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Congestive Heart Failure: Worldwide Drug and Medical Device Markets

Published by: Kalorama Information

Published: Mar. 1, 2002 - 334 Pages

Special Offer. Now 25% off the original price of $3500.

Table of Contents


Chapter One: Executive Summary


    Background

    Scope and Methodology

    Size and Growth of Market

    Market Trends

    The Nature of the Industry

    The New Technologies
    • Pharmaceutical
    • Medical Device

Chapter Two: Overview of Congestive Heart Failure


    Background

    Pathophysiology

    • Types of Heart Failure
    • Theories of Congestive Heart Failure


    Conditions Leading to Congestive Heart Failure

    • Myocardial Infarction
    • Hypertension
    • Cardiomyopathy
    • Atrial Fibrillation
    • Other Risk Factors


    Diagnosis of Congestive Heart Failure

    Classification of Patients

    Epidemiology

    • United States
    • Europe
    • Japan

Chapter Three: Treatment of Congestive Heart Failure


    Pharmacologic Therapy

    • Overview
    • Standard Pharmacologic Therapy
    • The Market for CHF Pharmaceuticals
    • Leading Products
    • Leading Competitors


    Congestive Heart Failure Devices

    • Overview
    • Bridge to Transplant
    • Extended Use
    • ACC Guidelines
    • Intervention Device Products
    • The Market for Intervention Devices
    • Leading Products
    • Leading Competitors

Chapter Four: Congestive Heart Failure Patient Management


    Guidelines for Management of Chronic Heart Failure

    Strategies to Maintain Quality Patient Care and Contain Costs

    • Patient Education Programs
    • Dedicated Multidisciplinary Congestive Heart Failure Clinics

Chapter Five: Emerging Technologies To Treat Congestive Heart Failure


    Pharmacologic Treatments

    Medical Devices

    Biotechnology

Chapter Six: Company Profiles


    Abiomed, Inc.

    Acorn Cardiovascular, Inc.

    Actelion Ltd.

    Arrow International

    Bioheart, Inc.

    CardioEnergetics, Inc.

    CV Therapeutics

    GenVec, Inc.

    Geron Corporation

    Guidant Corporation

    MediGene AG

    MedQuest Products, Inc.

    Medtronic, Inc.

    MicroMed Technology, Inc.

    Myocor, Inc.

    Myogen

    St. Jude Medical

    Somanetics Corporation

    Texas Biotechnology Corporation

    Thoratec Corporation

Chapter Seven: Conclusions and Strategic Implications


    Prevention Over Treatment

    Medical Approaches Over Surgical Approaches

    Accelerating Device Development

    Device Competition Heats Up

    Big Pharma Still Dominant

    Biotech Emerges

    Transplant Alternatives on the Way

    Drug Market Outpaces Epidemiology

Appendix A: Glossary

Appendix B: Company Directory

List of Exhibits

Chapter One: Executive Summary


    Figure 1-1: Incidence of Congestive Heart Failure Cases in the Major World Healthcare Markets, 2000-2008

    Figure 1-2: Prevalence of Congestive Heart Failure Cases in the Major World Healthcare Markets, 2000-2008

    Figure 1-3: The Total Market for Congestive Heart Failure Therapeutics in the Major World Healthcare Markets: 2000-2008

    Table 1-1: Estimated Market Sizes for CHF Pharmaceuticals in the Major World Healthcare Markets, 2000-2008

    Table 1-2: Estimated Market Sizes for CHF Devices in the Major World Healthcare Markets, 2000-2008

    Figure 1-4: Trending in the World’s Major Congestive Heart Failure Therapy Markets (Total), 2000-2008

    Figure 1-5: Composition of the Markets for Congestive Heart Failure Therapeutics by Product Classification: 2000-2008

    Table 1-3: Key Competitors in Congestive Heart Failure Therapeutics

Chapter Two: Overview of Congestive Heart Failure


    Table 2-1: Common Contributors to Congestive Heart Failure

    Figure 2-1: Incidence and Prevalence of Congestive Heart Failure In the World’s Major Healthcare Markets, 2000-2008

