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.   

More than gut instinct: Bacteria byproduct ups mortality risk in heart failure patients

Physicians trying to get to the heart—and gut—of the relationship between heart failure and intestinal flora found that higher levels of microbe metabolites in the blood stream appeared to predict mortality risk. Heart failure patients stratified by levels of trimethylamine-N-oxide (TMAO) found in blood samples had progressively more risk for death by year five.

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Edoxaban gets its turn before FDA panel

An FDA advisory committee is scheduled to review an application for another novel oral anticoagulant to reduce the risk of stroke or systemic embolism in patients with nonvalvular atrial fibrillation.

Essential Medical, Inc. announces CE mark approval for new vascular closure device, X-Seal

Essential Medical, Inc., a privately held medical device company, announced today that it has received CE mark approval for X-Seal, a new vascular closure device with superior handling and closure features. 

Complex patients less likely to die at high-volume stroke centers

Brain hemorrhage survival was highest among patients taken to high-volume stroke care units, according to findings published in the November issue of Neurosurgery. Comprehensive stroke centers and other high-volume stroke care units had the fewest subarachnoid hemorrhage in-hospital deaths, researchers found. 

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Genetically high LDL-C may increase risk for aortic valve disease

According to a multinational study, genetically high levels of low-density lipoprotein cholesterol (LDL-C) may put patients at increased risk for aortic valve disease. No similar association was found between high-density lipoprotein cholesterol (HDL-C) or triglycerides and the development of aortic valve calcium and stenosis.

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FDA approves St. Jude’s contact-force ablation catheter

The FDA approved St. Jude Medical’s contact-force ablation catheter for treating patients with atrial fibrillation.

FDA OKs stent system for peripheral disease

The FDA approved the Ever-Flex Self-Expanding Peripheral Stent System for use in the common and external iliac arteries.

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Lowering blood pressure has no effect on stroke outcomes

Blood pressure may not be the key to improving stroke outcomes after all. In an international study published online Oct. 22 in The Lancet, stroke patients randomized to have blood pressure control within 48 hours of infarct did no better than patients whose high blood pressure remained untreated. They did no worse, either. 

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.