• Eur. J. Heart Fail. · Jun 2003

    Review

    The non-invasive assessment of hibernating myocardium in ischaemic cardiomyopathy--a myriad of techniques.

    • Gavin I W Galasko and Avijit Lahiri.
    • Department of Cardiovascular Medicine, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ, UK.
    • Eur. J. Heart Fail. 2003 Jun 1; 5 (3): 217-27.

    AbstractHeart 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.

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