Review Article

Myocardial Viability: From Proof of Concept to Clinical Practice

Table 1

Summary of studies evaluating improvement in segmental myocardial function with revascularisation.

StudyPeriodStudy designSetting (center)Patient ()Modality of viability assessmentSensitivitySpecificity

Arnese et al. [55]1995ProspectiveSingle38Stress TTE, PET74, 8995, 48
Cornel et al. [56]1998ProspectiveMulti61Stress TTE8981
Pagano et al. [57]1998ProspectiveSingle30Stress TTE, PET60, 9933, 62
Bax et al. [58]1999ProspectiveSingle68Stress TTE8974
Pasquet et al. [59]1999ProspectiveSingle94Stress TTE, PET69, 8478, 37
Baer et al. [60]2000ProspectiveSingle103CMR, Stress TOE86, 8292, 83
Wiggers et al. [61]2000ProspectiveSingle46PET, Stress TTE81, 5156, 89
Cwajg et al. [29]2000ProspectiveSingle45PET, Stress TTE91, 9450, 48
Schmidt et al. [62]2004ProspectiveSingle40CMR, PET96, 10087, 73
Hanekom et al. [63]2005ProspectiveSingle55SRI, TTE78, 7377, 77
Slart et al. [64]2006ProspectiveSingle47DISA SPECT, PET89, 9086, 86

TTE, transthoracic echocardiography; TOE, transesophageal echocardiography; PET, photon emission tomography; CMR, cardiac magnetic resonance imaging; SRI, strain rate imaging echocardiography; DISA SPECT, dual-isotope simultaneous acquisition (DISA) SPECT.