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.   

Ticagrelor may reduce risk of subsequent adverse events

Ticagrelor's benefits appear to carry over time, according to an analysis that found ticagrelor treatment resulted in not only fewer primary outcome events (MI, cardiovascular death, stroke) but also fewer subsequent events compared with clopidogrel. But an accompanying editorial questioned the use of composite endpoints to track subsequent events, and suggested a protocol to define and report recurrent endpoints more specifically.

MRAs reduce SCD risk in some patients

Mineralocorticoid receptor antagonists (MRAs) reduce the risk of sudden cardiac death (SCD) in patients with left ventricular systolic dysfunction (LVSD), according to a meta-analysis.

Class 1 recall slapped on St. Jude's occluder delivery system

The FDA has notified healthcare professionals of a Class I recall of St. Jude Medical’s Amplatzer TorqVue FX delivery system because, in a small number of cases, the distal end of the core wire potentially could fracture when exposed to a combination of certain cardiac anatomies and usage conditions.

Medtronic's updated pacemaker gets approved for MRI use

The FDA has approved Medtronic's Advisa DR MRI SureScan pacing system, and the company has immediately commenced its U.S. launch. The Advisa MRI system is Medtronic’s second-generation MR-Conditional pacemaker.

Bayer submits pulmonary hypertension drug for approval in U.S., EU

Bayer HealthCare has submitted the oral investigational drug riociguat to treat patients with inoperable chronic thromboembolic pulmonary hypertension and pulmonary arterial hypertension for regulatory approval in the U.S. and in the European Union (EU).

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CCTA in ED leads to lower costs but more invasive procedures

A meta-analysis of randomized, controlled trials of coronary CT angiography (CCTA) in the emergency department (ED) for patients presenting with chest pain found CCTA use was associated with shorter lengths of stay and decreased costs but increased invasive coronary angiography and revascularization.

FDA calls for cardiovascular data for Tresiba

The FDA is requesting additional cardiovascular data from a dedicated cardiovascular outcomes trial from Novo Nordisk for insulin degludec (Tresiba) and insulin degludec/insulin aspart (Ryzodeg). Results must be available for review before the FDA will complete the new drug applications.

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PET technique visualizes amyloid deposits in heart

PET with 11C-PIB provides a noninvasive method for visualizing amyloid deposits in the heart, according to a study published in the February issue of the Journal of Nuclear Medicine. The researchers suggest that 11C-PIB eventually may be used in the clinical setting as both a diagnostic tool and a treatment follow-up method.

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.