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: PPI, Plavix combo may increase risk of hospitalization, death after MI

Following an acute coronary syndrome (ACS), patients who receive clopidogrel, aspirin and proton pump inhibitors (PPIs) to reduce the risk of gastrointestinal bleeding that may be associated with clopidogrel, may have an increased risk of subsequent hospitalization for ACS or death, according to a study in the March 4 issue of the Journal of the American Medical Association.

Astellas sues CV Therapeutics over $1B bid rejection

Astellas US Holding, a wholly owned subsidiary of Astellas Pharma, has filed a lawsuit in the Delaware Chancery Court against CV Therapeutics and its directors related to a recent tender offer for CV's common stock.

Sanofi to acquire generic pharma company Zentiva for $2B, U.S. chair retires

Sanofi-Aventis Wednesday will acquire 94 percent of the capital in the generic pharmaceutical company Zentiva for approximately $2.3 billion, in a deal to be finalized next month. The company also reported that Tim Rothwell, chairman of sanofi-aventis U.S., will retire on March 31.

Medicines Company losses narrow for 2008 on strong Angiomax sales, despite dip in Q4

The Medicines Company has reported narrowed losses its 2008 fiscal full year, despite widened losses for the fourth quarter of 2008, which ended Dec. 31.

CV Therapeutics board rejects Astellas $1B offer--again

The board of directors for CV Therapeutics has reviewed and rejected the unsolicited, all-cash $1 billion proposal from Astellas Pharma for a second time.

Bystander CPR, Living Wills & Online Forums

The cardiovascular community has galvanized its resources in the last several years to improve morbidity and mortality associated with sudden cardiac arrest. Door-to-balloon times have been reduced and care during transport and in the hospital has become more standardized than in the past. But a large part of improved survival is due to the efforts of communities to educate its members about the value of CPR and automated external defibrillators (AEDs).

Living wills often mistaken for DNR orders in pre-hospital setting

Significant confusion and concern for patient safety exists in the pre-hospital setting due to the understanding and implementation of living wills and DNR orders. This confusion can be corrected by implementing clearly defined code status into the living will, according to a study in the February edition of the Journal of Emergency Medicine.

Zoll to purchase rival for $12M

Zoll Medical, through a wholly owned subsidiary, will purchase Alsius and all the assets constituting Alsius's intravascular temperature management device business, for approximately $12 million.

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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