Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

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...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract The current management of coronary heart disease comprises medical, percutaneous and surgical therapies with significant advancement in each arm of treatment. We shall outline the contemporary history of the treatment of coronary heart disease, revascularisation guidelines and appropriateness criteria for different modalities of treatment, various randomised controlled trials (RCTs) and their meta-analyses comparing different methods of revascularisation for different categories of disease, the usefulness of multidisciplinary heart teams, the role of fractional flow reserve (FFR) estimation in guiding percutaneous interventions, the importance of surgical revascularisation without cardiopulmonary bypass, the parallel advances in percutaneous and surgical streams of treatment, risk prediction for the various modalities of treatment and informed consent. We shall conclude by summari...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background: Idiopathic premature ventricular complexes (PVCs) are considered a benign form of cardiac arrhythmia. However, several reports demonstrated that frequent PVCs were associated with left ventricular (LV) dysfunction, increased LV dimensions and cardiomyopathy. Case Report: A 52-year-old lady with underlying diabetes mellitus, hypertension and dyslipidemia presented with dyspnea and palpitation. Echocardiography showed ejection fraction (EF) of 25% with LV systolic diameter 5.2cm and mild functional mitral regurgitation (MR). Holter revealed 13657 isolated and couplet PVCs which represented 11.2% of total QRS count in 24 hours. Cardiac MRI showed no inducible ischemia, fibrosis, infarction or inflammation. Her baseline 12-lead ECG showed inferior axis PVCs with left bundle branch block morphology. Electrophysiology study using the Carto® 3 System (Biosense Webster, Irv...