Imaging of Valvular Heart Disease in Heart Failure

Heart failure (HF) is a rapidly growing public health problem with an estimated prevalence of more than 26 million people worldwide.1 In developed countries the prevalence is 1–2 % peaking at ≥10 % among people aged over 70 years.2 In the US, the lifetime risk of developing HF is 20 % among people aged 40 years or older.3 Diagnosing the underlying cause of HF is central to the choice of appropriate treatment.

Advances in Imaging and Heart Failure: Where are we Heading?

The increasing prevalence of heart failure requires the establishment of new imaging techniques that are able to diagnose early and guide treatment. With an estimated 825,000 new cases annually in the US, the heart failure burden will continue to rise and is expected to exceed 8 million by 2030.1


Left Ventricular Function: The New Definition of Mid-Range Ejection Fraction Heart Failure

Anatomical Consideration in Catheter Ablation of Idiopathic Ventricular Arrhythmias

Idiopathic ventricular arrhythmias (IVAs) usually originate from the specific anatomical structures. For the past decade, major IVA origins from both endocardial and epicardial sites have been increasingly recognised (see Table 1).1–3 Catheter ablation of IVAs is usually safe and highly successful, but can sometimes be challenging because of the anatomical obstacles. Therefore, understanding the relevant anatomy is important to achieve a safe and successful catheter ablation of IVAs.

Percutaneous Coronary Intervention in Older People: Does Age Make a Difference?

There will be guidelines about the optimal management of most clinical situations. It makes decision making in medicine more universal, but often you have to think about all of the awkward situations that sit outside the guidelines. One neglected area of research involves the management of illness in older people. The older patient is often not included in trial protocols, and so a well of knowledge is absent for an ever-increasing number of patients.