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.

JAMA: New cholesterol drug fails to prevent plaque development

Daiichi Sankyo's ACAT inhibitor pactimibehad noeffect on atherosclerosis in patients with familial hypercholesterolemia but did result in anincreased incidence of cardiovascular events such as heart attack and stroke, according to CAPTIVATE trial results published in the March 18 issue of Journal of the American Medical Association.

FDA, Welch Allyn initiate Class 1 recall of more than 14K defibrillators

The FDA and Welch Allyn have notified healthcare professionals and consumers of a nationwide Class I recall of 14,054 automatic external defibrillator (AED) 10 and MRL JumpStart AEDs manufactured between Oct. 3, 2002 and Jan. 25, 2007.

First Framingham Heart Study industry collaboration to focus on CV biomarkers

In the first public-private partnership for the 60-year Framingham Heart Study, BG Medicine will join with the National Heart, Lung and Blood Institute, the National Institutes of Health and Boston University to develop a blood test that could predict heart disease in patients with no obvious symptoms.

Gilead outbids Astellas with $1.4B offer for CV Therapeutics

Gilead Sciences will acquire CV Therapeutics for approximately $1.4 billion in cash through a tender offer second-step merger, after repeated attempts from Astellas Pharma to take over CV Therapeutics for $1 billion.

EHJ: AF signals higher mortality risk for diabetics; aggressive control needed

There is a strong link between diabetics who have atrial fibrillation (AF) and an increased risk of other heart-related problems and death, according to the ADVANCE trial in the March 12 issue of the European Heart Journal.

Resuscitative Care Gets Second Wind

No single device or strategy carries the day; rather it is the culmination of many innovative protocols and technologies that have galvanized the field of resuscitative care.

JUPITER's Orbit Expands: How Far Should Preventive Statin Therapy Go?

Are all statins created equal? Can we afford to give statins to millions more people? Are there risks for people with different types of heart disease? Do we know the very long-term risks of statin therapy? These and many other questions must be considered before large-scale cholesterol-lowering programs are adopted.

Merck/Schering merger = 16,000 job cuts

Richard T. Clark, CEO and president of Merck, has estimated that its recent $41.1 billion merger with Schering Plough will result in the elimination of 15 percent of the work force, or about 16,000 positions, in both companies.

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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