Assessment of Myocardial Viability: Comparison of Echocardiography versus Cardiac Magnetic Resonance Imaging in the Current Era

David R. Tomlinson, Harald Becher, Joseph B. Selvanayagam

Research output: Contribution to journalReview article

30 Citations (Scopus)


Detecting viable myocardium, whether hibernating or stunned, is of clinical significance in patients with coronary artery disease and left ventricular dysfunction. Echocardiographic assessments of myocardial thickening and endocardial excursion during dobutamine infusion provide a highly specific marker for myocardial viability, but with relatively less sensitivity. The additional modalities of myocardial contrast echocardiography and tissue Doppler have recently been proposed to provide further, quantitative measures of myocardial viability assessment. Cardiac magnetic resonance (CMR) has become popular for the assessment of myocardial viability as it can assess cardiac function, volumes, myocardial scar, and perfusion with high-spatial resolution. Both 'delayed enhancement' CMR and dobutamine stress CMR have important roles in the assessment of patients with ischaemic cardiomyopathy. This article reviews the recent advances in both echocardiography and CMR for the clinical assessment of myocardial viability. It attempts to provide a pragmatic approach toward the patient-specific assessment of this important clinical problem. Crown

Original languageEnglish
Pages (from-to)173-185
Number of pages13
JournalHeart Lung and Circulation
Issue number3
Publication statusPublished - 1 Jun 2008


  • Cardiac magnetic resonance imaging
  • Dobutamine stress echocardiography
  • Myocardial contrast echocardiography
  • Myocardial viability
  • Tissue Doppler echocardiography

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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