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.

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Disabilities fairly common among adults with congenital heart defects

The study's authors said that policies should be put in place to provide better support for these individuals. 

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LAAC reduces stroke risk among patients with HCM and AFib

The team behind the new pilot study said additional research is still necessary to confirm its findings. 

Two-year outcomes highlight the value of TMVR for patients with severe MR

Patients continue to see the benefits of transcatheter mitral valve replacement a full two years after treatment.

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Mitral valve prolapse during pregnancy linked to higher risk of cardiac complications

MVP also appears to increase the risk of certain problems during childbirth. 

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How pre-TAVR PCI impacts patient outcomes

One-year outcomes are similar when patients undergo PCI prior to TAVR—except for one important difference. 

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TEER associated with ‘important and significant’ reductions in hospitalization rates

Considering the study's high-risk patient population, researchers were especially impressed by these one-year outcomes.

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98% of new TAVR programs are being developed in wealthier metro areas

The study's authors examined new TAVR programs established from 2012 to 2018.

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TAVR delivers better outcomes for low-risk patients than a sutureless surgical approach

The two treatment options were comparable in many ways—but TAVR was better when it came to limiting hospitalizations for heart failure. 

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.