NYMC Faculty Publications
The Evolving Paradigm of Revascularization in Ischemic Cardiomyopathy: from Recovery of Systolic Function to Protection Against Future Ischemic Events
Author Type(s)
Resident/Fellow, Faculty
DOI
10.1007/s11886-023-01977-5
Journal Title
Current Cardiology Reports
First Page
1513
Last Page
1521
Document Type
Article
Publication Date
11-1-2023
Department
Medicine
Abstract
PURPOSE OF REVIEW: We aim to reevaluate how the assessment of myocardial viability can guide optimal treatment strategies for patients with ischemic cardiomyopathy (ICM) based on a more contemporary understanding of the mechanism of benefit of revascularization. RECENT FINDINGS: The assessment of viability in left ventricular (LV) segments with diminished contraction has been proposed as key to predict the benefit of revascularization and, therefore, as a requisite for the selection of patients to undergo this form of treatment. However, data from prospective trials have diverged from earlier retrospective studies. Traditional binary viability assessment may oversimplify ICM's complexity and the nuances of revascularization benefits. A conceptual shift from the traditional paradigm centered on the assessment of viability as a dichotomous variable to a more comprehensive approach encompassing a thorough understanding of ICM's complex pathophysiology and the salutary effect of revascularization in the prevention of myocardial infarction and ventricular arrhythmias is required.
Recommended Citation
Isath, A., & Panza, J. A. (2023). The Evolving Paradigm of Revascularization in Ischemic Cardiomyopathy: from Recovery of Systolic Function to Protection Against Future Ischemic Events. Current Cardiology Reports, 25 (11), 1513-1521. https://doi.org/10.1007/s11886-023-01977-5
