Arq Bras Cardiol: Imagem cardiovasc. 2022; 35(2): eabc264

Assessing Myocardial Viability in Clinical Practice

DOI: 10.47593/2675-312X/20223502eabc264

Abstract

Although assessing myocardial viability is a common cardiology practice, many physicians question the results of diagnostic methods. Nuclear medicine plays an important role in viability studies, but the reports require interpretation in a clinical and pathophysiological context. this article was aimed at reviewing the origin and evolution of myocardial viability. Here we present diagnostic methods by emphasizing nuclear medicine and provide a functional explanation of each test type using example images. We also propose how to act in these cases based on clinic examination findings, the percentage of affected myocardium, and coronary lesion topography (proximal or distal).