Article citationsMore>>

Shah, D.J., Kim, H.W., James, O., Parker, M., Wu, E., Bonow, R.O., Judd, R.M. and Kim, R.J. (2013) Prevalence of Regional Myocardial Thinning and Relationship with Myocardial Scarring in Patients with Coronary Artery Disease. JAMA, 309, 909-918. http://dx.doi.org/10.1001/jama.2013.1381

has been cited by the following article:

• TITLE: Review: Do We Still Need a Viability Study before Considering Revascularization in Patient with Stable Coronary Artery Disease and Significant Left Ventricular Systolic Dysfunction?

  AUTHORS: Hanan Albackr, Abdulelah F. Al Mobeirek, Mostafa Al Shamiri, Turki B. Albacker

  KEYWORDS: Viability; Revascularization; Coronary Artery Bypass Grafting; Left Ventricular Dysfunction

  JOURNAL NAME: International Journal of Clinical Medicine, Vol.5 No.5, March 21, 2014

  ABSTRACT: Patients with ischemic cardiomyopathy constitute a heterogeneous group of patients with an extremely complex condition in which many factors play an important prognostic role. So it is difficult and probably unrealistic to expect that a single feature like presence of viable myocardium would provide an unequivocal answer to a critical question of revasculrization or not for all patients. Opposite to the hopes of investigators and physicians involved in the care of these patients, the findings of prospective studies with the use of different viability testing methods did not help in the decision-making process regarding CABG in ischemic cardiomyopathy. Instead, they left us with the same dilemma. The implication of most of these trials is that in patients with CAD and significant LV dysfunction, assessment of myocardial viability does not identify patients who will have the greatest survival benefit from adding CABG to aggressive medical therapy. In the clinical practice, these observations remind physicians to consider the multiplicity of factors involved in the decision-making process for patients with such a complex disease.