ATLANTA – Many Americans with leaky heart valves soon might be able to get them fixed without open-heart surgery. A study showed that a tiny clip implanted through an artery was safer and nearly as effective as surgery, doctors reported Sunday.

The device is already on sale in Europe, and its maker, Abbott Laboratories, hopes to win approval to sell it in the United States next year. Elizabeth Taylor reportedly got one last fall — the 77-year-old actress told fans about it on Twitter.

About 8 million people in the U.S. and Europe have leaky mitral valves — the valve between the heart’s left upper and lower chambers. Not all are so bad they need treatment, but the worst cases can lead to heart failure over time.

In the study, six times more people who had surgery suffered complications during the next month than those who got Abbott’s MitraClip. Deaths, strokes and blood transfusions were less common with the device. The clip was not dramatically less effective than surgery after one year.

Doctors called the study a watershed — the first big test of repairing or replacing heart valves through arteries rather than drastic surgery.

The MitraClip is only for the mitral valve. Other devices for other heart valves are in late-stage testing, and many doctors believe they will transform how these conditions are treated in the near future.

“We have opened the door for a new therapeutic option for patients,” said Dr. Ted Feldman of NorthShore University Health System in Evanston, Ill.

He led the new study and gave results Sunday at an American College of Cardiology conference. The study was sponsored by Evalve Inc., which developed the device. Evalve was sold last year to North Chicago, Ill.-based Abbott, and Feldman consults for the firm.

Some surgeons were not convinced the device is close to surgery’s effectiveness, and said patients need to be studied for more than one year.

“It’s a partial victory for the device,” Dr. James McClurken, a surgeon at Temple University in Philadelphia, said of the result. McClurken also is the conference chairman.

The study used an outdated method of surgery that minimizes its true benefit, said Dr. J. Scott Millikan, a surgeon at the Billings Clinic in Montana.

“Clearly this is a very exciting technology,” but the study’s leaders “set the bar for success way too low” for the device, he said.

The mitral valve is like a saloon door that opens to let blood flow into the heart’s main pumping chamber. When the flaps of the door don’t swing completely shut, blood flows back into an upper chamber of the heart.

Medicines can ease symptoms but do not keep the valve problem from getting worse. Bad cases are treated with open-heart surgery: Doctors partly stitch the flaps together in the middle, allowing blood to flow on either side but keeping them aligned during each heartbeat….. (more…)

U.S. foreign policy should should rely more on diplomacy and “soft power,” Admiral Mike Mullen, chair of the U.S. Joint Chiefs of Staff, said in a speech at Kansas State University on Wednesday, Agence France-Presse reports. ”U.S. foreign policy is still too dominated by the military - too dependent upon the generals and admirals who lead our major overseas commands and not enough on the State Department,” Mullen said, the AFP reports.

The news service continues: “Defense Secretary Robert Gates and Secretary of State Hillary [Rodham] Clinton ‘have called for more funding and more emphasis on our soft power, and I could not agree with them more, the admiral said” (2/3).

In a “shift in thinking, Mullen said in his speech that policymakers now and in the future should consider the U.S. military not as a last-resort solution in a crisis, but as part of early American responses to conflicts and disasters,” the Los Angeles Times reports. “‘Military forces are some of the most flexible and adaptable tools available to policymakers,’ Mullen said. ‘Before a shot is even fired, we can bolster a diplomatic argument, support a friend or deter an enemy.’ Mullen emphasized that military power must be used alongside other government tools,” the newspaper writes (Barnes, 3/4)…. (more…)

The Patient had a rare condition called Situs Inversus Solitaris with Dextrocardia, where the heart appears to have flipped over.

The anatomy can be described as back to front.

The chambers, valves and major bloods vessels were in the reverse position. The conditions is also commonly called mirror image.

When this occurs, it is common for the immediately surrounding organs to be affected as well. It has been found that those with Dextrocardia Situs Inversus have their spleen and liver also in the reverse position…. (more…)

You’re never too young—or too old—to start lowerig your heart disease risk. Of course, exercising, eating healthy and reducing stress are key throughout life, but due to physiological changes that happen as we age, certain risk factors do become more of a threat.

In Your 20s

Stub Out a Social Smoking Habit
Smoking is enemy number one when it comes to heart disease, and even just a few cigarettes can do damage: New research from McGill University in Montreal found that smoking just one cigarette a day stiffens your arteries by a whopping 25 percent. Plus, smoking erases the hormonal advantage you have from estrogen, which can leave you vulnerable to a heart attack before menopause, explains Dr. Bonow.

Don’t Ignore the Birth Control Factor
Remember that hormonal contraceptives slightly increase the risk of blood clots, so if you’ve ever had one, make sure to discuss it with your doctor before going on birth control. And if you’re currently a smoker, don’t take oral contraceptives, because the combo can be especially dangerous, says Sharonne N. Hayes, MD, director of the Women’s Heart Clinic at Mayo Clinic in Rochester, Minnesota.

Watch Your Alcohol Intake
Moderate amounts of alcohol can have a beneficial effect on your heart. (By “moderate,” we mean one drink a day or about 5 ounces—but many restaurants serve far more than that.) Overdoing it can raise triglycerides, increase blood pressure and lead to weight gain, thanks to all those empty calories.

In Your 30s

Get a Grip on Stress
When you’re juggling career and family, it’s crucial to find stress management techniques that work. “Untamed stress has a direct negative impact on heart health,” says Dr. Stevens. “The constant bombardment of adrenaline raises blood pressure and destabilizes plaque in your arteries, making it likely to cause a clot or heart attack.”… (more…)