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GLG News by Non-Electrophysiologist Cardiologists (US)

Charles Glueck, MD, Medical Research Director of Cholesterol Center
Charles Glueck, MD, Medical Research Director of Cholesterol Center
Jewish Hospital
Analysis of: CETP INHIBITORS: A PROBABLE CLASS ACTION EFFECT TO BE PROATHEROGENIC (mediaroom.pfizer.com)
By reducing fractional catabolic rate and by producing a large, cholesterol rich HDL molecule which could not easily be cleared by hepatic HDL receptors, our research group in Cincinnati thought from the beginning that the CETP inhibitors AS A CLASS would fail, and might even be proatherogenic. Regrettably,...
Analysis of: ProRhythm Initiates U.S. Pivotal Trial For HIFU Ablation System (www.medcompare.com)
1. Atrial fibrillation ablation is one of the fastest growing procedural areas in cardiac electrophysiology. 2. There is a need to achieve a higher success rate than is currently being observe. 3. The majority of afib ablations are performed using radiofrequency energy. 4. Other ablation technologies...
Analysis of: FDA Panel Rejects Medtronic Device To Monitor Hearts (online.wsj.com)
1. The chronicle device is a stand alone hemodynamic monitor  that is implanted in a similar fashion as a pacemaker.  It includes a wire that is capable of measuring blood pressure in the lungs.  This pressure measurement may serve as a early warning of worsening heart...
February 15, 2007
DES in women
Analysis of: First Women-Only Drug-Eluting Stent Trial Initiated (www.ptcommunity.com)
1. First study to look at DES in women2. Another study of a new DES - not yet on the market here in the US
Analysis of: Torcetrapib tanks, but there is still a future in HDL cholesterol-raising therapies (www.theheart.org)
1. There are no new drugs designed to raise HDL anywhere close to coming to market2. Niacin remains the best agent on the market (in terms of HDL raising and improved outcomes) and is undergoing some potential improvement to reduce annoying side effects3. There remains great debate as to what the biological...
Eliot Brinton, MD, Director of Metabolism Section
University of Utah
Analysis of: Torcetrapib tanks, but there is still a future in HDL cholesterol-raising therapies (www.theheart.org)
The surrogate atherosclerosis end point studies with torcetrapib promise to give important, but likely complex clues regarding its paradoxical increase in CVD events and mortality. Some promising HDL-raising approaches still appear to be eluding pharmaceutical R&D.Niacin promises to be a big winner...
Joshua Feuer, MD, Owner
Joshua M. Feuer, MD
Analysis of: An Old Cholesterol Remedy Is New Again (www.nytimes.com)
1. Pfizer Inc, the pharmaceutical giant, halted late-stage trials of the HDL increasing drug torcetrapib after investigators discovered that it increased heart problems and increased death rates in the treated population. 2. Niacin, a B vitamin that increases HDL (the good cholesterol) up to 35%, has...
Eliot Brinton, MD, Director of Metabolism Section
University of Utah
Analysis of: An Old Cholesterol Remedy Is New Again (www.nytimes.com)
With the demise of the clinical development of Torcetrapib we are forced to reevaluate our views of HDL raising.We have had good HDL-raising drugs for many years, but they have gone underutilized and underappreciated.Many cardiologists (often supposed by others to be lipid experts) have never or rarely...
Analysis of: An Old Cholesterol Remedy Is New Again (www.nytimes.com)
Niacin is one of the best drugs to treat hyperlipidemia in our armamentarium. It raises HDL (good CHL), and lowers both LDL and triglycerides, while statins essentially only target LDL metabolism. It is also one of the worst in terms of side effects. While LDL (bad cholesterol) is the primary target,...
January 23, 2007
Lower is Better!
Analysis of: Cholesterol Drugs Linked to Parkinson’s (www.newsinferno.com)
More patients need to get to goal, rather than hear this chatter.

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