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.

AHA: Drug raises HDL levels but fails to reduce ACS risk

A drug designed to increase high-density lipoprotein (HDL) cholesterol levels failed to reduce the risk of recurrent cardiovascular events in patients with an acute coronary syndrome (ACS).

Nurses Take Point in CV Care

As U.S. healthcare trends toward team-based care with greater focus on preventive services, nurses are stepping into leadership roles and producing positive clinical outcomes. However, this shift in cardiovascular care may require an overhaul of cultures and systems by providers—as well as a fresh look at reimbursement.

Rx for Getting Patients to Follow Doctors’ Orders

Medication adherence improves patient outcomes, but U.S. patients generally have low rates of compliance. To help patients stay on top of their dosing regimens, physicians need to identify those most likely to be nonadherent and the reasons for their recalcitrance to implement interventions. But adherence itself bears costs, as do interventions. Payers want proof that strategies are both cost-effective and feasible.

Novel drug plus statin may trim LDL levels

In patients with primary hypercholesterolemia, adding SAR236553 to either 10 mg of atorvastatin or 80 mg of atorvastatin resulted in a significantly greater reduction in low-density lipoprotein (LDL) cholesterol than that attained with 80 mg of atorvastatin alone, according to a Phase 2, randomized trial.

Lists show clients shipped potentially tainted medications

The FDA has made two lists of customers shipped potentially contaminated products from the New England Compounding Center (NECC) publicly available on its website. Products under investigation include a cardioplegic solution used in surgery.

TCT: Benefits of shushing kidney-heart crosstalk hold over time

Reductions in blood pressure in treatment-resistant hypertensive patients who underwent catheter-based renal denervation persisted three years after the procedure, researchers said Oct. 23 at the Transcatheter Cardiovascular Therapeutics conference in Miami.

TCT: TAVR's benefit persists at three years

MIAMI—Transcatheter aortic valve replacement (TAVR) continued to hold its lead over medical therapy in patients with symptomatic severe aortic stenosis, researchers reported Oct. 24 at the 2012 Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium, in a presentation on the three-year outcomes.

EU panel gives nod to Xarelto for PE

The European Medicines Agency paved the way for approval for rivaroxaban (Xarelto, Bayer/Johnson & Johnson) for treatment of adults with pulmonary embolism (PE) and the prevention of recurrent PE in adults.

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.