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.

JACC: ACE inhibitors may independently predict worse outcomes after CABG

Pre-operative therapy with angiotensin-converting enzyme (ACE) inhibitors is associated with an increased risk of mortality, use of inotropic support, post-operative renal dysfunction and new onset of post-operative atrial fibrillation, based on research reported online Aug. 12 in the Journal of the American College of Cardiology.

AIM: ARBs do not improve renal outcomes in patients with heart disease

In adults with vascular disease but without macroalbuminuria, the effects of telmisartan on major renal outcomes were similar to those of placebo, according to an analysis of the TRANSCEND trial published July 7 in the Annals of Internal Medicine.

Circulation: Doctor-pharmacist partnership reduces heart failure hospitalization

Thinking "outside the medicine cabinet" is paying off in Australia, where a doctor-pharmacist partnership is reducing hospitalizations for heart failure, researchers reported Aug. 18 in Circulation: Heart Failure.

Merck, Schering-Plough settle Vytorin, Zetia suits for $41.5M

Merck, Schering-Plough and the companies' cholesterol joint venture, Merck/Schering-Plough Pharmaceuticals (MSP), have entered into agreements to resolve, for a total fixed amount of $41.5 million, civil class action litigation currently pending against the companies relating to the purchase or use of Vytorin (ezetimibe/simvastatin) and Zetia (ezetimibe).

Lilly reveals $22M in physician payments in Q1

Eli Lilly has launched an online registry detailing recent payments that it has made to physicians and other healthcare professionals for the first quarter of 2009, totaling $22 million. The company said it will update the registry quarterly going forward.

FDA, EMEA launch initiative to better clinical trials

The FDA and the European Medicines Agency (EMEA) have launched a bilateral Good Clinical Practices initiative, designed to ensure that clinical trials submitted for drug marketing applications in the United States and Europe are conducted uniformly, appropriately and ethically.

Gastroenterology: Metformin can reduce risk of pancreatic cancer

Taking the most commonly-prescribed anti-diabetic drug, metformin, reduces an individual's risk of developing pancreatic cancer by 62 percent, according to research from the University of Texas M. D. Anderson Cancer Center, published in the Aug. 1 issue of Gastroenterology.

Sanofi begins selling Multaq in U.S.

Sanofi-Aventis has made Multaq (dronedarone) 400 mg tablets available in pharmacies in the U.S. Multaq, an anti-arrhythmic drug, is indicated to reduce the risk of cardiovascular (CV) hospitalization in patients with paroxysmal or persistent atrial fibrillation (AF) or atrial flutter (AFL), with a recent episode of AF/AFL and associated CV risk factors, who are in sinus rhythm or who will be cardioverted.

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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