IntroductIon Along with the growth of patients at cardiovascular risk, a new wave is hitting the world of health care. Over the recent decade, noninvasive and invasive imaging technologies have been protagonists of a dramatic evolution. This process, as a Tsunami, may overwhelm the way the physicians were used to work until now [Figure 1]. The greater availability and reliability of current ima...

Coronary artery disease (CAD) is the most prevalent and single most common cause of morbidity and mortality [1] with the resulting left ventricular (LV) dysfunction an important complication. The distinction between viable and non-viable myocardium in patients with LV dysfunction is a clinically important issue among possible candidates for myocardial revascularization. Several available non-in...

INTRODUCTION Over the last decade cardiac computed tomography emerged as a non-invasive imaging modality for the assessment of the heart and the coronary arteries. Only recently its use for patient management in the emergency department was suggested. CASE PRESENTATION We present an 84-year old male patient with concomitant early in-stent restenosis after coronary artery stent placement, myoc...

Coronary imaging is the ultimate challenge for any imaging technique. This is because the coronary arteries are small (2–4 mm in diameter) and have a tortuous, complex, three dimensional course and are continuously in motion, except for a short period during mid diastole. During the last decade we have witnessed great advances in cardiac imaging. This was partly as a result of improved scanner ...

2013 is a remarkable year in cardiovascular medicine from a historical point of view. It can be considered a crown year for non-invasive clinical cardiovascular imaging as we can look back on 60 years of echocardiography, 40 years of nuclear cardiology, 30 years of cardiovascular magnetic resonance imaging, and 30 years of cardiac computed tomography. In previous Editor’s Comments, 60 years of ...

Coronary artery fistula is a relatively rare finding in patients undergoing diagnostic cardiac catheterization. Incidence, angiographic characteristics and natural history of coronary fistulas of this type have not been well defined in the literature. We report a case of a 54-year-old man in whom such abnormalities have been diagnosed with invasive and non-invasive coronary imaging and review t...

Ischemic heart disease, its sequelae and complications contribute substantially to morbidity mortality worldwide. Significant technological progress in recent years has significantly expanded the application of non-invasive imaging modalities systematic complex evaluation patients with ischemic disease preclinical clinically developed stages disease. Cardiac magnetic resonance includes a morpho...

The non-invasive study of cardiac mechanics has been improved after the recent introduction of advanced magnetic resonance and echocardiographic imaging techniques. Tagged and diffusion-sensitive cardiac magnetic resonance allows the study of myocardial torsion dynamics as well as the anatomical disposition of myocardial fibers. Local myocardial strain and synchronicity of myocardial contractio...

We report a case of a 13-year-old girl who was admitted to the emergency department with syncope. She had been diagnosed in infancy with a large intramural fibroma of the left ventricle, but had been free of any clinical symptoms during the last decade. The patient underwent a thorough and detailed clinical and imaging study. We discuss the contribution of new non-invasive imaging modalities to...

introduction heart failure is the second most common cause of ascites after cirrhosis. there are cardiac and noncardiac etiologies of ascites, and the multimodality imaging approach is a rich tool to redefine the final diagnosis. case presentation we present a case-series where 3 patients were referred to our hospital for further hepatology assessment due to severe abdominal ascites and liver f...