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.

NEJM: Shockable arrests occur more frequently in public locations

The majority of out-of-hospital cardiac arrest patients that respond to automated external defibrillators (AEDs) occur in public places rather than in the home. This may have some bearing on why the use of AEDs in the home setting have not proved beneficial, according to a study in the Jan. 27 issue of New England Journal of Medicine.

Resuscitation: CIRC trial hopes to clear confusion with AutoPulse CPR

Conflicting data regarding the AutoPulse battery-operated mechanical chest compression device could be clarified with the Circulation Improving Resuscitation Care (CIRC) trial, a randomized controlled trial that addresses methodological issues that may have influenced the results of previous studies, according to description of the trial in the March issue of Resuscitation.

Resuscitation: AEDs are safe in helicopters, with caveats

Three commercially available automated external defibrillators (AEDs) correctly analyzed heart rhythms in an in-motion helicopter on a manikin and a human volunteer. While researchers call for further studies, they were encouraged by the results, according to a study in published online Jan. 25 in Resuscitation.

AEM: Most people unwilling to use automated external defibrillators

Slightly less than half (47 percent) of the people in a public place with access to an automated external defibrillator (AED) would be willing to use it, with slightly more than half (53 percent) unable even to recognize one, according to a study published online Feb. 3 in the Annals of Emergency Medicine.

Lancet: Resuscitation devices improve on post-cardiac arrest standards

Active compression-decompression cardiopulmonary resuscitation (CPR), with the help of a suction-cup device, augmented with negative intrathoracic pressure via an impedance device, improves blood flow to the brain and heart following cardiac arrest and should be considered as an alternative to standard CPR to increase long-term survival, according to a study published online Jan. 19 in the Lancet.

First Word: March Madness

In the cardiology realm, the phrase March Madness can signify the run-up to the American College of Cardiology meeting, in addition to the college basketball playoffs.  Similarly, the gulf between sports and cardiology can be maddening close.

The Tao of Medicine

When The Tao of Pooh was published in 1982, author Benjamin Hoff likely didnt realize that his westernizing of Taoism would seep into the halls of medicine. But mindfulness is being preached as a way to not only reduce stress on medical practitioners, but also to reduce medical errors.

AIM: Treating CHD with aspirin is cheaper, more effective than no treatment

Treating coronary heart disease (CHD) with aspirin was cheaper and more effective than no treatment in men aged 45 years or older who had more than a 10-year, 10 percent CHD risk, according to a study in the Feb. 14  Archives of Internal Medicine. Adding proton pump inhibitors for men at an increased risk, but not average risk, for GI bleeding is cost effective.

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.