    Figure 2-2: Incidence Rates of Congestive Heart Failure in the Major World Healthcare Markets, 2000-2008

    Figure 2-3: Prevalence Rates of Congestive Heart Failure in the Major World Healthcare Markets, 2000-2008

    Figure 2-4: Percentage Breakdown of Deaths from Cardiovascular Diseases: 1999

    Table 2-2: Incidence and Prevalence of CHF in the United States: 2000-2008

    Figure 2-5: Incidence and Prevalence of CHF in the United States: 2000-2008

    Figure 2-6: Prevalence of Congestive Heart Failure in the United States by Age and Sex: 1988-1994

    Figure 2-7: The Distribution of Congestive Heart Failure Among the Five Major European Healthcare Markets, 2002

    Table 2-3: Incidence and Prevalence of CHF in the Major European Healthcare Markets, 2000-2008

    Figure 2-8: Incidence and Prevalence of CHF in the Major European Healthcare Markets, 2000-2008

    Table 2-4: Incidence and Prevalence of CHF in the Japanese Healthcare Market, 2000-2008

    Figure 2-9: Incidence and Prevalence of CHF in the Japanese Healthcare Market, 2000-2008

Chapter Three: Management of Congestive Heart Failure


    Table 3-1: Therapeutic Strategies for Symptomatic Congestive Heart Failure

    Table 3-2: Pharmacologic Response to the Pathophysiology of Cardiac Performance

    Table 3-3: Common ACE Inhibitors Available for the Treatment of CHF

    Table 3-4: Common Angiotensin II Receptor Antagonists Available for the Treatment of CHF

    Table 3-5: Common â-Receptor Antagonists Available for the Treatment of CHF

    Table 3-6: Common Diuretics Available for the Treatment of CHF

    Table 3-7: Common Inotropic Drugs Available for the Treatment of CHF

    Table 3-8: Common Vasodilators Available for the Treatment of CHF

    Table 3-9: Estimated Historic and Forecast Markets for CHF Pharmaceuticals in the Major World Healthcare Markets, 2000-2008

    Figure 3-1: Trending in the Estimated Historic and Forecast Markets for CHF Pharmaceuticals in the Major World Healthcare Markets, 2000-2008

    Figure 3-2: Distribution of the Estimated Historic and Forecast Markets for CHF Pharmaceuticals in the Major World Healthcare Markets, 2000-2008

    Table 3-10: Estimated Historic and Forecast Markets for CHF Pharmaceuticals in the United States, 2000-2008

    Figure 3-3: Trending in the Estimated Historic and Forecast Markets for CHF Pharmaceuticals in the United States, 2000-2008

    Figure 3-4: Distribution of the Estimated Historic and Forecast Market Segments for CHF Pharmaceuticals in the United States, 2000-2008

    Table 3-11: Estimated Historic and Forecast Markets for CHF Pharmaceuticals in the Major European Markets: 2000-2008

    Figure 3-5: Trending in the Estimated Historic and Forecast Markets for CHF Pharmaceuticals in the Major European Markets, 2000-2008

    Figure 3-6: Distribution of the Estimated Historic and Forecast Market Segments for CHF Pharmaceuticals in the Major European Markets, 2000-2008

    Table 3-12: Estimated Historic and Forecast Markets for CHF Pharmaceuticals in Japan, 2000-2008

    Figure 3-7: Trending in the Estimated Historic and Forecast Markets For CHF Pharmaceuticals in the Major Japanese Markets, 2000-2008

    Figure 3-8: Distribution of the Estimated Historic and Forecast Market Segments for CHF Pharmaceuticals in the Major Japanese Markets, 2000-2008

    Table 3-13: Companies Actively Addressing the CHF Pharmaceutical Markets

    Table 3-14: Key Competitors in the CHF Pharmaceutical Arena

    Table 3-15: Guidelines for the Choice of Pacemaker Generator In Selected Indications for Pacing

    Table 3-16: Biventricular Pacemakers for CHF Therapy

    Table 3-17: Cardioverter/Defibrillators (ICD) Available for Use in the Treatment of CHF

