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: Statin use not linked to cancer, based on EMR data

Statins, a drug class administered to patients as an attempt to foil cardiovascular events, was not linked to an increased risk of cancer, according to the results of a retrospective analysis of more than 45,000 patients. The study, published in the July 26 issue of the Journal of the American College of Cardiology, may provide answers to the ongoing debate as to whether or not statins are linked to cancer.

Circ: Torcetrapib + statin can improve blood sugar in diabetics

Administering torcetrapib to type 2 diabetes mellitus patients who are also treated with atorvastatin improves glycemic control, according to a study published July 18 in Circulation. The data regarding torcetrapib, a cholesterol ester transfer protein (CETP) inhibitor (Pfizer), which can increase levels of HDL, was taken from the ILLUMINATE trial, which was halted five years ago due to cardiovascular problems among patients that could have been associated with drug administration.

St. Jude shows strong sales, but earnings slip in Q2

St. Jude Medicals net earnings have slipped $13 million in acquisition and restructuring charges, but 2011 second quarter sales demonstrate increases, especially in its atrial fibrillation and structural heart units.

Stroke complications with TAVI take center stage at FDA panel

  GAITHERSBURG, Md.—The discussion at the July 20 meeting of the FDA's Circulatory System Devices Panel, which is evaluating the Sapien transcatheter heart valve (Edwards Lifesciences) for an expected recommendation to the FDA, has been largely focused on the complication of stroke associated with transcatheter aortic valve implantations (TAVI) found in the PARTNER Cohort B trial. PARTNER investigator Michael J. Mack, MD, explained to Cardiovascular Business why the researchers did not standardize the stroke protocol differently at the trial onset.

NEJM: Should nesiritide be prescribed for HF at all?

While nesiritide (Natrecor, Johnson & Johnson) is approved by the FDA to treat dyspnea in acute heart failure (HF) patients, there is still an ongoing debate as to whether or not the human B-type natriuretic peptide is safe for the HF population. However, authors of the ASCEND-HF trial published in the July 7 issue of the New England Journal of Medicine concluded that they cannot recommend the drugs use in the majority of acute HF patients due to its association with hypotension.

Cleveland Clinic's heart valve start-up nets $3.5M

CryoLife, a tissue processing and medical device company focused on cardiac and vascular surgery, has gained a $3.5 million equity investment in ValveXchange, a private medical device company that was spun-off out of Cleveland Clinic to develop a heart valve replacement technology platform with exchangeable bioprosthetic leaflets.

Earlier Intervention for Mitral Regurgitation

The guideline-recommended treatment is fairly well established in patients with symptomatic mitral regurgitation, but those with asymptomatic disease have a less clear strategy. Some surgeons are now advocating for earlier intervention in this population.

ADA: Metformin, lifestyle changes are cost-effective for diabetics

While it is no surprise that intense lifestyle interventions and metformin therapy can significantly reduce the development of type 2 diabetes compared with placebo, research has shown that it is also cost-effective, according to a study presented June 28 at the American Diabetes Associations (ADA) 71st annual scientific sessions in San Diego.

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