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In this paper we are discussing the currently available tools in the diagnosis of angina with non-occlusive coronary artery disease (ANOCA) a potentially disabling condition that affects approximately 30–60% of patients with angina. With the advancement in ultrasound technology, multi-parametric stress echocardiography in combination with hyperventilation provocation echocardiography lends itself as a bedside, scalable, safe … Read more

Great success from the collaborative multi-site Cardiac CT research presented as a late breaking trial at the ESC in Munich August 2026 with simultaneous publication in The New England journal of Medicine.

As you can see from the summary slide image, the TCRG participated as an invited Faculty in Chairing moderated ports sessions and as an invited expert to the panel discussion at the INOCA International symposium.

While transient loss of consciousness is a frequent and alarming clinical presentation, situational syncope—a subtype of neurally mediated reflex syncope—frequently slips under the diagnostic radar. This illuminating case series follows six adults whose fainting or near-fainting spells were triggered by everyday activities ranging from the common, like coughing and micturition, to the highly unusual, including … Read more

For years, professional guidelines and expert opinions have conflicted on a crucial pre-test instruction: should patients stop taking their rate-controlling medications (RCMx), like beta-blockers, 48 hours before undergoing a stress echocardiography? While conventional wisdom suggests halting these medications improves diagnostic accuracy by making it easier to reach target heart rates, hard evidence has been strikingly … Read more

Here are some photos of a presentation completed by Barbara at the Royal College of Physicians. The presentation was extremely well received.