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.

Simvastatin label revised, again

Mercks simvastatin (Zocor) is in the news yet again. This time the FDA has revised the cholesterol-lowering drugs dosing limitations from 10 mg to 20 mg when it is administered alongside the antiarrhythmic drug amiodarone.

NEJM: Atorvastatin, not your generic rollout

Pfizer is under the gun for tactics designed to retain some of its market share after its blockbuster drug, Lipitor, came off patent. In an interview with Cardiovascular Business, a co-author of a perspective published online Dec. 7 in the New England Journal of Medicine discussed how Pfizers strategy could affect atorvastatin pricing and the greater generic market.

JAMA: Prostate cancer hormone therapy doesnt increase CV mortality

Androgen deprivation therapy administered to men with prostate cancer did not increase the risk of cardiovascular death, according to meta-analysis of prospective randomized trials. In addition, the study published in the Dec. 7 issue of the Journal of the American Medical Association found that the therapy was associated with a lower risk of prostate cancer-specific mortality and all-cause mortality.

TAVR registry expected to serve as collaborative model

A registry jointly administered by the American College of Cardiology (ACC) and Society of Thoracic Surgeons (STS) for monitoring patients who receive transcatheter aortic valve replacement (TAVR) therapy in the U.S. will provide a template for future collaborative projects, ACCs president said in an interview. A long-term goal is to grow the registry into a robust, disease-specific resource for clinicians, regulators and others.

Lipitor loses patent; generic version is launched

The clock has been ticking for Pfizers blockbuster cholesterol pill Lipitor (atorvastatin) patent to expire, and now that time has come. Just as the patent expired, a generic version of the drug was approved by the FDA.

Circ: Room for improvement in statin use for obstructive CAD patients

Despite the fact that statins have been widely known to decrease the risk of cardiovascular events, there remains room for improvement in the treatment of obstructive coronary artery disease (CAD) patients, according to results of a study published in the Nov. 29 issue of Circulation. In fact, the researchers found that nearly 17 percent of patients were left untreated.

Feature: Neuroimaging may unlock secrets of PTSD + TBI

Researchers at Wake Forest Baptist Medical Center and the U.S. Department of Veterans Affairs have launched a collaborative project that uses magnetoencephalography to study military personnel suffering from post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI) and better define the mechanism of the relationship between the two conditions.

Vioxx becomes a pain; Merck to pay $950M for illegal marketing

Merck, Sharp & Dohme will shell out $950 million to settle criminal charges and civil charges related to illegally misbranding its painkiller rofecoxib (Vioxx). Merck pled guilty to on -countthat it violated the Food Drug and Cosmetic Act for misbranding Vioxx and downplayed the potential health risks.

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.