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Role of magnetic resonance techniques in viability assessment

  • Chapter
Book cover Myocardial Viability

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 226))

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Abstract

With the application of magnetic resonance (MR) techniques in clinical cardiology, important tools have been added to the currently available diagnostic arsenal for the evaluation of patients with coronary artery disease. In patients with coronary artery disease it is of paramount importance to distinguish between viable myocardium and areas of myocardial fibrosis. Viable myocardial areas are most likely to benefit from revascularization, whereas revascularization of fibrotic myocardium will not lead to improvement of left ventricular function. For the prospective identification of jeopardized but viable myocardium for purposes of guiding therapeutic interventions in individual patients the following three standards for myocardial viability can be used;

  1. 1.

    preserved myocardial perfusion and perfusion reserve

  2. 2.

    preserved systolic wall motion and thickening

  3. 3.

    preserved myocardial metabolism

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Authors
  1. Ernst E. Van Der Wall
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  2. Jeroen J. Bax
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  3. Hubert W. Vliegen
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  4. Albert V. G. Bruschke
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  5. Albert De Roos
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Editor information

Editors and Affiliations

  1. Nuclear Cardiology, Division Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USA

    Ami E. Iskandrian (Director) (Director)

  2. Department of Cardiology, Leiden, University Medical Center, Leiden, The Netherlands

    Ernst E. Van Der Wall

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Van Der Wall, E.E., Bax, J.J., Vliegen, H.W., Bruschke, A.V.G., De Roos, A. (2000). Role of magnetic resonance techniques in viability assessment. In: Iskandrian, A.E., Van Der Wall, E.E. (eds) Myocardial Viability. Developments in Cardiovascular Medicine, vol 226. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4080-5_10

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  • DOI: https://doi.org/10.1007/978-94-011-4080-5_10

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5793-6

  • Online ISBN: 978-94-011-4080-5

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