Can history of myocardial infarction reliably indicate myocardial viability in patients with a coronary chronic total occlusion and good collateral circulation?

Ilias Nikolakopoulos, Evangelia Vemmou, Judit Karacsonyi, Iosif Xenogiannis, Bavana V. Rangan, Santiago Garcia, M. Nicholas Burke, Emmanouil S. Brilakis

Research output: Contribution to journalLetterpeer-review

Abstract

We read with interest the study by Shaikh et al reporting that none of the patients with coronary chronic total occlusions (CTOs) and a prior Q-wave myocardial infarction (MI) in the CTO-supplied territory had viable myocardium even in the presence of good collateral circulation. Based on our large, multicenter registry on CTO in percutaneous coronary intervention, PROGRESS-CTO, we believe viability testing may still be of value in patients with a CTO and a prior MI, especially if their ejection fraction is low and dyspnea is the predominant symptom.

Original languageEnglish (US)
Pages (from-to)E135
JournalJournal of Invasive Cardiology
Volume33
Issue number2
StatePublished - Feb 2021
Externally publishedYes

Keywords

  • Chronic total occlusion
  • Myocardial viability
  • Percutaneous coronary intervention

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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