100 QUESTIONS IN CARDIOLOGY

(Michael S) #1
segments with >50% of viable myocytes were equally well

predicted by all three non-invasive tests, in segments with <50% of

viable myocytes the response to dobutamine was poor in relation

to SPECT and PET, which showed equal sensitivities. However,

taking survival as an end point, patients with at least 42% of viable

segments during dobutamine stress echocardiography had a better

long term survival following revascularisation.^3

RReeffeerreenncceess
1 Fallavollita JA, Canty JM. Differential^18 F-2-Deoxyglucose uptake in
viable dysfunctional myocardium with normal resting perfusion.
Circulation1999; 9999 : 2798–805.
2 Di Carli MF, Asgrzadie F, Schelbert H et al. Quantitative relation
between myocardial viability and improvement in heart failure
symptoms after revascularisation in patients with ischaemic cardio-
myopathy. Circulation1995; 9922 : 3436–44.
3 Senior R, Kaul S, Lahiri A. Myocardial viability on echocardiography
predicts long-term survival after revascularisation in patients with
ischaemic congestive heart failure. J Am Coll Cardiol1999; 3333 : 1848–54.
4 Baumgartner H, Porenta G, Lau Y-K et al. Assessment of myocardial
viability by dobutamine echocardiography, positron emission
tomography and thallium-201 SPECT. J Am Coll Cardiol1998; 3322 : 1701–8.

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