Contrast magnetic resonance imaging in the assessment of myocardial viability in patients with stable coronary artery disease and left ventricular dysfunction.

Journal Article (Journal Article)

BACKGROUND: The utility of contrast MRI for assessing myocardial viability in stable coronary artery disease (CAD) with left ventricular dysfunction is uncertain. We therefore performed cine and contrast MRI in 24 stable patients with CAD and regional contractile abnormalities and compared MRI findings with rest-redistribution 201Tl imaging and dobutamine echocardiography. METHODS AND RESULTS: Delayed MRI contrast enhancement patterns were examined from 3 to 15 minutes after injection of 0.1 mmol/kg IV gadolinium diethylenetriamine pentaacetic acid (Gd-DTPA). Comparable MRI and 201Tl basal and midventricular short-axis images were subdivided into 6 segments. Segments judged nonviable by quantitative and qualitative assessment of 201Tl scans showed persistent, systematically greater MRI contrast signal intensity than segments judged viable (P

Full Text

Duke Authors

Cited Authors

  • Ramani, K; Judd, RM; Holly, TA; Parrish, TB; Rigolin, VH; Parker, MA; Callahan, C; Fitzgerald, SW; Bonow, RO; Klocke, FJ

Published Date

  • December 15, 1998

Published In

Volume / Issue

  • 98 / 24

Start / End Page

  • 2687 - 2694

PubMed ID

  • 9851954

International Standard Serial Number (ISSN)

  • 0009-7322

Digital Object Identifier (DOI)

  • 10.1161/01.cir.98.24.2687


  • eng

Conference Location

  • United States