Outcomes 2017 - Baylor Heart and Vascular Services FY2017 | Page 81

Milton Packer, MD, Distinguished Scholar in Cardiovascular Science and an internationally recognized expert on heart failure, says there are two important aspects to heart failure research conducted at Baylor Hamilton Heart and Vascular Hospital and Baylor University Medical Center at Dallas. “We continue to provide leadership in development of novel drugs and devices to treat heart failure, and we maintain a laser- like focus on improving the application of those drugs and devices to enhance patient care. The complete dedication to patients’ well- being enables new advances to be applied rapidly and that makes a big difference in terms of what patients experience and what we can ultimately do for them.” Dr. Packer points to one research study and two publications that were significant for heart failure advancements in fiscal year 2017. • EMPEROR: a study enrolling with heart failure, both with a reduced and a preserved ejection fraction. The study will evaluate a SGLT2 inhibitor, empagliflozin, which is already approved for use in diabetes. The trial began enrollment in fiscal year 2017. The trial is expected to be completed by 2022. • “Effect of Ularitide on Cardiovascular Mortality in Acute Heart Failure,” was published in the May 18, 2017, issue of The New England Journal of Medicine. The article detailed a study that evaluated the effect of randomly administering ularitide, an intravenous vasodilator, to 2,157 patients with acute heart failure to gauge whether the therapeutic goal of reducing cardiac-wall stress and potentially myocardial injury was achieved. The authors concluded that in patients with acute heart failure, ularitide exerted favorable physiological effects without affecting cardiac troponin levels. The following studies were nationally known as top enrolling: EVOLVE Short DAPT Study A prospective, multicenter, single-arm study designed to assess the safety of three- month DAPT in subjects at high risk for bleeding undergoing PCI with a SYNERGY Stent System, sponsored by Boston Scientific Corporate. Top- ranked internationally. CANTOS A cardiovascular risk reduction study (reduction in recurrent major cardiovascular disease events), sponsored by Novartis Pharmaceuticals. Top- ranked nationally. SPYRAL HTN-OFF MED Study Obtain an assessment of the efficacy and safety of renal denervation in the absence of antihypertensive medications, sponsored by Medtronic Vascular. Top-ranked nationally. SPYRAL HTN-ON MED Study Obtain an assessment of the efficacy and safety of renal denervation in the presence of three standard antihypertensive medications, sponsored by Medtronic Vascular. Top-ranked nationally. • “Declining Risk of Sudden Death in Heart Failure,” was published in the July 6, 2017, issue of The New England Journal of Medicine. The autho