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.

Half-dose DOAC improves outcomes after LAAO

The new-look anticoagulation strategy was associated with a significant reduction in adverse outcomes.

radiology reporting EHR health record CDS AUC

Clinicians have a new tool for predicting TAVR mortality

Left atrium emptying fraction (LAEF) measurements can provide significant value during the TAVR planning process.

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High-quality care is helping women with heart defects have safer pregnancies

Early counseling should be stressed for women with congenital heart defects, according to the analysis. 

Real-world TAVR outcomes highlight the accuracy of clinical trials

Clinical trial results don't always apply to real-world patient populations.

CUTTING-EDGE findings shine new light on mitral valve surgery after failed TEER

Overall, mitral valve surgery after TEER was associated with a 30-day mortality rate of 16.6% and one-year mortality rate of 31.3%.

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Permanent pacemaker implantation after TAVR does not increase risk of death or heart failure

Prior studies have suggested that TAVR patients could face worse outcomes if they require a permanent pacemaker. 

TAVR safe and effective for patients with cirrhosis

Patients with cirrhosis of the liver often undergo TAVR at a younger age, but the outcomes remain strong. 

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Just 3.6% of TAVR procedures in the US performed by women

In addition, researchers noted, there were no female specialists performing TAVR in 19 states. 

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.