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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Cardiologist questions FDA’s approval process for high-risk medical devices

The technology used to diagnose, treat and manage cardiovascular disease is always evolving, keeping FDA officials quite busy. But have the agency's standards been slipping in recent years? A cardiologist with Cedars-Sinai Medical Center explored that very question.

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Veterans with heart disease often receive better care through VA than they would elsewhere

Military veterans face an increased risk of cardiovascular disease, making it especially important to ensure they receive high-quality care.

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CABG, TAVR top list of most lucrative heart procedures for hospitals

Other procedures are associated with higher profits—heart transplants, for instance—but CABG and TAVR are performed much more often.

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Cardiologists recommend AVR for asymptomatic severe AS—TAVR and surgery both viable options

A trio of leading voices in cardiology reviewed years of data while considering their proposal. The choice between TAVR and SAVR, they added, should be made on a case-by-case basis.

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Physicians are leaning into supra-annular, self-expanding TAVR valves for women and small-annulus patients

Sponsored by Medtronic

"The onus is on us as cardiologists to make sure we offer the very best possible devices for our patients with the available data that we have," interventional cardiologist Anene Ukaigwe, MD, explained. 

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Women with severe aortic stenosis remain underdiagnosed, undertreated—here’s how cardiologists can make a difference

Sponsored by Medtronic

Women with cardiovascular disease are consistently underdiagnosed and undertreated compared to men, and those disparities are true for aortic stenosis as well. Women with symptomatic severe AS are up to 35% less likely than men to undergo aortic valve replacement, for example, and they often have to wait longer just to be referred for further care.

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Ross procedure linked to high levels of safety, effectiveness after 20 years

“It has the added advantage of avoiding oral anticoagulation drugs and the risks associated with lifelong anticoagulation," one researcher explained. "In fact, most of our patients are not on any cardiac medications following one year after surgery.”

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TAVR patients admitted on weekend face greater risk of death, complications

The so-called "weekend effect" seen with other cardiovascular diseases appears to exist for patients with severe aortic stenosis as well. 

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