death or heart transplantation. 

AHA.13: Special reports on tap

The American Heart Association (AHA) will present 19 special reports in addition to late-breaking clinical trials Nov. 17-19 at its scientific sessions in Dallas.

Polypills may improve adherence in CVD patients

Less may be more when it comes to improving medication adherence in patients with cardiovascular disease (CVD). In the Use of a Multidrug Pill in Reducing Cardiovascular Events (UMPIRE) trial, patients were more likely to continue their drug regimens on a long-term basis if they used fixed-dose combinations. These “polypills” also improved systolic blood pressure and low-density lipoprotein cholesterol.

ESC.13: Saxagliptin offers no cardioprotective effect for at-risk diabetics

Results from a multinational clinical trial found that while the antihyperglycemic drug saxagliptin met the FDA’s cardiovascular safety standards, it offered no cardiovascular protection and unexpectedly increased the risk of hospitalization for heart failure among diabetics at high risk for heart disease. These findings were presented Sept. 2 at the European Society of Cardiology Congress 2013 in Amsterdam and published in the New England Journal of Medicine.

ESC.13: Aliskiren doesn’t slow coronary disease progression

AQUARIUS, a randomized trial designed to assess aliskiren’s ability to slow or prevent the progression of coronary atherosclerosis, didn’t provide evidence to support its use in that context. Results presented Sept. 2 at the European Society of Cardiology Congress 2013 in Amsterdam and simultaneously published online in JAMA highlighted opportunities for further research.

Cardiovascular surgeon dies in plane crash

GoDanRiver.com of Danville, Va., reported that a cardiovascular surgeon at Danville Regional Medical Center died in a plane crash Aug. 29.

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.