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.

HHS: Top pharma companies to offer 50% discount in 2011

U.S. pharmaceutical companies will begin offering 50 percent discounts on covered brand-name prescription drug costs for Medicare Part D beneficiaries who have reached the coverage gap, or donut hole, beginning in 2011, according to the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services.

TCT: BIOrest LABR-312 may BLAST through as new anti-inflammatory therapy

WASHINGTON, D.C.--BIOrest LABR-312, an IV anti-inflammatory drug, reduced the rates of late loss in diabetic patients and those with high counts of monocyte, and exhibited no safety concerns or signs of overall in-stent lumen loss in stenosis patients, according to the results of the late-breaking BLAST trial presented Sept. 24 at the 22nd annual Transcatheter Cardiovascular Therapeutics (TCT) scientific meeting.

FDA approves U.S. PARTNER II trial for Edwards' next-gen valve

The FDA has conditionally approved the first of two planned U.S. cohorts of the randomized, controlled PARTNER II trial, which will evaluate the next-generation Sapien XT transcatheter aortic valve from Edwards Lifesciences.

Avandia stays in U.S. market with restrictions; EU seeks to shelve

The FDA announced Sept. 23 that the controversial diabetes drug Avandia (rosiglitazone, GlaxoSmithKline) will remain on the market, but with significant restrictions associated with its use. In contrast, the European Medicines Agency recommended that Avandia (as well as the rosiglitazone-containing Avandamet and Avaglim) be taken off the market.

Companies merge microvolt T-wave technology with stress testing

Cardiac Science announced today it will combine microvolt T-wave alternans (MTWA) testing technology from Cambridge Heart with its Quinton Q-Stress cardiac stress systems.

BMC: Meta-analysis supports chest compressions before defibrillation

Overall, there were no significant differences in outcomes in patients suffering out-of-hospital cardiac arrest when initially given either chest compressions or defibrillation. However, subgroup analyses showed a trend toward superiority of chest compressions when emergency response time was greater than five minutes, according to a meta-analysis published Sept. 9 in BMC Medicine.

FDA cautions about bladder cancer increase with long-term Actos use

The FDA has begun a safety review of the diabetes drug Actos (pioglitazone, Takeda), after receiving preliminary results from a long-term observational study designed to evaluate the risk of bladder cancer associated with use of this drug.

Lilly, Transition Therapeutics kill diabetes drug development

Transition Therapeutics has announced that a clinical study of gastrin analogue TT-223, in combination with Eli Lillys proprietary GLP-1 analogue, in patients with type 2 diabetes did not meet its efficacy endpoints. Given these findings, the companies decided to end any further development of TT-223.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

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