a. At 5 years (median 34 months), correction of renal artery stenosis (RAS), by balloon angioplasty with or without stenting (no distal protection) has no beneficial effect on blood pressure (BP) compared with medical therapy and is associated with an adverse event rate of 10–25%. (Level I Evidence) b. At 5 years (median 34 months), correction of RAS, by balloon angioplasty with or without sten...

Results Of the 361 studies, a significant impact was observed in 256 (71%) pts based on CMR results. Of these, 69 (27%) pts received a new diagnosis. Additionally, CMR results avoided invasive procedures in 38 pts and prevented layered testing in 26 pts. Translating these results in to cost benefit analysis, there was a total benefit of $1248,939 and a total loss of $ 415,902, indicating net sa...

An 18 years old female died suddenly while sunbathing. Her family consulted an electro physiologist. He scanned the family for long QT, Brugada and ARVD. ECGs were performed on all the family members, which showed PVC’s in one of her cousins, for whom a 24 hours recording ECG showed 200 polymorphic PVCs. Echocardiogram was normal, and Signal-Averaged ECG (SAECG) is negative, he adopted a “watch...

Methods Patients (n=19) with a clinical diagnosis or imaging findings of pulmonary hypertension who underwent cardiac MR between 1/1/2009 and 9/30/2014 were identified. Controls (n=10) were referred for cardiac MR evaluation to rule out ARVD due to family history or palpitations, but with a normal cardiac MR examination. Both patients and controls underwent cardiac MR with delayed gadolinium en...

Has referral for genetic evaluation of inherited cardiomyopathies and arrhythmias become a routine part of your clinical practice yet? After several decades of molecular genetic research into the causes of inherited forms of heart disease, the field of cardiovascular genetics is rapidly growing. The pace of progress has accelerated even further in the setting of remarkable technologies that hav...

Miokarditis merupakan suatu penyakit inflamasi miokard dengan presentasi klinis dan onset yang bervariasi. Kesulitan dalam diagnosis seringkali menyebabkan pasien yang datang dalam kondisi akut tidak terdiagnosis sebagai miokarditis, lalu mendapatkan penanganan yang tidak tepat. Hal ini akan membahayakan karena menyebabkan cedera miokard lebih parah, bahkan dapat menyebabkan kematian mendadak. ...

Background Cine imaging is the core technique for cardiac MRI studies. Often times, it is also essential to have information identifying fat signal in the heart to characterize masses, detect fatty infiltration and ARVD, discern fat from fibrosis in LGE imaging, and improve visualization of the pericardium. However, such information traditionally requires additional scans that obtain fat-suppre...

Complete fat suppression is highly desirable for inversion recovery (IR) imaging of both ischemic and nonischemic heart disease. It allows for improved visualization of scar without confounding fat signal, and for assessment of fatty infiltrations, which both appear bright on T1-weighted contrast-enhanced images. For example, arrhythmogenic right ventricular dysplasia (ARVD) is characterized by...

INTRODUCTION Arrhythmogenic right ventricular dysplasia (ARVD), a cardiomyopathy characterized by fibrofatty degeneration of the myocardium with progressive dysfunction, electrical instability, and sudden death, occurs in approximately 1 in 5000 people in the United States. CASE PRESENTATION We present a nine-year-old girl complaining of dyspnea, easy fatigability and skin lesions. She had a ...

Ventricular arrhythmias in arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) are precipitated by an increase in sympathetic activity, typically physical exercise. As such, β blockade is the cornerstone of medical treatment. However, some patients are either intolerant or refractory to β-blockers, and many continue to have arrhythmias despite catheter ablation. This report prese...