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The non‐invasive assessment of hibernating myocardium in ischaemic cardiomyopathy—a myriad of techniques
Author(s) -
Galasko Gavin I.W.,
Lahiri Avijit
Publication year - 2003
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1016/s1388-9842(03)00008-4
Subject(s) - hibernating myocardium , medicine , cardiology , heart failure , ischemic cardiomyopathy , coronary artery disease , ischaemic heart disease , cardiomyopathy , perfusion , myocardial infarction , ejection fraction , revascularization
Heart failure is placing an ever‐increasing burden on society. Many subjects with heart failure and underlying coronary artery disease have a significant amount of akinetic but viable myocardium that is able to contract should myocardial perfusion improve (hibernating myocardium). Non‐randomised studies have shown prognostic benefit in subjects with hibernating myocardium undergoing revascularisation. Several non‐invasive techniques have been developed to assess the presence or absence of hibernating myocardium. This review will examine the epidemiology and underlying pathogenesis of hibernating myocardium; evaluate the non‐invasive techniques for diagnosing hibernating myocardium, and look at therapeutic intervention in subjects with hibernating myocardium.