Adolescent patients with obstructive hypertrophic cardiomyopathy (HCM) who received the drug mavacamten saw a significant improvement in left ventricular outflow tract (LVOT) gradient, a measure of blood flow obstruction in the heart, compared with those who received a placebo, according to a small study presented at the American College of Cardiology’s Annual Scientific Session (ACC.26). The trial is the first to test mavacamten in patients younger than 18.  

Patients who have heart failure with preserved ejection fraction (HFpEF) and high blood pressure in the lungs (pulmonary hypertension) experienced significant improvements in blood pressure and vascular health after taking the drug sotatercept, according to a study presented at the American College of Cardiology’s Annual Scientific Session (ACC.26).

A phase 3 clinical trial found that mavacamten can improve flow through the left ventricle, with the potential to spare some patients with hypertrophic cardiomyopathy from open-heart surgery. 

A trial testing the aldosterone blocker spironolactone in patients with heart failure with preserved ejection fraction (HFpEF) and heart failure with mildly reduced ejection fraction (HFmrEF) did not show any significant improvement in terms of heart failure hospitalizations and cardiovascular death at 24 months, according to findings presented at the American College of Cardiology’s Annual Scientific Session (ACC.26).

The first randomized trial to compare standard percutaneous coronary intervention (PCI), also known as coronary angioplasty, with PCI accompanied by the use of a temporary, miniaturized pump to support the heart in patients with both severe coronary heart disease and moderate to severe heart failure found no significant difference between the two approaches. However, at two years, patients who received the heart pump had almost double the risk of dying of a cardiovascular event compared with those who received standard care. The research was presented at the American College of Cardiology’s Annual Scientific Session (ACC.26).

A novel, minimally invasive computer software-based method that uses artificial intelligence to determine whether plaques in a coronary artery are restricting blood flow to the patient’s heart performed similarly to the standard, more invasive wire-based procedure, according to a large international randomized trial presented at the American College of Cardiology’s Annual Scientific Session (ACC.26).

A novel, minimally invasive method of determining whether fatty deposits in a coronary artery are restricting blood flow to a patient’s heart performed similarly to the standard, more-invasive procedure in a large multi-country European randomized trial presented at the American College of Cardiology’s Annual Scientific Session (ACC.26). The technique is one of several minimally invasive approaches in development that could make this technology available to more patients and ultimately improve outcomes for patients with serious heart disease.

Mass General Brigham researchers found that the intensive cholesterol‑lowering therapy evolocumab reduced the risk of a first major cardiovascular event in high‑risk patients who did not have known atherosclerosis (the build-up of plaque inside artery walls) but did have diabetes.

Using cholesterol-lowering medications more intensively to achieve a more aggressive target for low-density lipoprotein cholesterol (LDL-C) reduced the rate of major cardiovascular events by one-third among patients with atherosclerotic cardiovascular disease (ASCVD), according to a study presented at the American College of Cardiology’s Annual Scientific Session (ACC.26).