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.

AHA/ACC warn that TZDs should be taken cautiously

A joint science advisory statement issued by the American Heart Association (AHA) and the American College of Cardiology (ACC) warns about the use of thiazolidinediones (TZDs) as a treatment for diabetes after a report from the U.S. Senate Finance Committee outlined the drug's potential to cause adverse cardiac events.

Senate probe of Avandia heats up

The U.S. Senate Committee on Finance sent a blistering letter on Feb. 18 to the FDA questioning the agencys actions regarding the diabetes drug rosiglitazone (Avandia, GlaxoSmithKline).

Webinar: How-to guide for e-medical device reporting to the FDA

In 2006, the Center for Devices and Radiological Health (CDRH), a branch of the FDA, began examining the number of medical device reports they received. Over the past two years, the number of submitted reports has increased, sparking a demand for the CDRH to make a move to electronic reporting.

Lancet: Increased diabetes risk with statins does not outweigh their benefits

The use of statins increases the risk of developing type 2 diabetes by 9 percent; however, the absolute risk is low, especially when compared with the beneficial effect that statins have on reducing coronary events, according to a meta-analysis of 13 statin trials published online Feb. 16 in the Lancet.

Abbott completes $6.2B purchase of Solvay

Abbott has completed its EUR 4.5 billion ($6.2 billion U.S.) acquisition of Brussels, Belgium-based Solvay Pharmaceuticals, expanding Abbott's presence in emerging markets.

Merck posts strong FY09, Q4, launches restructuring program

Merck has reported strong financial results for the fourth quarter and the full year of 2009, which include the results of legacy Schering-Plough operations from the close of the merger on Nov. 3, 2009, through Dec. 31, 2009.

Commentary: Overcoming challenges with drug-eluting stents

There are cases presented to all physicians when we have to balance benefits of a particular treatment with concerns around safety for certain patients. In interventional cardiology, we see this dilemma with drug-eluting stents (DES). While this technology provides effective therapy for many patients with ischemia-inducing coronary lesions, there are certain patient groups that encounter problems for different reasons.

Whistleblower charges Pfizer with unlawfully marketing Lipitor

An amended whistleblower suit alleges that pharmaceutical company Pfizer unlawfully marketed Lipitor to the public for more than seven years and deliberately misrepresented U.S. guidelines, including those issued by the National Institutes of Health.

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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