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.

Performing TAVR and TMVR during the same hospitalization may provide value

Patients undergoing both procedures at once tended to be sicker, but their risk of poor outcomes did not significantly increase. 

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Adjusting implantation technique during TAVR reduces risk of permanent pacemakers

Researchers emphasized that permanent pacemakers are “one of the most feared complications" associated with TAVR. 

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Hydra THV associated with promising TAVR outcomes after 1 year

Researchers reported "significant improvements" in patients after one year. 

LAAC or DOACs? How treatment strategies for AFib impact long-term outcomes

The new analysis provided an update on data from the PRAGUE-17 trial. 

Self-expanding TAVR system gains approval for high-risk patients in China

The National Medical Products Administration reviewed data from more than 32,000 patients to make its decision.

overnight night shift attending radiologist burnout

Researchers take a fresh look at how different risk factors impact the look of a patient's heart

The study included cardiac MRI scans of nearly 30,000 patients. 

Edwards gains FDA approval for new Sapien 3 solution for TPV replacement

The system was designed to treat both pediatric and adult patients.

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AI improves detection of severe CAD in stress echocardiograms

Advanced algorithms can lead to significant improvements in agreement among specialists, researchers found. 

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.