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.

JACC: Are diuretics helpful or harmful for HF?

Loop diuretics have been used as a heart failure (HF) management strategy for years but it still remains unknown whether they are of benefit to the patient. However, new research has found that diuretic therapy can positively affect renal and tubular function by decreasing congestion and that diuretic withdrawal and reinstitution can be markers of tubular dysfunction in stable HF patients, according to study results published in the May 25 issue of the Journal of the American College of Cardiology.

Q&A: Health IT's future is wide open (source)

Open source software and standards will have a widening role in future health IT systems, according to a report titled Open Source, Open Standards and Health Care Information Systems, which was first published in the Journal of Medical Internet Research. However, it still faces some challenges, said Carl J. Reynolds, BSC, MB, of the Centre for Health Informatics and Multiprofessional Education at UCL Medical School in London.

FDA's vote on Trilipix mixed, but unanimous that trial is needed

Members of the FDAs Endocrinologic and Metabolic Drugs Advisory Committee met May 19 to determine the future of Abbotts cholesterol drug fenofibrate (Trilipix), a drug indicated for co-administration with a statin. And while all 13 voting members voted unanimously in favor of Abbott conducting a clinical trial to gain more evidence, results were a mixed-bag as to whether the drug should allowed continued marketing, be pulled from the market or undergo a revision to its label.

FDA slaps more restrictions on Avandia, starting Nov. 18

Much debate in the past months has surrounded GlaxoSmithKlines (GSK) diabetes drug rosiglitazone (Avandia) after it was found that the drug may put patients at a heightened risk for cardiovascular events. Now, healthcare providers prescribing rosiglitazone-containing medications including Avandia, Avandamet and Avandaryl will have to enroll into a special program to prescribe and receive these drugs, according to an FDA safety announcement released May 18.

FDA committee to review fate of Abbott's cholesterol drug

FDAs Endocrinologic & Metabolic Drugs Advisory Committee is meeting today to discuss whether previous indications for Abbott Laboratories fenofibrate (Trilipix) should be reduced after results of the ACCORD-Lipid trial showed that the addition to a statin to fenofibrate did not significantly reduce major adverse cardiac event rates in diabetic patients.

Amylin slaps Lilly with suit over Byetta alliance

Amylin Pharmaceuticals has filed a lawsuit against Eli Lilly alleging that Lilly breached alliance agreements and is participating in anti-competitive activity regarding the commercialization of exenatide (Byetta), a glucagon-like peptide-1 receptor agonist approved to treat type 2 diabetes.

CMAJ: Canadian hypertension control improves, prevalance remains stable

Hypertension control and treatment has improved substantially over a 25-year span in Canada, but prevalence of the condition has remained stable among adults, according to research published May 16 in the Canadian Medical Association Journal.

Medtronic, Bayer expand diabetes deal into U.S.

Medtronic and Tarrytown, N.Y.-based Bayer HealthCare have expanded their international alliance to include the U.S., and will work exclusively to develop diabetes management technologies for patients and wireless blood glucose meters for the global market.

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.