Heart failure with reduced ejection fraction (HFrEF) still has significant morbidity and mortality despite the advancements in medical and device therapy (1). In the West, the most common cause of left ventricular dysfunction is coronary artery disease (CAD) (1). The management of patients with severe left ventricular systolic dysfunction (LVSD) and significant CAD without a clear indication for revascularisation, such as acute coronary syndrome (ACS) or angina, has divided cardiology opinion.
Author Heartbeat Sub-Editor: Dr Khin Kay Kay Kyaw I am currently working as cardiology specialist registrar ST6 at southwest peninsula region while also working as
Author Sub-editor: Dr Pok-Tin Tang Dr Pok-Tin Tang is an ST5 cardiology registrar in the Thames Valley deanery, currently undertaking a period of out of
Author Sub-editor: Dr May Hu Dr May Hu is a cardiology trainee in the North West deanery. She graduated with First Class Honours from the University
Author Sub-editor: Dr Jhiamluka Solano Dr Jhiamluka Solano is a cardiology resident doctor (ST6) in the Yorkshire and Humber Deanery, currently undertaking a DPhil (PhD)