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.

Study: DTI sheds new light on sports-related head injuries

Diffusion tensor MR scans revealed subtle injuries in the brains of high school football and hockey players who took routine hits to the headeven if they did not suffer a concussion, according to a study published online Nov. 12 in Magnetic Resonance Imaging. "The study is preliminary, but raises powerful questions about the consequences of the mildest head injury among youths with developing brains," said Jeffrey Bazarian, MD, MPH, associate professor of emergency medicine at University of Rochester Medical Center in Rochester, N.Y.

Lancet: Patients benefit from LDL-C lowering strategies long-term

Longer-term LDL-cholesterol lowering statin therapies can greatly reduce vascular events, according to the results of the Heart Protection Study (HPS) published Nov. 23 in The Lancet. Additionally, researchers found that even after the study treatments were stopped, the benefits lasted for at least five years without any emerging dangers.

JAMA: Tripling Plavix maintenance dose benefits some poor metabolizers

Patients with stable cardiovascular disease who carry the CYP2C19*2 heterozygotes and were administered 225 mg daily doses of clopidogrel responded at levels seen in noncarriers, according to results of the ELEVATE-TIMI 56 trial. But carriers of CYP2C19*2 homozygotes given 300 mg daily doses failed to achieve comparable levels of platelet reactivity. The results appeared online first Nov. 16 in the Journal of the American Medical Association.

AHA Q&A: Holmes parses out whether ATLAS will change practice

ORLANDO, Fla.When ATLAS-ACS2 was unveiled Nov. 13 at the American Heart Association (AHA) conference, showing a 38 percent reduction in mortality benefit for cardiovascular death with the use of a low dose of rivaroxaban (Xarelto) out to two years, the cardiovascular community sat up and took notice. Since questions remain about appropriate dosing and bleeding rates, ACC President David R. Holmes Jr., MD, explained some of those considerations to Cardiovascular Business.

AHA video: Critics take high aim at AIM-HIGH; Boden responds

ORLANDO, Fla.AIM-HIGH, a late-breaking clinical trial presented at this years American Heart Association (AHA) scientific sessions, received a great deal of criticism for its design from its discussant, Philip Barter, MD, PhD; however, lead investigator William E. Boden, MD, strongly defended the design, even though he acknowledged to Cardiovascular Business that the results of the prematurely stopped trial will not change practice.

AHA video: Kastrati talks ISAR trials, potential bivalirudin uptick in EU

ORLANDO, Fla.Adnan Kastrati, MD, principal investigator of ISAR REACT 4, sat down with Cardiovascular Business to discuss the results of the late-breaking clinical trial presented at the 2011 American Heart Association (AHA) conference, as well as how the ISAR trials have impacted interventional cardiology practice.

AHA: Crestor, Lipitor both shine in high-dose SATURN trial

Both rosuvastatin (Crestor, AstraZeneca) and atorvastin (Lipitor, Pfizer) at maximum dose lowered LDL cholesterol levels,  raised HDL levels and reduced atherosclerotic plaque in the SATURN trial, the studys lead researcher reported Nov. 15 at the 2011 American Heart Association (AHA) conference. While the Phase 2 clinical trial failed to find any significant difference between the two drugs ability to limit or reverse progression of coronary artery disease, it showed that a high-dose regime is safe and well tolerated.

AHA video: Cell therapy finding its niche in cardiac care

ORLANDO, Fla.Jay Traverse, MD, principal investigator of LateTIME, a trial presented Nov. 14 at the American Heart Association (AHA) conference, spoke with Cardiovascular Business about the trial, in addition to the potential role of cell therapy in cardiovascular care.

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.