myocardial viability testing and impact of revascularization on prognosis|revascularization vs medical therapy : traders Viability testing can help direct patients who will benefit the most from . Sua conta para tudo na Globo. Login informe o seu e-mail. E .
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revascularization vs medical viability
This meta-analysis demonstrates a strong association between myocardial viability on noninvasive testing and improved survival after revascularization in patients with chronic CAD and LV dysfunction. Absence of viability was associated with no significant difference in .The potential importance of myocardial viability testing in determining prognosis .Multiple imaging modalities can assess myocardial viability and predict .
Viability testing can help direct patients who will benefit the most from .This study pools data from published series examining late survival with revascularization versus medical therapy after myocardial viability testing in patients with severe coronary artery disease (CAD) and left ventricular (LV) .We recently completed the Revascularization for Ischemic Ventricular Dysfunction (REVIVED-BCIS2) trial, a randomized comparison of percutaneous coronary intervention (PCI) vs optimal medical therapy (OMT) alone for .
Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J Am. The impact of myocardial viability as determined by rest-redistribution 201Tl single photon emission CT imaging and the choice of therapy on prognosis in patients with left ventricular.
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Prognostic value of myocardial viability by delayed-enhanced magnetic resonance in patients with coronary artery disease and low ejection fraction: impact of revascularization .Viability testing can help direct patients who will benefit the most from revascularization. Single-photon emission computed tomography, dobutamine stress echo, cardiac MRI, and PET .The potential importance of myocardial viability testing in determining prognosis after revascularization has been evaluated in many small single-center studies, including a meta . A large body of observational nonrandomized studies suggested the value of myocardial viability tests for estimating the prognosis of patients with ischemic cardiomyopathy treated with revascularization compared to .
Multiple imaging modalities can assess myocardial viability and predict functional improvement after revascularization, with dobutamine stress echocardiography, nuclear imaging tests and . Allman K.C., Shaw L.J., Hachamovitch R., Udelson J.E. "Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta .Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J Am Coll Cardiol . 2002;39(7):1151-1158. doi: 10.1016/S0735 .
Request PDF | Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: A meta-analysis | This study .
Viability and prognosis: the STICH viability sub-study showed viability had no impact on prognosis after adjustment for baseline variables. 3 Viability and prognostic benefit of revascularization: no association shown in the STICH viability sub-study, however, has been shown in PARR-2 substudy and observational data; 27 , 40 * will be further .
Coronary artery disease is a leading cause of mortality and morbidity worldwide.1 Although coronary angiography remains the “gold standard” for diagnosing the presence and severity of coronary artery disease, various noninvasive imaging tests offer high sensitivity and specificity for diagnosis and risk stratification and provide guidance for revascularization. In .
Evidence for the relationship between viability testing and clinical outcomes. Viability and prognosis: the STICH viability sub-study showed viability had no impact on prognosis after adjustment for baseline variables. 3 Viability and prognostic benefit of revascularization: no association shown in the STICH viability sub-study, however, has .
Patients with ischaemic left ventricular dysfunction frequently undergo myocardial viability testing. The historical model presumes that those who have extensive areas of dysfunctional-yet-viable myocardium derive particular benefit from revascularization, whilst those without extensive viability do .Myocardial Viability Testing and Impact of Revascularization on Prognosis in . In patients with viability, revascularization was associated with 79.6% reduction in annual mortality (16% vs. 3.2%, chi-square 147, p 0.0001) compared with medical . failure symptoms for patients with myocardial viability after revascularization have also been . Clinical effectiveness of revascularization for patients with advanced heart failure and severe coronary artery disease is unclear. Reversibility of left ventricular dysfunction is a potential benefit 1–4; however, the higher perioperative risk and uncertain long-term outcome complicate decision making.Some argue that the measurement of myocardial viability may . Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J Am Coll Cardiol. 2002;39(7):1151–8.
Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J Am Coll Cardiol 2002;39:1151 .
Despite all the advances in detecting viable myocardial cells, viability imaging has not been proven to have an impact on clinical outcome after revascularization in prospective studies. 2,3 This article will review the current role of non-invasive myocardial viability assessment in the clinical practice and summarize the key points in the . Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J Am Coll Cardiol. 2002; 39 :1151–8.Revascularization and Prognosis. The outcome after revascularization of hibernating myocardium is still an area of debate since the results of the randomized clinical trials are not supporting the findings from previous observational studies. . Hachamovitch R., Udelson J.E. Myocardial viability testing and impact of revascularization on .
- "Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis." Figure 2. Relation between left ventricular . Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. JACC. 2002; 39 (7):1151–8.
Quantitative relation between myocardial viability and improvement in heart failure symptoms after revascularization in patients with ischemic cardiomyopathy. Circulation. 1995; 92:3436-3444. Crossref. . Myocardial .
myocardial viability treated by revascularization or medical therapy. (B) Same data as A with comparisons based on treatment strategy in patients with and without viability. (From Allman KC, Shaw LJ, Hachamo-vitch R, et al. Myocardial viability testing and impact of revascularization on prognosis in patients with coro-
It is increasingly recognized that any single imaging test that expresses myocardial viability in a dichotomized fashion will unlikely fully characterize the physiological complexity of both the ischemic myocardium and coronary revascularization. 63 Furthermore, the use of restoration of regional or global LV contractile function has been .
Allman KC, Shaw LJ, Hachamovitch R, Udelson JE. Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J Am Coll Cardiol. .In the area of myocardial viability testing, published reports regarding the indications for revascularization in the context of the extent of potentially reversible LV dysfunction remain controversial. . Hachamovitch R. and Udelson J.E.: "Myocardial viability testing and impact of revascularization on prognosis in patients with coronary .Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J Am Coll Cardiol. 2002; 39 :1151–1158.
Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. . Quantitative relation between myocardial viability and improvement in heart failure symptoms after revascularization in patients with ischemic cardiomyopathy. Di Carli MF . Allman, K. C. et al. Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J. Am.The potential importance of myocardial viability testing in determining prognosis after revascularization has been evaluated in many small single-center studies, including a meta-analysis demonstrating decreased annual mortality in patients with viability undergoing revascularization compared to those not undergoing revascularization.1 In a . Purpose of Review We aim to reevaluate how the assessment of myocardial viability can guide optimal treatment strategies for patients with ischemic cardiomyopathy (ICM) based on a more contemporary understanding of the mechanism of benefit of revascularization. Recent Findings The assessment of viability in left ventricular (LV) segments with diminished .
Surgical revascularization plus medical therapy offered a survival benefit over medical therapy alone, but the myocardial viability results had no significant impact on the benefit of revascularization. 62 This study has met criticism for several reasons. 63, 64 The STICH viability study was observational and potentially affected by selection .
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myocardial viability testing and impact of revascularization on prognosis|revascularization vs medical therapy