Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Keywords Keywords: Arteritis; Takayasu; Coronary aneurysm; Massive myocardial infarctionion Case Report A 25-year-old male without any conventional coronary artery disease risk factors and history of untreated acute coronary syndrome a year back presented with rest angina and cardiogenic shock. On physical examination, her peripheral pulses though feeble, were palpable and there was no vascular bruit. There was an auscultable S3 and echocardiography suggested acute inferior wall and remote anterior wall myocardial infarction. (ECG Panel A) Despite attempts at resuscitation, the patient soon succumbed to refractory ventricular fibrillation. An autopsy was requisitioned. Gross examination of the heart at autopsy revealed humongous dilated, thrombus-laden coronary arteries (panel B, C, D). Histo-pathological examination with haematoxylin- eosin sta

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Peripheral artery disease (PAD) is a growing health concern in the United States due to its rising prevalence, negative impact on functional disability and increased risk for cardiovascular and cerebrovascular events. Less widely appreciated is that PAD is associated with nearly double the prevalence of congestive heart failure (CHF) and that 17% of heart failure patients have co-existing PAD. Multiple reasons may account for co-existing PAD and CHF. The prevalence of each disorder rises with age and they share common risk factors as well as metabolic disturbances. In addition, while ankle brachial index (ABI) testing has long been the primary modality used to detect PAD, there is accumulating evidence that low ABI values may reflect left ventricular (LV) systolic dysfunction and reduced ejection fraction (EF). The low ABI-low EF relation appears independent of CAD and may in part