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Hibernating myocardium

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40:. Echocardiography: A wall motion abnormality at rest which improves during a low-dose dobutamine stress test is classified as "hibernating myocardium." Low dose dobutamine stimulates contractile function and thus helps to predict functional recovery after revascularization. Cardiac magnetic resonance: The most frequently used MR 44:
based on Gd-chelates accumulate in the extracellular space which is increased in scarred myocardium. This leads to a signal increase which can be visualised with the "late gadolinium enhancement technique." This is probably the most accurate way to visualise scarred myocardium. An alternative (or
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via cardiac catheterization. The regions of myocardium are still viable and can return to normal function. There develops a new steady state between myocardial blood flow (MBF) and myocardial function, MBF reduced and in consequence function is reduced too. The clinical situations where one can
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additional) technique with CMR is the use of low dose dobutamine similar to echocardiography. PET: The finding of a perfusion or metabolic mismatch between PET-FDG and PET-NH
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The phenomenon is highly significant clinically because it usually manifests itself in the setting of chronic
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is indicative of decreased metabolism. The wall of the affected segments is hypo-, a-, or dyskinetic.
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exhibit abnormalities of contractile function. These abnormalities can be visualised with
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This article about a medical condition affecting the circulatory system is a
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You can help Knowledge by 7: 133:10.1056/NEJM199807163390307 84: 10: 1323: 1245: 983:Wandering atrial pacemaker 530:non-infective endocarditis 471:Endocardial fibroelastosis 1307:Circulatory disease stubs 1200: 1143: 1061:hexaxial reference system 1052: 1019: 1006:Jervell and Lange-Nielsen 991: 949: 908: 885: 859: 827: 785: 766: 665: 651: 551: 536:Libman–Sacks endocarditis 505: 491: 407: 356: 349: 286: 241: 198: 189: 941:Ventricular fibrillation 212:Coronary artery aneurysm 117:"Hibernating myocardium" 1302:Ischemic heart diseases 1218:Diastolic heart failure 1192:Athletic heart syndrome 1153:Ventricular hypertrophy 887:Pre-excitation syndrome 741:Left posterior fascicle 266:Acute coronary syndrome 206:Coronary artery disease 736:Left anterior fascicle 516:infective endocarditis 301:Hibernating myocardium 182:Cardiovascular disease 22:hibernating myocardium 900:Wolff–Parkinson–White 860:Premature contraction 758:Adams–Stokes syndrome 461:Loeffler endocarditis 271:Myocardial infarction 1067:Right axis deviation 1029:Sudden cardiac death 387:Pericardial effusion 330:Ventricular aneurysm 1072:Left axis deviation 929:Atrial fibrillation 924:Ventricular flutter 847:Torsades de pointes 721:Bundle branch block 680:Sick sinus syndrome 466:Cardiac amyloidosis 451:Tachycardia-induced 306:Myocardial stunning 254:Prinzmetal's angina 223:Coronary thrombosis 96:Myocardial scarring 1175:Atrial enlargement 973:Pacemaker syndrome 895:Lown–Ganong–Levine 817:Junctional ectopic 812:AV nodal reentrant 318:Myocardial rupture 228:Coronary vasospasm 91:Stunned myocardium 1264: 1263: 1243: 1242: 1235:Obstructive shock 1139: 1138: 1086:Short QT syndrome 1053:Other / ungrouped 1044:Sinoatrial arrest 959:Ectopic pacemaker 855: 854: 675:Sinus bradycardia 647: 646: 643: 642: 392:Cardiac tamponade 345: 344: 335:Dressler syndrome 233:Myocardial bridge 58:revascularisation 1314: 1285: 1278: 1271: 1247: 1208:Cardiac fibrosis 1100:T wave alternans 