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.

U.S. heart centers join international therapeutic hypothermia effort

Therapeutic hypothermia helps reduce neurologic deficits in those resuscitated from out-of-hospital cardiac arrest. However, many questions remain regarding optimal delivery. Six U.S. heart centers will add to the growing body of evidence as they join an international registry.

ESC: Ivabradine cuts heart rate in HF patientsworthy of paradigm SHIFT?

High heart rate is a risk factor in heart failure (HF), and selective lowering of heart rates with ivabradine improves cardiovascular outcomes in HF, based on results from two arms of the SHIFT trial, presented at the European Society of Cardiology (ESC) congress this week in Stockholm, and simultaneously published in the Lancet. However, an accompanying editorial suggests that these findings do not yet warrant a paradigm shift.

Old Stem Cells Get Boost with New Technique

As people age, their stem cells also age, diminishing their functionality. Many studies conducted to determine the efficacy of cardiac stem cell therapy have used donor cells from younger patients. These cells are healthy and readily adopt the cardiogenic phenotype in which researchers are interested. The problem with that approach, however, is that in clinical trials, researchers want to use patients stem cells, but they cant expect to have similar results as with younger donor cells. The answer is to find a way to manipulate autologous cells so they regain their youthful function.

Analog Devices' tech powers Zoll's PocketCPR

Medical device company Zoll Medical has selected Analog Devices' iMEMS technology to enable PocketCPR, Zolls palm-sized CPR device, to measure the rate and depth of chest compressions administered by rescuers.

Circ: Statins acceptable even for intermediate CV risk patients

For certain subsets of patients--those at an intermediate risk for cardiovascular (CV) disease and who have low LDL cholesterol levels and elevated high-sensitivity C-reactive proteins (hsCRP)--the use of rosuvastatin (Crestor, AstraZeneca) significantly decreases CV risk, according to the results of a substudy of the JUPITER trial published in the September edition of Circulation: Cardiovascular Quality Outcomes.

AGA Medical slaps Gore with suit over structural heart device

AGA Medical Holdings has filed a patent infringement suit against W.L. Gore & Associates, alleging that Gore infringed upon its No. 5,994,738 patent covering its Amplatzer transcatheter occlusion devices used to treat structural heart defects.

Impax challenges Vytorin patent

Impax Laboratories is challenging patents listed by MSP Singapore that surround the lipid-lowering drug Vytorin, and has filed an abbreviated new drug application to the FDA that contains language seeking to certify a generic version of the drug.

Circ: Despite ongoing drama, Avandia, Actos have similar CV risks

After much debate on whether or not diabetes drug rosiglitazone (Avandia, GlaxoSmithKline) should be pulled from the shelves due to its potential to cause increased cardiovascular risk in patients, results of a recent study haveshown that the risk of MI, heart failure or death in patients administered either rosiglitazone or pioglitazone (Actos, Takeda) were similar--almost 4 percent.

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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