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| | Hibernating and Stunned Myocardium - Cardiovascular Physiology - Medstudents |
 | | Hibernating myocardium (HM) must be differentited by stunning, although both processes may coexist on clinical grounds (7), and in some instances, it is difficult to say which of them predominates in a individual patient (3). |
 | | Contrast echocardiogram, with microbubbles, is a recent and promising technique.(7) The stress echo is based on the contractile reserve of these viable cells, although HM, because of the loss of the contractile material, may not respond so well as the stunned one (1). |
 | | The usefullness to detect HM comes from the logical point that revascularization should be attempted to reperfuse predominantly viable myocardium, not "dead" tissue. |
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