We greatly enjoyed reading the article by Roscani et al. (1) titled ‘‘Congenital aneurysmal circumflex coronary artery fistula in a pregnant woman.’’ In the article, the authors presented a case report of a congenital aneurysmal coronary artery fistula to the right ventricle in a pregnant woman and discussed the appropriate management. We have some concerns about the article. During pregnancy, ...

Noninvasive visualization of the coronary arteries is the holy grail of cardiac imaging. Cardiac catheterization, the historic gold standard for coronary imaging, is invasive, costly, and often performed unnecessarily. Cardiac computed tomographic angiography (CCTA) is a widely available, cost-effective imaging modality that effectively images the coronary arteries. The most appropriate patient...

background: iron-mediated cardiomyopathy is the main complication of thalassemia major (tm) patients. therefore, there is an important clinical need in the early diagnosis and risk stratification of patients. the aim of this study was to evaluate the efficacy of tissue doppler imaging (tdi) to study cardiac iron overload in patients with tm using t2* magnetic resonance (mr) as the gold-standard...

Hypertrophic cardiomyopathy (HCM) is a condition of genetic mutation in the cardiac sarcomere that defined by hypertrophy, non-dilated left ventricle, and normal or increased ejection fraction. It presents with heterogeneous clinical picture which continues to challenge clinicians diagnose it clinically. Cardiac magnetic resonance (CMR) - non-invasive imaging technique an essential diagnostic t...

Introduction Although widely adopted in clinical practice, the left ventricular ejection fraction (LVEF) has significant limitations heart failure assessment1. Gold standard physiological measures of function utilise pressure-volume (PV) loops, particularly stroke work (SW), represented as area bounded by loop. Invasive assessment PV-loops precludes its wide-spread use. Cardiac magneti...