Revascularization in patients with chronic ischaemic myocardial dysfunction: insights from cardiovascular magnetic resonance imaging

Eur Heart J Cardiovasc Imaging. 2012 Dec;13(12):985-90. doi: 10.1093/ehjci/jes194. Epub 2012 Oct 2.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Cardiomyopathies / physiopathology*
  • Cardiomyopathies / surgery*
  • Chronic Disease
  • Contrast Media
  • Gadolinium DTPA
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Myocardial Ischemia / diagnosis*
  • Myocardial Ischemia / physiopathology
  • Myocardial Ischemia / surgery*
  • Myocardial Revascularization*
  • Prognosis
  • Recovery of Function
  • Ventricular Dysfunction, Left / diagnosis*
  • Ventricular Dysfunction, Left / physiopathology
  • Ventricular Dysfunction, Left / surgery*

Substances

  • Contrast Media
  • Gadolinium DTPA