Related Experiment Video

Updated: Jan 22, 2026

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
09:05

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation

Published on: October 20, 2016

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Assessment of myocardial viability by myocardial contrast echocardiography: current perspectives

Jiwan Pradhan1, Roxy Senior1,2,3

  • 1The Northwick Park Hospital, Harrow.

Current Opinion in Cardiology
|July 18, 2019
PubMed

Insights

Myocardial contrast echocardiography (MCE) effectively assesses myocardial viability by evaluating microvascular integrity. Current guidelines support its routine use, offering a radiation-free, real-time bedside tool for critical cardiac conditions.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Echocardiography

Background:

  • Myocardial viability assessment is crucial in ischemic cardiomyopathy and post-myocardial infarction with left ventricular dysfunction.
  • Myocardial contrast echocardiography (MCE) is recommended by current guidelines for assessing myocardial viability.

Purpose of the Study:

  • To review the utility of MCE in assessing myocardial viability.
  • To highlight MCE's role in evaluating microvascular integrity and coronary flow reserve.
  • To discuss MCE's application in detecting no-reflow post-myocardial infarction.

Main Methods:

  • Review of current literature and guidelines on MCE for myocardial viability.
  • Discussion of MCE's ability to assess microvasculature integrity in real-time.
  • Comparison of MCE with other imaging modalities like SPECT, cardiac MRI, and PET.

Main Results:

  • MCE provides real-time, bedside assessment of myocardial viability without ionizing radiation.
  • MCE demonstrates comparable sensitivity and specificity to SPECT, cardiac MRI, and PET for viability detection.
  • Newer evidence supports MCE-derived coronary flow reserve and its use in detecting no-reflow post-MI.

Conclusions:

  • Ample evidence supports the routine use of MCE for myocardial viability detection as per current guidelines.
  • MCE is a valuable, non-invasive tool for assessing myocardial viability in specific clinical scenarios.
  • MCE offers a rapid and accessible method for bedside evaluation of myocardial health.
Abstract

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