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Myocardial Viability: From Proof of Concept to Clinical Practice
Joint Authors
Gan, Gary C. H.
Denniss, Alan Robert
Tan, Timothy C.
Hsu, Chijen
Bhat, Aditya
Source
Cardiology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-29
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Ischaemic left ventricular (LV) dysfunction can arise from myocardial stunning, hibernation, or necrosis.
Imaging modalities have become front-line methods in the assessment of viable myocardial tissue, with the aim to stratify patients into optimal treatment pathways.
Initial studies, although favorable, lacked sufficient power and sample size to provide conclusive outcomes of viability assessment.
Recent trials, including the STICH and HEART studies, have failed to confer prognostic benefits of revascularisation therapy over standard medical management in ischaemic cardiomyopathy.
In lieu of these recent findings, assessment of myocardial viability therefore should not be the sole factor for therapy choice.
Optimization of medical therapy is paramount, and physicians should feel comfortable in deferring coronary revascularisation in patients with coronary artery disease with reduced LV systolic function.
Newer trials are currently underway and will hopefully provide a more complete understanding of the pathos and management of ischaemic cardiomyopathy.
American Psychological Association (APA)
Bhat, Aditya& Gan, Gary C. H.& Tan, Timothy C.& Hsu, Chijen& Denniss, Alan Robert. 2016. Myocardial Viability: From Proof of Concept to Clinical Practice. Cardiology Research and Practice،Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1103271
Modern Language Association (MLA)
Bhat, Aditya…[et al.]. Myocardial Viability: From Proof of Concept to Clinical Practice. Cardiology Research and Practice No. 2016 (2016), pp.1-10.
https://search.emarefa.net/detail/BIM-1103271
American Medical Association (AMA)
Bhat, Aditya& Gan, Gary C. H.& Tan, Timothy C.& Hsu, Chijen& Denniss, Alan Robert. Myocardial Viability: From Proof of Concept to Clinical Practice. Cardiology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1103271
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103271