993:Long QT syndrome 787:Supraventricular 783: 782: 716:Intraventricular 663: 662: 503: 502: 354: 353: 199:Coronary disease 196: 195: 175: 168: 161: 152: 151: 145: 144: 112: 38:ventriculography 30:echocardiography 1322: 1321: 1317: 1316: 1315: 1313: 1312: 1311: 1292: 1291: 1290: 1289: 1244: 1239: 1230:Rheumatic fever 1196: 1135: 1048: 1015: 987: 945: 904: 881: 851: 823: 770: 762: 656: 639: 547: 496: 487: 403: 397:Hemopericardium 341: 282: 276:Unstable angina 249:Angina pectoris 242:Active ischemia 237: 185: 179: 149: 148: 121:N. Engl. J. Med 113: 109: 104: 87: 74:silent ischemia 71:unstable angina 65:chronic stable 48: 42:contrast agents 12: 11: 5: 1320: 1310: 1309: 1304: 1288: 1287: 1280: 1273: 1265: 1262: 1261: 1241: 1240: 1238: 1237: 1232: 1227: 1226: 1225: 1223:Cardiac asthma 1220: 1210: 1204: 1202: 1198: 1197: 1195: 1194: 1189: 1188: 1187: 1182: 1172: 1171: 1170: 1165: 1160: 1149: 1147: 1141: 1140: 1137: 1136: 1134: 1133: 1131:Strain pattern 1128: 1127: 1126: 1121: 1116: 1104: 1103: 1102: 1090: 1089: 1088: 1076: 1075: 1074: 1069: 1056: 1054: 1050: 1049: 1047: 1046: 1041: 1036: 1031: 1025: 1023: 1021:Cardiac arrest 1017: 1016: 1014: 1013: 1008: 1003: 1001:Andersen–Tawil 997: 995: 989: 988: 986: 985: 980: 975: 970: 965: 955: 953: 947: 946: 944: 943: 938: 937: 936: 926: 921: 919:Atrial flutter 915: 913: 906: 905: 903: 902: 897: 891: 889: 883: 882: 880: 879: 874: 869: 863: 861: 857: 856: 853: 852: 850: 849: 844: 839: 833: 831: 825: 824: 822: 821: 820: 819: 814: 804: 803: 802: 791: 789: 780: 764: 763: 761: 760: 755: 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1216: 1215: 1214: 1213:Heart failure 1211: 1209: 1206: 1205: 1203: 1199: 1193: 1190: 1186: 1183: 1181: 1178: 1177: 1176: 1173: 1169: 1166: 1164: 1161: 1159: 1156: 1155: 1154: 1151: 1150: 1148: 1146: 1142: 1132: 1129: 1125: 1124:ST depression 1122: 1120: 1117: 1115: 1112: 1111: 1110: 1109: 1105: 1101: 1098: 1097: 1096: 1095: 1091: 1087: 1084: 1083: 1082: 1081: 1077: 1073: 1070: 1068: 1065: 1064: 1063: 1062: 1058: 1057: 1055: 1051: 1045: 1042: 1040: 1037: 1035: 1032: 1030: 1027: 1026: 1024: 1022: 1018: 1012: 1009: 1007: 1004: 1002: 999: 998: 996: 994: 990: 984: 981: 979: 976: 974: 971: 969: 966: 964: 960: 957: 956: 954: 952: 948: 942: 939: 935: 932: 931: 930: 927: 925: 922: 920: 917: 916: 914: 912: 907: 901: 898: 896: 893: 892: 890: 888: 884: 878: 875: 873: 870: 868: 865: 864: 862: 858: 848: 845: 843: 840: 838: 835: 834: 832: 830: 826: 818: 815: 813: 810: 809: 808: 805: 801: 798: 797: 796: 793: 792: 790: 788: 784: 781: 778: 774: 769: 765: 759: 756: 752: 751:Trifascicular 749: 747: 744: 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951:Pacemaker 622:pulmonary 603:tricuspid 439:Alcoholic 1034:Asystole 934:Familial 628:stenosis 609:stenosis 590:stenosis 571:stenosis 566:prolapse 288:Sequelae 191:Ischemia 85:See also 54:ischemia 434:Dilated 376:Chronic 184:(heart) 141:9664095 1114:J wave 867:Atrial 795:Atrial 584:aortic 560:mitral 552:Valves 498:valves 350:Layers 219:(SCAD) 139:  77:after 67:angina 1201:Other 1185:Right 1163:Right 777:sinus 726:Right 476:Viral 371:Acute 325:weeks 296:hours 208:(CAD) 1253:stub 1180:Left 1158:Left 775:and 731:Left 313:days 137:PMID 129:doi 125:339 79:AMI 32:, 16:In 1298:: 1108:ST 1080:QT 961:/ 709:3° 704:2° 699:1° 694:AV 687:: 378:/ 135:. 123:. 119:. 20:, 1284:e 1277:t 1270:v 1259:. 1094:T 779:) 771:( 655:/ 495:/ 174:e 167:t 160:v 143:. 131:: 47:3

Index

cardiology
myocardium
echocardiography
cardiac magnetic resonance imaging
ventriculography
contrast agents
ischemia
revascularisation
angina
AMI
Stunned myocardium
Myocardial scarring
"Hibernating myocardium"
doi
10.1056/NEJM199807163390307
PMID
9664095
v
t
e
Cardiovascular disease
Ischemia
Coronary artery disease
Coronary artery aneurysm
Spontaneous coronary artery dissection
Coronary thrombosis
Coronary vasospasm
Myocardial bridge
Angina pectoris
Prinzmetal's angina

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