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.

TCT: COGENT dispels questions about combining Plavix, proton pump inhibitors

SAN FRANCISCODespite highly publicized observational studies that prematurely lead to societal warnings and regulatory changes regarding proton pump inhibitors, the first randomized, placebo-controlled trial, COGENT, found that the combination of proton pump inhibitors and clopidogrel did not lead to adverse events. The results were presented during the late breaking clinical trials session at the 2009 Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium.

TCT: Aortic valve implants have very low complication rates up to one year

SAN FRANCISCOMid-term valve-related complications are exceptionally low, and the gradient release after transcatheter aortic valve prosthesis implantation is stable up to one year of follow up, according to a study presented this week at the 2009 Transcatheter Cardiovascular Therapeutics meeting.

TCT: Transcatheter valve therapy explodes, standardization sought

SAN FRANSISCOAn estimated 10,000 transcatheter heart valves have been implanted in patients with critical valvular aortic stenosis, and the researchers, who have their eyes on U.S. approval, are now seeking to standardize the techniques and trial expectations, according to a presentation by Martin B. Leon, MD, at the 21st annual Transcatheter Cardiovascular Therapeutics (TCT) symposium.

Circulation: During CPR, more compressions = more saved lives

The chance that a person in cardiac arrest will survive increases when rescuers doing cardiopulmonary resuscitation (CPR) spend more time giving chest compressions, according to a multi-center study reported Sept. 14 in Circulation.

NCPA: HITECH privacy rules could pose problems for pharmacies

The National Community Pharmacists Association (NCPA) has sent a letter to the deputy director for health information privacy, Office for Civil Rights, U.S. Department of Health and Human Services, arguing that that expanded privacy rules could create significant problems for community pharmacies

Feature: Beyond the blankets of hypothermia for cardiac arrest

In a recent study, researchers from the University of Pennsylvania School of Medicine in Philadelphia found that the use of cooling blankets upon arrival at the hospital for sudden cardiac arrest patients was cost effective. Cardiovascular Business News asked lead author Raina Merchant, MD, to discuss the topic.

EU survey: Even ACS patients on antiplatelet therapy at risk for cardiac events

In Western Europe, 96 percent of physicians agree that their patients with acute coronary syndrome (ACS) on oral antiplatelet therapy (aspirin and aspirin plus ADP inhibitors, such as clopidogrel) are still at significant risk for having another cardiovascular event, according to results of a new Harris Interactive survey, sponsored by Schering-Plough.

Pfizer completes $2.3B settlement with DoJ over deceptive marketing practices

Pfizer settled an investigation Wednesday by the U.S. Department of Justice (DoJ) with a $2.3 billion payment, regarding past off-label promotional practices related to several drugs, including the steroidal anti-inflammatory pain medication Bextra, which Pfizer withdrew from the market in 2005, due to reports that it caused heart attacks and strokes.

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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