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Results Seventy percent (151/216) of the segments in patients with a CTO were dysfunctional. Mean SWT of all CTO perfused segments was 35% ± 34% which was significantly lower compared to remote segments; 52 ± 48% (p < 0.001). Dysfunctional segments with a TEI<50% showed a significant improvement in SWT with 5 microg/kg/min dobutamine. Interestingly segments with TEI 50%–75% showed a significant improvement in SWT were a higher dose was used (Figure 1). Conclusion Contractility reserve is present in segments with TEI<50% and 50%–75% although a higher dose was needed when TEI 50%–75%. from 11th Annual SCMR Scientific Sessions Los Angeles, CA, USA. 1–3 February 2008

116 Contractility reserve in segments non-viable on delayed enhancement; analysis with low dose dobutamine MRI