    Table 3-18: Ventricular Assist Devices (VADs) On the Market and in Development

    Table 3-19: The Estimated Markets for Devices to Treat CHF in the Major World Healthcare Markets by Geographic Segment

    Figure 3-9: Trending in the Estimated Markets for Devices to Treat CHF In the Major World Healthcare Markets by Geographic Segment

    Figure 3-10: Distribution of the Estimated Markets for Devices to Treat CHF in the Major World Healthcare Markets by Geographic Segment

    Table 3-20: Estimated Markets for Devices to Treat CHF in the Major World Healthcare Markets by Geographic Segment

    Figure 3-11: Trending in the Estimated Markets for Devices to Treat CHF in the Major World Healthcare Markets by Device Segment

    Figure 3-12: Distribution of the Estimated Markets for Devices to Treat CHF in the Major World Healthcare Markets by Device Segment

    Table 3-21: The Estimated Markets for Devices to Treat CHF in the United States Healthcare Market by Device Segment

    Figure 3-13: Trending in the Estimated Markets for Devices to Treat CHF in the United States Healthcare Market by Device Segment

    Figure 3-14: Distribution of the Estimated Markets for Devices to Treat CHF in the United States Healthcare Market by Device Segment

    Table 3-22: The Estimated Markets for Devices to Treat CHF in the Major European Healthcare Markets by Device Segment

    Figure 3-15: Trending in the Estimated Markets for Devices to Treat CHF in the Major European Healthcare Markets by Device Segment

    Figure 3-16: Distribution of the Estimated Markets for Devices to Treat CHF in the Major European Healthcare Markets By Device Segment

    Table 3-23: The Estimated Markets for Devices to Treat CHF in the Japanese Healthcare Market by Device Segment

    Figure 3-17: Trending in the Estimated Markets for Devices to Treat CHF in the Japanese Healthcare Market by Device Segment

    Figure 3-18: Distribution of the Estimated Markets for Devices to Treat CHF in the Japanese Healthcare Market by Device Segment

Chapter Four: Congestive Heart Failure Patient Management


    Figure 4-1: ACC/AHA Guideline Summary for Recommended Therapy of Congestive Heart Failure by Stage of the Disease

    Table 4-1: ACC/AHA Staging of Congestive Heart Failure

    Table 4-2, 2001 ACC/AHA Guidelines for Evaluation and Treatment for Congestive Heart Failure

Chapter Five: Emerging Technologies To Treat CHF


    Table 5-1: New Drugs in Development for the Treatment of Congestive Heart Failure

    Table 5-2: Medical Devices in Clinical Trials for the Treatment of Congestive Heart Failure

    Table 5-3: Biotechnology-Based Therapeutics for Congestive Heart Failure in Development


Abstract

Approximately 23 million people worldwide are afflicted with congestive heart failure (CHF), and 2 million new cases of CHF are diagnosed each year worldwide. In contrast to other cardiovascular disorders that have actually declined during the past few decades, the incidence of heart failure is on the rise. It is, in fact, the most rapidly growing cardiovascular disorder in the United States.

There is no cure for CHF short of a heart transplant. Although advances in pharmacology have led to better treatment, 50% of the patients with the most advanced stage of heart failure die within a year. Typically, heart failure patients receive several chronic oral therapies, including diuretics, ACE inhibitors, beta-blockers and inotropic agents. However, a new class of CHF drugs created by biotechnology companies will soon be on the market. These new drugs will lead the way to a revolution in the treatment of CHF and could spark a biotechnology boom similar to the AIDS breakthroughs of 1996 and 1997.

A majority of patients are treated with drug therapy, but for patients with advanced CHF, device-based therapy or transplantation are their only alternatives. A large number of patients with advanced CHF have received left ventricular assist devices, and a number of promising technologies, including biventricular pacing and defibrillators, ventricular remodeling, and ventricular assist devices represent exciting, growing markets.

Kalorama’s Congestive Heart Failure: Worldwide Drug and Medical Device Markets thoroughly reviews the current state of the markets in this expanding field, including developments in drug therapy and technological advances in the device markets.

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