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Publicação
Multimodality imaging of myocardial viability : an expert consensus document from the European Association of Cardiovascular Imaging (EACVI)
Orientador(es)
Resumo(s)
In clinical decision making, myocardial viability is defined as myocardium in acute or chronic coronary artery disease and other conditions with contractile dysfunction but maintained metabolic and electrical function, having the potential to improve dysfunction upon revascularization or other therapy. Several pathophysiological conditions may coexist to explain this phenomenon. Cardiac imaging may allow identification of myocardial viability through different principles, with the purpose of prediction of therapeutic response and selection for treatment. This expert consensus document reviews current insight into the underlying pathophysiology and available methods for assessing viability. In particular the document reviews contemporary viability imaging techniques, including stress echocardiography, single photon emission computed tomography, positron emission tomography, cardiovascular magnetic resonance, and computed tomography and provides clinical recommendations for how to standardize these methods in terms of acquisition and interpretation. Finally, it presents clinical scenarios where viability assessment is clinically useful.
Descrição
Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2021.
Palavras-chave
Myocardial viability Review Multimodality imaging Stress echocardiography Cardiac magnetic resonance SPECT PET
Contexto Educativo
Citação
European Heart Journal - Cardiovascular Imaging, 2021, jeab053
Editora
Oxford University Press