We report the case of a 55-year-old woman with heart failure with preserved ejection fraction (HFpEF), who presented with hypertensive urgency and pulmonary oedema. The patient was medically optimized and underwent cardiac catheterization revealing pulmonary hypertension, elevated pulmonary capillary wedge pressure, normal cardiac index, and non-obstructive coronary disease. Invasive evaluation...

BACKGROUND The optimal initial noninvasive diagnostic testing strategy for stable coronary artery disease (CAD) is unknown. Although American guidelines recommend an exercise stress test as the first-line test, European guidelines suggest that stress imaging (myocardial perfusion imaging or stress echocardiography) or coronary computed tomography angiography may be preferable. Understanding the...

Background In cardiac Magnetic Resonance Imaging(MRI) studies, evaluating T1, T2 and T * 2 relaxation times and hemodynamics assessment using perfusion analysis has an undeniable importance for understanding magnetic characteristics of many tissues. For this purpose, quantitative computationalbased methods, implemented on top of the recognized clinical settings could be used as a robust and rep...

Heart transplantation is the standard of care treatment for end-stage heart failure. Therapeutic advances including enhanced immunosuppression and aggressive infectious prophylaxis have led to increased life-expectancy following transplantation; however, cardiac allograft vasculopathy (CAV) remains a leading cause morbidity mortality. Although coronary angiography current guideline-recommended ...

Background Patient selection for coronary angiography traditionally relies on clinical assessment, treadmill exercise testing (TMET) and transthoracic echocardiography (TTE). Cardiac Magnetic Resonance (CMR) is a relatively novel imaging study, which provides excellent non-invasive assessment of myocardial perfusion and is useful in risk stratification of patients with suspected coronary artery...

Background Transcatheter aortic valve implantation (TAVI) offers a minimal invasive option for the treatment of patients with severe aortic stenosis at high risk for conventional surgery. The objective of this study was to investigate whether there is a positive effect on the left ventricular remodeling 6 month after transcatheter aortic valve implantation (TAVI) using cardiac magnetic resonanc...

Cardiomyopathies are diseases of the myocardium associated with cardiac dysfunction. The latest report of the World Health Organization classifies them according to the dominant pathophysiology (Table 1). The diagnosis of cardiomyopathy has been greatly improved in recent years by non-invasive imaging techniques. Cardiovascular magnetic resonance, or CMR, is now firmly established in clinical a...

Introduction The prevalence of coronary artery disease increases with age. A significant proportion of patients commonly referred for investigation of coronary artery disease are often unable to perform exercise testing because of advanced age, and can only be assessed with pharmacologic tests. Stress cardiac magnetic resonance (CMR) imaging is a non-invasive modality used for detection of myoc...