Role of Echocardiography in the Assessment of Myocardial Viability

被引:14
作者
McLean, Dalton S. [1 ]
Anadiotis, Athanasios V. [1 ]
Lerakis, Stamatios [1 ]
机构
[1] Emory Univ, Dept Med, Div Cardiol, Atlanta, GA 30322 USA
关键词
Echocardiography; Viability; Hibernating myocardium; Chronic myocardial infraction; CORONARY-ARTERY-DISEASE; LEFT-VENTRICULAR DYSFUNCTION; DOBUTAMINE STRESS ECHOCARDIOGRAPHY; POSITRON-EMISSION-TOMOGRAPHY; REDISTRIBUTION TL-201 TOMOGRAPHY; CHRONIC HIBERNATING MYOCARDIUM; CONTRAST ECHOCARDIOGRAPHY; BYPASS SURGERY; HEART-FAILURE; MAGNETIC-RESONANCE;
D O I
10.1097/MAJ.0b013e3181a39391
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In the assessment of chronic myocardial infarction, echocardiography plays a vital role through the recognition of hibernating yet potentially viable myocardium that could benefit from revascularization. Echocardiography provides information through basic evaluation of cardiac structure and through evaluation of the functional response to dobutamine stress. In addition, a number of newer modalities such as myocardial contrast echocardiography, tissue Doppler imaging, and strain imaging provide further diagnostic capability. This review assesses the role of echocardiography in the identification of patients with chronic myocardial infarction who could benefit from revascularization.
引用
收藏
页码:349 / 354
页数:6
相关论文
共 64 条
[1]   DOBUTAMINE ECHOCARDIOGRAPHY IN MYOCARDIAL HIBERNATION - OPTIMAL DOSE AND ACCURACY IN PREDICTING RECOVERY OF VENTRICULAR-FUNCTION AFTER CORONARY ANGIOPLASTY [J].
AFRIDI, I ;
KLEIMAN, NS ;
RAIZNER, AE ;
ZOGHBI, WA .
CIRCULATION, 1995, 91 (03) :663-670
[2]   SELECTION OF ANGINA-FREE PATIENTS WITH SEVERE LEFT-VENTRICULAR DYSFUNCTION FOR MYOCARDIAL REVASCULARIZATION [J].
AKINS, CW ;
POHOST, GM ;
DESANCTIS, RW ;
BLOCK, PC .
AMERICAN JOURNAL OF CARDIOLOGY, 1980, 46 (04) :695-700
[3]   Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: A meta-analysis [J].
Allman, KC ;
Shaw, LJ ;
Hachamovitch, R ;
Udelson, JE .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (07) :1151-1158
[4]   CHRONIC HIBERNATING MYOCARDIUM - INTERSTITIAL CHANGES [J].
AUSMA, J ;
CLEUTJENS, J ;
THONE, F ;
FLAMENG, W ;
RAMAEKERS, F ;
BORGERS, M .
MOLECULAR AND CELLULAR BIOCHEMISTRY, 1995, 147 (1-2) :35-42
[5]   REVERSIBLE CARDIAC DYSFUNCTION (HIBERNATION) FROM ISCHEMIA DUE TO COMPRESSION OF THE CORONARY-ARTERIES BY A PSEUDOANEURYSM [J].
BAKER, WB ;
KLEIN, MS ;
REARDON, MJ ;
VERANI, MS ;
ZOGHBI, WA .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (26) :1858-1861
[6]   Assessment of myocardial viability by dobutamine echocardiography, positron emission tomography and thallium-201 SPECT - Correlation with histopathology in explanted hearts [J].
Baumgartner, H ;
Porenta, G ;
Lau, YK ;
Wutte, M ;
Klaar, U ;
Mehrabi, M ;
Siegel, RJ ;
Czernin, J ;
Laufer, G ;
Sochor, H ;
Schelbert, H ;
Fishbein, MC ;
Maurer, G .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 32 (06) :1701-1708
[7]   Improvement of left ventricular ejection fraction, heart failure symptoms and prognosis after revascularization in patients with chronic coronary artery disease and viable myocardium detected by dobutamine stress echocardiography [J].
Bax, JJ ;
Poldermans, D ;
Elhendy, A ;
Cornel, JH ;
Boersma, E ;
Rambaldi, R ;
Roelandt, JRTC ;
Fioretti, PM .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 34 (01) :163-169
[8]   Extensive left ventricular remodeling does not allow viable myocardium to improve in left ventricular ejection fraction after revascularization and is associated with worse long-term prognosis [J].
Bax, JJ ;
Schinkel, AFL ;
Boersma, E ;
Elhendy, A ;
Rizzello, V ;
Maat, A ;
Roelandt, JRTC ;
van der Wall, EE ;
Poldermans, D .
CIRCULATION, 2004, 110 (11) :II18-II22
[9]   Early versus delayed revascularization in patients with ischemic cardiomyopathy and substantial viability: Impact on outcome [J].
Bax, JJ ;
Schinkel, AFL ;
Boersma, E ;
Rizzello, V ;
Elhendy, A ;
Maat, A ;
Roelandt, JRTC ;
van der Wall, EE ;
Poldermans, D .
CIRCULATION, 2003, 108 (10) :39-42
[10]   Perfusion and contractile reserve in chronic dysfunctional myocardium: Relation to functional outcome after surgical revascularization [J].
Bax, JJ ;
Poldermans, D ;
Schinkel, AFL ;
Boersma, E ;
Elhendy, A ;
Maat, A ;
Valkema, R ;
Krenning, EP ;
Roelandt, JRTC .
CIRCULATION, 2002, 106 (13) :I14-I18