Why the study?
Does cardiovascular magnetic resonance imaging accurately detect myocardial viability and predict functional recovery in patients with chronic ischaemic left ventricular dysfunction?
Does cardiovascular magnetic resonance imaging accurately detect myocardial viability and predict functional recovery in patients with chronic ischaemic left ventricular dysfunction?
CMR is highlighted as a preferred technique for assessing myocardial viability and predicting functional recovery in patients with ischaemic cardiomyopathy.
Supports CMR for viability assessment in ischaemic cardiomyopathy; leaves open impact on revascularization outcomes in prospective trials.
In patients with chronic ischaemic left ventricular dysfunction, revascularization may lead to symptomatic and prognostic improvement. Cardiovascular magnetic resonance (CMR) imaging with its high spatial resolution provides the qualitative and quantitative, global and regional information on myocardial anatomy and function. In combination with a gadolinium-based contrast agent, CMR allows an accurate quantification of the myocardial scar and predicts the likelihood of functional recovery after revascularization. The aim of this review is to summarize our current understanding of the detection of myocardial viability using CMR, and why it may be the preferred technique in the assessment of patients with ischaemic cardiomyopathy.
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Bondarenko et al. (2012) studied this question.
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