Clinical

This channel newsfeed includes clinical content on treating patients or the clinical implications in a variety of cardiac subspecialties and disease states. The channel includes news on cardiac surgery, interventional cardiologyheart failure, electrophysiologyhypertension, structural heart disease, use of pharmaceuticals, and COVID-19.   

FDA, CMS to review Symplicity simultaneously

The FDA and the Centers for Medicare & Medicaid Services (CMS) will conduct a parallel review of Symplicity, a renal denervation system for treatment-resistant hypertension. The review allows CMS to begin consideration for national coverage determination while the FDA completes its review of the safety and efficacy.

ACC.13 late-breaker PREVAIL pulls back on releasing full results

Boston Scientific, sponsor of the PREVAIL study set to be featured March 9 as a late-breaking clinical trials at the American College of Cardiology (ACC) scientific sessions in San Francisco, announced that the presentation will focus on acute procedural safety results and not the complete results.

FDA gives thumbs up to Philips EchoNavigator

Philips has received 510(k) clearance from the FDA to market its EchoNavigator live image-guidance tool. 

FDA once again jilts Xarelto

The FDA has issued a second complete response letter on a supplemental New Drug Application for rivaroxaban for the reduction of the risk of cardiovascular events in patients with acute coronary syndrome.

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Stroke diagnosis simplified with bedside 'EKG for the eyes'

A bedside device that can calibrate subtle eye and head movements may be key to correctly diagnosing strokes in patients who present with dizziness, nausea, nystagmus, unsteady gait and head movement intolerance.

ICD AUC stress clinical judgment, need for more trials

Combining research-derived data, practice guidance and common clinical experience, the American College of Cardiology Foundation, the Heart Rhythm Society and other specialty societies released appropriate use criteria (AUC) for implantable cardioverter-defibrillators (ICDs) and cardiac resynchronization therapy.

CRT slides: FDA on progress, challenges with Early Feasibility Study

WASHINGTON, D.C.—FDA researchers Andrew A. Farb, MD, and Dorothy B. Abel presented an overview about the potential for an FDA Early Feasibility Study pilot program in the U.S., recognizing a need for a cultural shift within the agency. However, evaluating the FDA guidance, they also recognized the challenges to the device evaluation strategy.

25% choose not to THRIVE on niacin therapy

One-quarter of patients with occlusive arterial disease who received extended release niacin in addition to statins discontinued treatment, primarily due to adverse reactions. Results, published online Feb. 27 in European Heart Journal , showed a four-fold excess risk of myopathy in patients taking the combination therapy, with patients in China facing even higher risks.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.