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Myocardial Hibernation

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Myocardial Preservation

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Abstract

Myocardial hibernation signifies the existence of dysfunctional myocardium in vascular territories subtended by a stenotic coronary artery. No appreciable cardiomyocite loss is found. Resting or hyperemic flow is reduced. Its contractility can be improved after revascularization. Many non-invasive techniques (stress echocardiography, SPECT, PET, CMR) are being employed to a test the existence of HIB. It is generally believed that if more than 25% of left ventricular myocardium is found viable, revascularization is advisable.

However, the results of the STICH trial have shed some doubt which is still being debated.

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  1. Heart and Vessel Department, Biomedical Research Foundation, Academy of Athens - Gregory Skalkeas, Athens, Greece

    Dennis V. Cokkinos

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    Dennis V. Cokkinos

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Cokkinos, D.V. (2019). Myocardial Hibernation. In: Cokkinos, D. (eds) Myocardial Preservation. Springer, Cham. https://doi.org/10.1007/978-3-319-98186-4_10

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