The manuscript by Schietinger et al. (1) in this issue of iJACC (JACC: Cardiovascular Imaging) assesses patterns of late gadolinium enhancement (LGE) in the myocardium of chronic hemodialysis patients. The observation that the majority of LGE was not infarct related but was tied to the degree of left ventricular hypertrophy, particularly in dysfunctional segments, led the authors to suggest tha...

Not all patients respond to drug therapy in a uniform and beneficial fashion. The goal of this review is to describe the contribution of genetic variation to drug response, with a focus on drugs used in cardiovascular therapy. Genetic approaches used to analyze rare and common adverse effects as well as variability in efficacy are presented first. The challenges and potential solutions to incor...

m r w o t d W r t i c hat happens when the coronary artery bypass patient is the cardiologist—a cardiologist who as taken care of hundreds of patients with the disease hat now confronts him? The story that follows is a autionary tale. Joseph Perloff tells the first part himelf, but hazy memory immediately after the operation akes it incumbent for someone else—in this case the hysician’s wife, w...

Cardiac disease is an uncommon but potentially serious medical complication of pregnancy. It is an important cause of preventable maternal and perinatal mortality and morbidity. A multidisciplinary approach involving close liaison and collaboration between the obstetrician, cardiologist, anaesthetist, neonatologist, paediatric cardiologist and, if appropriate, the cardiothoracic surgeon, is ess...

Sexual activity is a concern both for patients with coronary artery disease and physicians taking care of these patients. Sexual counselling is an important component of treatment for post-myocardial infarction patients. Therefore, it is essential for the cardiologist to understand the physiological and haemodynamic changes that occur during sexual intercourse. It should also be borne in mind t...

BACKGROUND Tele-echocardiography has the potential to bring real-time diagnoses to neonatal facilities without in-house pediatric cardiologists. Many neonates in rural areas, smaller cities, and community hospitals do not have immediate access to pediatric sonographers or echocardiogram interpretation by pediatric cardiologists. This can result in suboptimal echocardiogram quality, delay in ini...

The rapid development of information and communication technology (ICT) provides an opportunity to improve the quality of patient life. The availability of sustainable telecardiology system in Malaysia is essential to overcome shortage of cardiology services in rural area. This paper elaborates the framework including requirements of telecardiology technology to meet the current condition of te...