Revascularization in severe left ventricular dysfunction: the role of viability testing

J Am Coll Cardiol. 2005 Aug 16;46(4):567-74. doi: 10.1016/j.jacc.2005.03.072.


Revascularization is a treatment option for moderate-to-severe ischemic cardiomyopathy. Limitations of the current literature, lack of completed randomized trials, and higher periprocedural risks create significant uncertainty about the optimal treatment strategy. This review focuses on the available literature describing the effect of revascularization on outcome and the role of noninvasive viability testing. It attempts to identify a subset of patients likely to benefit from therapy.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Cardiomyopathies / diagnosis
  • Cardiomyopathies / surgery
  • Diagnostic Imaging / methods
  • Humans
  • Myocardial Ischemia / diagnosis
  • Myocardial Ischemia / surgery
  • Myocardial Revascularization*
  • Risk
  • Tissue Survival
  • Treatment Outcome*
  • Ventricular Dysfunction, Left / diagnosis*
  • Ventricular Dysfunction, Left / physiopathology
  • Ventricular Dysfunction, Left / surgery*