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.

Forewarned and forearmed

Have you looked in the rearview mirror lately? Complications may be closer than they once looked. Considering risks and alternatives now may improve outcomes later.   

Chip to chubbiness: Resistance is futile

Researchers at Imperial College London have designed a microchip technology that they say may help curb the obesity problem in developed nations. The chip, which presently is being tested in animals, is implanted in the gut, where it sends satiation signals to the brain. The researchers project that they will begin tests in patients in three to four years.

Past radiation therapy amplifies heart surgery’s mortality risk

The long-term death rate for cancer patients who received radiation therapy and who later underwent major cardiac surgery was twice that of similar surgical patients who never had prior radiation. The authors of the study, published April 9 in Circulation, recommended that physicians consider alternative treatments for at-risk patients.

Research gets to the meat of the matter

Of mice and men. A team from the Cleveland Clinic used animal and human studies to accumulate evidence that challenges conventional wisdom on red meat and cardiovascular disease. Red meat is still on the hook, but the culprit appears to be a byproduct of bacteria involved in the digestion of red meat. The New York Times describes the multiyear effort, including results published in Nature Medicine.

More reported hypertension: A sign of progress?

More people in the U.S. reported being hypertensive, and more said they took medications to control their hypertension. Don’t be alarmed, though. The Centers for Disease Control and Prevention (CDC) pointed to greater awareness as the likely cause for the rise in self-reported hypertension.

Cholesterol buildup & macular degeneration

Cholesterol may play a role in the development of macular degeneration, according to a study published online in Cell Metabolism.

CHOP collaborates with Pfizer's Centers for Therapeutic Innovation to speed pediatric R & D

The Children's Hospital of Philadelphia (CHOP) and Pfizer, Inc., are joining forces with the goal of translating biomedical discoveries into novel treatments. CHOP is announcing its participation in the Centers for Therapeutic Innovation (CTI) network, a novel collaboration model built by Pfizer that brings academic researchers together with Pfizer scientists to expedite the pace of innovation.

FDA paves way for international cardiovascular registry

The FDA will hold a public meeting to discuss developing an international consortium of cardiovascular registries. The initial thrust of the effort will be on transcatheter cardiac valve registries, with a later expansion to include additional cardiovascular devices.

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.