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.

FDA grants TAVR IDE to medical societies

The Society of Thoracic Surgeons (STS) and the American College of Cardiology (ACC) have received an investigational device exemption (IDE) from the FDA to study alternative access approaches for transcatheter aortic valve replacement (TAVR) using the STS/ACC TVT Registry.

Most commonly used NSAID carries high cardiovascular risk

Diclofenac, one of the most cardiotoxic nonsteroidal anti-inflammatory drugs (NSAIDs), is also the most widely used, according to an analysis of usage patterns and relative risks. The results call into question whether information about relative risk is filtering down into clinical practice.

Ticagrelor may reduce risk of subsequent adverse events

Ticagrelor's benefits appear to carry over time, according to an analysis that found ticagrelor treatment resulted in not only fewer primary outcome events (MI, cardiovascular death, stroke) but also fewer subsequent events compared with clopidogrel. But an accompanying editorial questioned the use of composite endpoints to track subsequent events, and suggested a protocol to define and report recurrent endpoints more specifically.

Class 1 recall slapped on St. Jude's occluder delivery system

The FDA has notified healthcare professionals of a Class I recall of St. Jude Medical’s Amplatzer TorqVue FX delivery system because, in a small number of cases, the distal end of the core wire potentially could fracture when exposed to a combination of certain cardiac anatomies and usage conditions.

Bayer submits pulmonary hypertension drug for approval in U.S., EU

Bayer HealthCare has submitted the oral investigational drug riociguat to treat patients with inoperable chronic thromboembolic pulmonary hypertension and pulmonary arterial hypertension for regulatory approval in the U.S. and in the European Union (EU).

FDA calls for cardiovascular data for Tresiba

The FDA is requesting additional cardiovascular data from a dedicated cardiovascular outcomes trial from Novo Nordisk for insulin degludec (Tresiba) and insulin degludec/insulin aspart (Ryzodeg). Results must be available for review before the FDA will complete the new drug applications.

Merck wins patent fight over Zetia, Vytorin

Merck successfully fended off the generics company Mylan in a court battle over its cholesterol-lowering drugs ezetimibe (Zetia) and ezetimibe/simvastatin (Vytorin).

Edwards sings in solid Q4, FY2012 on strong Sapien sales

Edwards Lifesciences, a developer of heart valves and hemodynamic monitoring, has reported increased net income for the 2012 fiscal year and the 2012 fourth quarter, both of which ended Dec. 31, 2012.

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.