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Demonstration of intermittent ischemia and stunning in hibernating myocardium

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References

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    Conversano A, Walsh JF, Geltman EM, Perez JE, Bergmann SR, Gropler RJ. Delineation of myocardial stunning and hibernation by positron emission tomography in patients with advanced coronary artery disease. Am Heart J 1996;131:440-50.

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    Camici PG, Rimoldi OE. Myocardial blood flow in patients with hibernating myocardium. Cardiovasc Res 2003;57:302-11 (Review).

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Disclosure

Dr. Agus Priatna is employed by Siemens Medical Solutions USA.

Author information

Correspondence to Jeffrey M. C. Lau MD, PhD.

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Movie 1. Single shot first pass MR cine at rest demonstrated anterior and anteroapical and apical hypokinesis

Movies 2. Stress perfusion MR cine in 2-chamber long axis demonstrated hypo-perfusion in the distal anterior and anteroapical walls. The high resolution of MR allows us to delineate that the perfusion defects were limited to the endocardium but not the epicardium

Movie 3. Single shot first pass MR cine post-stress again demonstrated anterior and anteroapical hypokinesis

Movie 1. Single shot first pass MR cine at rest demonstrated anterior and anteroapical and apical hypokinesis

Movies 2. Stress perfusion MR cine in 2-chamber long axis demonstrated hypo-perfusion in the distal anterior and anteroapical walls. The high resolution of MR allows us to delineate that the perfusion defects were limited to the endocardium but not the epicardium

Movie 3. Single shot first pass MR cine post-stress again demonstrated anterior and anteroapical hypokinesis

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Lau, J.M.C., Laforest, R., Priatna, A. et al. Demonstration of intermittent ischemia and stunning in hibernating myocardium. J. Nucl. Cardiol. 20, 908–912 (2013). https://doi.org/10.1007/s12350-013-9757-4

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Keywords

  • Myocardial Perfusion Imaging
  • Late Gadolinium Enhancement
  • Myocardial Stunning
  • Flow Abnormality
  • Late Gadolinium Enhancement Imaging