Review Article

Myocardial Viability: From Proof of Concept to Clinical Practice

Figure 2

CMR assessment. Comment: 51-year-old female following an inferior ST segment elevation myocardial infarction. CMR revealed hyperintensity in the midinferior wall on T2 weighted images. There is 100% transmural late gadolinium enhancement of the midinferior wall indicating nonviability of this region of myocardium. Of note, an area of hypoenhancement is also present in the middle of the hyperenhancement region, indicating microvascular obstruction. There is also late gadolinium enhancement affecting part of the posterior papillary muscle.