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.

FDA offers draft guidance for heart valves--first in 16 years

For the first time since 1994, the FDAs Center for Devices and Radiologic Health released a draft guidance on Jan. 20 concerning the premarket approval and investigational device exemption of heart valves.

mHealth VP: Healthcare communications should be more virtual

C. Peter Waegemann, MD, vice president for development for mHealth, spoke with CMIO about the necessity of new communication patterns in healthcare, a topic on which he presented during the International mHealth Networking Conference Feb. 3-4 in Washington, D.C. The conference was sponsored by the Boston-based healthcare organization mHealth Initiative.

Q&A: New York-Presbyterian offers patients a self-serve PHR

Patients checking into New York-Presbyterian (NYP) Hospital can create an account that enables them to view their health data and have access to it wherever and whenever they need it.

Commentary: Clinical co-management is option for hospital-physician alignment

Market forces, healthcare reform and decreasing reimbursement for physician practices are forcing cardiology groups to evaluate long-term practice revenue. The clinical co-management model has become a popular method for cardiology group practices to begin exploring what a hospital affiliation might look like.

NEJM: Increased co-payments lead to more hospitilizations among elderly

Increasing co-payments of outpatient visits for Medicare beneficiaries can lead to increased ambulatory care costs, according to research published in the Jan. 28 issue of the New England Journal of Medicine.

N.Y. Gov aims to halt industry-physician conflicts of interest

In an attempt to put the kibosh on pharmaceutical manufacturers who attempt to influence doctors and other prescribers with gifts and payments, New York Governor David A. Paterson has put forth nearly 10 pages of legislation in the 2010-2011 N.Y. State Executive Budget to help hinder these pay outs.

Lancet: Low blood glucose threshold needed for diabetics

Uncontrolled high blood glucose (hyperglycemia) in patients with diabetes is known to increase mortality. However, new research shows that intensive treatment to control blood glucose can lower it too far (hypoglycemia), which also increases mortality. Thus, blood glucose level targets should have lower as well as upper limits, to reduce risk to patients, according to a study published online Jan. 26 in the Lancet.

Edwards launches trial for aortic valve system

Edwards Lifesciences has launched the TRITON clinical study in Europe for its minimally invasive aortic valve surgery system, Project Odyssey.

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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