IMAGING: Myocardial thinning is not always transmural scarring

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Abstract

Areas of thinned myocardium (≤5.5 mm) were previously thought to be regions of transmural infarction, without remaining viable tissue. However, new data using late-enhancement cardiovascular magnetic resonance imaging now show that, in 18% of patients with ventricular wall thinning, substantial viable myocardium remains, which can improve in function after revascularization.

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