Document Detail


Echocardiographic and magnetic resonance methods for diagnosing hibernating myocardium.
MedLine Citation:
PMID:  11930186     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hibernating myocardium refers to regions of impaired left ventricular function at rest due to coronary artery disease that is reversible with revascularization. The accurate identification and assessment of myocardial viability is a critical aspect of the management of the patient with coronary artery disease and left ventricular dysfunction. Several non-invasive methods exist to assist the clinician in distinguishing those patients with significant regions of hibernating myocardium from those who have non-viable scar. This is important not only to identify those patients who would most benefit from percutaneous intervention or surgery, but also to spare the latter group from the morbidity and mortality associated with a revascularization procedure that would provide little benefit. While nuclear medicine imaging is the most widely used means for evaluating myocardial viability, alternative modalities have emerged and have gained increasing acceptance in recent years. This article will review the echocardiographic and magnetic resonance imaging (MRI) methods that are currently available or under investigation to assess myocardial viability. These techniques include rest and stress echocardiography, myocardial contrast echocardiography, stress MRI, contrast-enhanced MRI and magnetic resonance spectroscopy (MRS).
Authors:
S Cho; M V McConnell
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Nuclear medicine communications     Volume:  23     ISSN:  0143-3636     ISO Abbreviation:  Nucl Med Commun     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-04-03     Completed Date:  2002-09-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8201017     Medline TA:  Nucl Med Commun     Country:  England    
Other Details:
Languages:  eng     Pagination:  331-9     Citation Subset:  IM    
Affiliation:
Cardiovascular Medicine, Stanford University, Stanford, USA.
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MeSH Terms
Descriptor/Qualifier:
Cardiotonic Agents / diagnostic use
Contrast Media
Coronary Artery Disease / complications
Dobutamine / diagnostic use
Echocardiography / methods*
Exercise Test / methods
Humans
Magnetic Resonance Imaging / methods*
Magnetic Resonance Spectroscopy / methods
Myocardial Stunning / diagnosis*,  etiology,  physiopathology,  ultrasonography*
Ventricular Dysfunction, Left / diagnosis,  etiology,  physiopathology,  ultrasonography
Chemical
Reg. No./Substance:
0/Cardiotonic Agents; 0/Contrast Media; 34368-04-2/Dobutamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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