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In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
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In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography

Published on: February 16, 2016

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The role of myocardial viability in contemporary cardiac practice

Abdelrahman Jamiel1,2, Mohamad Ebid3, Amjad M Ahmed3

  • 1King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Department Mail Code: 1413, P.O. Box 22490, Riyadh, 11426, Kingdom of Saudi Arabia. abdujamiel@yahoo.com.

Heart Failure Reviews
|June 4, 2017
PubMed

Insights

Assessing myocardial viability in patients with old myocardial infarction (OMI) is crucial for improving outcomes. Advanced imaging techniques help identify viable myocardium to optimize revascularization strategies.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Ischemic heart disease (IHD) is a leading cause of global mortality.
  • Ischemic cardiomyopathy, a consequence of coronary artery disease, significantly impacts patient outcomes.
  • Assessing viable myocardium (VM) in old myocardial infarction (OMI) patients is vital for predicting short- and long-term prognosis.

Purpose of the Study:

  • To provide a state-of-the-art review on assessing myocardial viability.
  • To highlight the importance of preoperative assessment of myocardial viability for guiding revascularization in OMI patients with left ventricular dysfunction.

Main Methods:

  • Review of existing observational data and non-invasive imaging techniques for assessing myocardial viability.
  • Focus on identifying viable but inadequately perfused myocardium.

Main Results:

  • Observational data suggest improved outcomes when revascularization is guided by viability assessment.
  • Current cardiovascular imaging faces challenges in precisely assessing myocardial viability.

Conclusions:

  • Accurate assessment of myocardial viability is essential for optimizing patient selection for coronary revascularization.
  • Further advancements in non-invasive imaging techniques are needed to improve the assessment of myocardial viability.

Keywords:
Cardiac imagingIschemic cardiomyopathyMyocardial viability

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