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Viability assessment by delayed-enhanced (DE) MR in patients with coronary artery disease (CAD) can predict improvement of ejection fraction (EF) after revascularization. However it is implication on survival is incompletely understood. Several studies suggested that large amounts of of DE, ie non-viable myocardium, increase risk of death. However these studies did not take into account the presence of CAD and and the potential protective effect of revascularization therapy on outcome. Also they conflict with earlier work employing nuclear imaging or Dobutamine Echocardiography who reported that large amounts of viable myocardium predict worse outcome if such myocardium is not revascularized.

Can viability assessment by DE-MRI predict survival in patients with multivessel disease and low ejection fraction? Influence of treatment strategies