Can tissue Doppler imaging detect myocardial viability in patients with left ventricular dysfunction?
Jeroen J Bax* and Don Poldermans
Correspondence *Department of Cardiology, Leiden University Medical Center, PO Box 9600, Leiden, 2300 RC, The Netherlands
Email j.j.bax@lumc.nl
This article has no abstract so we have provided the first paragraph of the full text.
Management of patients with chronic ischemic LV dysfunction remains challenging. The main therapeutic options include medical therapy, surgical revascularization, heart transplantation, and cardiac resynchronization therapy. Surgical revascularization has been demonstrated to improve LV function in some patients, but is also associated with increased morbidity and mortality. Furthermore, studies have indicated that patients with jeopardized (akinetic or severely hypokinetic), but viable, myocardium are highly likely to benefit from surgical revascularization, whereas patients without viable myocardium do not benefit.1 Accordingly, assessment of myocardial viability has become an important part of the therapeutic decision-making process.
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