Strain imaging offers an alternative non-invasive method to quantify right ventricular (RV) function.  This study aims to utilize strain imaging in the assessment of RV function among repaired tetralogy  of Fallot patients in order to determine clinical RV dysfunction. 

There is increasing incidence of acute coronary syndromes (ACS) among patients younger than 40  years old. This study describes the clinical and angiographic profiles of these patients in the Philippine setting, along with their chosen treatment strategies and short-term outcomes up to one year from diagnosis. 

A novel cilostazol-based triple antiplatelet therapy (TAT) was shown in a trial to have a lower restenosis  rate than the usual clopidogrel and aspirin dual antiplatelet therapy (DAPT) among patients with coronary artery disease (CAD) who underwent percutaneous coronary intervention. However, TAT may also be associated with an increased risk of bleeding. A systematic review would show further evidence regarding the risk of bleeding among TAT-treated patients.

Venous leg ulcer is a common, chronic recurring condition that causes pain and disability. If not  treated, it can lead to severe infection and malignant transformation. Sulodexide is a highly purified glycosaminoglycan with anti-thrombotic, anti-fibrinolytic and anti-inflammatory properties that make it a suitable agent for the management of venous leg ulcers. At present, there is insufficient evidence to support the efficacy of the use of sulodexide in the management of venous leg ulcers and ulcer pain. 

To date, no study in published literature has investigated the prevalence of obstructive coronary  artery disease (CAD) among Filipino women diagnosed with ACS. This is a pilot study. 

ST-elevation myocardial infarction (STEMI) rarely occurs among patients 18 to 34 years old.  Spontaneous coronary artery dissection (SCAD) is a rare cause of STEMI that is frequently described  among patients in peripartum period. SCAD has a high mortality rate when not recognized and  treated immediately. We present a case of SCAD presenting as STEMI in a nineteen-year-old non pregnant patient. 

eart failure (HF) is a growing public health problem, with a prevalence of 0.5% to 6.7% in Southeast  Asian countries. Previous studies have shown that compliance with guidelines and performance measures decreases the rates of mortality and rehospitalization for HF. This study evaluated the adherence to in-patient measures of HF management at the Manila Doctors Hospital.