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.

HRJ: QT and heart rate variance predict gender-specific risk of VT/VF

Increased QT variability is an independent predictor of ventricular tachycardia or ventricular fibrillation in men, while in women, QT variability alone does not pose a risk of arrhythmic events, according to a study in the February edition of the Heart Rhythm Journal.

Expert: Public defibrillators save lives, healthcare costs

Portable defibrillators can increase survival rates from sudden cardiac death simply by being available in a public setting, according to Michael Sayre, MD, a national expert on the public placement of automated external defibrillators at Ohio State University Medical Center.

King slashes 22% of work force

King Pharmaceuticals has begun restructuring and work force reduction initiatives to decrease its operating expenses, which will result a total work forceconstriction of approximately 22 percent, or approximately 760 positions, in combination with a decrease in headcount arising from its acquisition of Alpharma.

Strong Plavix sales pushes Bristol-Myers into the black for Q4

Bristol-Myers Squibb (BMS) has reported strong fourth quarter sales and overall 2008 fiscal year performance, which ended Dec. 31, 2008.

Eli Lilly swings into losses for Q4, 2008

Eli Lilly reported a significant downturn forits fiscal 2008fourth quarter and full year, which ended Dec. 31, 2008.

Cerenics licenses new treatment of aortic valve stenosis

Cerenis Therapeutics, a pharmaceutical company developing HDL-related compounds for the treatment of cardiovascular and metabolic diseases, has licensed intellectual property supporting an HDL-therapy based investigational treatment of aortic valve stenosis (AVS).

Critical Care: Genetic variant predicts poor response to bypass surgery

A variant of the gene for the inflammatory modulator interleukin (IL)-18 has been found to be associated with a prolonged ICU stay after cardiopulmonary bypass surgery. The study, published online in January in BioMed Central's journal Critical Care, links the TT genotype of the IL-18 9545 T/G polymorphism with a larger pro-inflammatory response.

CMAJ: PPIs increase risk of heart attacks for patients on clopidogrel

Patients taking clopidogrel following a heart attack are at a significantly higher risk of a recurrence if they are also taking acid-lowering medications such as proton pump inhibitors (PPIs), according to a study published online in January in the Canadian Medical Association Journal.

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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