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.

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.

FDA committee split on keeping Abbott's Meridia on market

Based on a review of the results of SCOUT (Sibutramine Cardiovascular OUTcome Trial), the FDAs 16-member Endocrinologic and Metabolic Drugs Advisory Committee has voted eight versus eight on whether the weight loss medication sibutramine (Meridia, Abbott Laboratories) should stay on the U.S. market.

SCAI issues curriculum for structural heart disease training

The Society for Cardiovascular Angiography and Interventions (SCAI) has published a consensus document and core curriculum that outline recommendations for the proper treatment of structural heart disease.

JACC: Brilinta trumps Plavix in antiplatelet effect in ACS patients

Compared with clopidogrel, ticagrelor (Brilinta) achieves better antiplatelet effect in the first hours of treatment and in maintenance therapy for patients with acute coronary syndromes (ACS), according the substudy PLATO PLATELET published online Sept. 9 in the Journal of the American College of Cardiology.

Edwards launches mitral valve device in U.S., Europe

The Edwards Lifesciences Carpentier-Edwards Perimount Magna Mitral Ease heart valve, a pericardial tissue-based bioprosthetic device used during mitral heart valve replacement surgery, has been approved for use in the U.S. and Europe.

Samaritan Heart adds valve specialist Ly to cardiac team

The Samaritan Heart & Vascular Institute in Corvallis, Ore., has added Truc Ly, MD, an aortic and mitral valve repair specialist, to their cardiovascular team.

Circ: Gender may affect LV hypertrophy reversal after AV surgery

More women with aortic valve (AV) stenosis tended to exhibit left ventricular (LV) hypertrophy than men, but women also reversed the hypertrophy faster immediately following valve replacement surgery. Genetic differences affecting fibrosis may be responsible for this phenomenon, according to a study published in a surgical supplement, Circulation: Surgery for Valvular Heart Disease.

Medicines Company gets patent reprieve

The U.S. Solicitor General has decided not to appeal "at this time" a district court's Aug. 3 decision that ordered the U.S. Patent and Trademark Office (PTO) to consider that The Medicines Company had filed a timely application for patent term extension of Angiomax (bivalirudin).

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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