Canadian Journal of Cardiology

A Cardiac Surgeon's Viewpoint of Myocardial Viability in the Era of Multimodality Imaging


      The relationship between myocardial viability and the benefit of revascularization has been tested in observational studies and prospective trials, with conflicting results. Despite the controversies, viability imaging to guide decision-making with respect to surgical revascularization in ischemic cardiomyopathy remains a valid concept. We present a modern paradigm for viability testing which centers around myocardial protection rather than improvement of contractility.
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