Skip to main content

Main menu

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Other Publications
    • NeuroSciences Journal

User menu

  • My alerts
  • Log in

Search

  • Advanced search
Saudi Medical Journal
  • Other Publications
    • NeuroSciences Journal
  • My alerts
  • Log in
Saudi Medical Journal

Advanced Search

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Follow psmmc on Twitter
  • Visit psmmc on Facebook
  • RSS
Research ArticleOriginal Article
Open Access

The impact of viability assessment using cardiac MRI and echocardiogram on the outcome of revascularization in patients with multi-vessels coronary artery disease and moderate to severe ischemic cardiomyopathy

Atif Alzahrani, Hani Mufti, Anas Alswat, Bsaim Altirkistani, Mohammed Aljehani, Ahmed Jazzar, Fahad Alutaibi, Amir Abushouk, Jamilah Al Rahimi, Wail Al Kashkari and Mohammed Althobaiti
Saudi Medical Journal April 2023, 44 (4) 373-378; DOI: https://doi.org/10.15537/smj.2023.44.4.20220133
Atif Alzahrani
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Hani Mufti
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anas Alswat
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bsaim Altirkistani
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mohammed Aljehani
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ahmed Jazzar
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Fahad Alutaibi
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Amir Abushouk
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jamilah Al Rahimi
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Wail Al Kashkari
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mohammed Althobaiti
From King Faisal Cardiac Center (Alzahrani, Mufti, Al Rahimi, Al Kashkari), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah; from the Department of Radiology (Althobaiti), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, from King Abdullah International Medical Research Center, (Alzahrani, Mufti, Alswat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Rahimi, Kashkari, Althobaiti), Jeddah, Kingdom of Saudi Arabia; from the College of Medicine (Alzahrani, Mufti, Alsawat, Altirkistani, Aljehani, Jazzar, Alutaibi, Abushouk, Al Rahimi, Al Kashkari, Althobaiti), King Saud Bin Aldulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • References
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    - Left ventricular ejection fraction by treatment modality and viability.

Tables

  • Figures
    • View popup
    Table 1

    - Patients demographic characteristics (N=106).

    CharacteristicAll patients (n=106)Viable (n=68)Non-viable (n=38)P-value
    Age (years), median (IQR)66 (59-73)66 (58-74)68 (60-73)0.586
    Gender - Male95 (89.6)61 (89.7)34 (89.5)0.896
    BMI (kg/m2), median (IQR)28.3 (25-32)28.6 (24.8-32.1)28.1 (25.3-30.8)0.661
    Nationality - Saudi105 (99.1)68 (100)37 (97.4)0.179
    Comorbidities
    DM91 (85.8)57 (83.8)34 (89.5)0.423
    HTN82 (77.4)53 (77.9)29 (76.3)0.848
    DLP66 (62.3)38 (55.9)28 (73.7)0.069
    Smoking29 (27.4)20 (29.4)9 (23.7)0.526
    Cardiac pathology
    MI42 (39.6)21 (30.9)21 (55.3)0.013*
    CABG10 (9.4)6 (8.8)4 (10.5)0.743
    PCI14 (13.2)7 (10.3)7 (18.4)0.238
    Medications
    ARB or ACEI89 (84.0)58 (85.3)31 (81.6)0.617
    BB93 (87.7)61 (89.7)32 (84.2)0.408
    Nitrates45 (42.5)30 (44.1)15 (39.5)0.643
    Loop diuretics80 (75.5)51 (75.0)29 (76.3)0.877
    MRA60 (56.6)41 (60.3)19 (50.0)0.305

    Values as presented as number and percentages (%). IQR: interquartile range, BMI: body mass index, DM: diabetes mellitus, HTN: hypertension, DLP: dyslipidemia, MI: myocardial Infarction, CABG: coronary artery bypass graft, PCI: Percutaneous coronary interventionm ARB: angiotensin receptor blockers, ACEI: angiotensin converting enzyme inhibitors, BB: beta blockers, MRA: mineralocorticoid receptor antagonists. *Significant p-value.

      • View popup
      Table 2

      - Imaging modalities, treatment and cardiac outcomes based on the myocardial viability status.

      CharacteristicAll patients (n=106)Viable (n=68)Non-viable (n=38)P-value
      Modality
      ECHO10 (9.4)6 (8.8)4 (10.5)
      MRI95 (89.6)61 (89.7)34 (89.5)0.728
      Nuclear1 (0.9)1 (1.5)0 (0)
      Treatment
      CABG24 (22.6)22 (32.4)2 (5.3)
      Medical64 (60.4)32 (47.1)32 (84.2)<0.001*
      PCI18 (17)14 (20.6)4 (10.5)
      Admissions for cardiac cause, median (IQR)0.5 (0-1)0 (0-1)1 (0-2)0. 051
      Dilated heart65 (61.3)42 (61.8)23 (60.5)0.898
      Status0.153
      Alive81 (76.4)56 (82.4)25 (65.8)
      Died due to cardiac cause13 (12.3)6 (8.8)7 (18.4)
      Died due to non-cardiac cause12 (11.3)6 (8.8)6 (15.8)
      LVEF
      LVEF at baseline, median (IQR)30 (25-36)30 (25-37)31 (25-35)0. 817
      LVEF post treatment, median (IQR)33 (27-40)35 (30-42)30 (25-35)0. 016*
      LVEDI, median (IQR)75 (59-89)76 (59-89)71 (62-95)0. 957
      Creatinine clearance, median (IQR)68 (56-82)70 (54-81)67 (59-82)0. 935

      Values are presented as number s and percentages (%). IQR: interquartile range, ECHO: echocardiography, MRI: magnetic resonance imaging, CABG: coronary artery bypass graft, PCI: Percutaneous coronary intervention, LVEF: left ventricular ejection fraction, LVED: left ventricular end diastolic index, *Significant p-value.

        • View popup
        Table 3

        - Characteristics and outcome of patients who received medical therapy alone based on viability status.

        CharacteristicAll patients (n=106)Viable (n=68)Non-viable (n=38)P-value
        Gender - Male57 (89.1)29 (90.6)28 (87.5)0.971
        Admissions for cardiac cause, median (IQR)1 (0-1)0.5 (0-1)1 (0-1.3)0.532
        Status0.141
        Alive46 (71.9)26 (81.2)20 (62.5)
        Died due to cardiac cause9 (14.1)2 (6.2)7 (21.9)
        Died due to non-cardiac cause9 (14.1)4 (12.5)5 (15.6)
        LVEF
        LVEF at Baseline, median (IQR)30 (25-35)30 (25.4-34.2)31 (24.8-35)0. 930
        LVEF Post treatment, median (IQR)32 (25-37.3)34 (30.3-38.1)30 (25-35.8)0. 094

        Values are presented as number s and percentages (%). LVEF= Left ventricular ejection fraction.

        PreviousNext
        Back to top

        In this issue

        Saudi Medical Journal: 44 (4)
        Saudi Medical Journal
        Vol. 44, Issue 4
        1 Apr 2023
        • Table of Contents
        • Cover (PDF)
        • Index by author
        Print
        Download PDF
        Email Article

        Thank you for your interest in spreading the word on Saudi Medical Journal.

        NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

        Enter multiple addresses on separate lines or separate them with commas.
        The impact of viability assessment using cardiac MRI and echocardiogram on the outcome of revascularization in patients with multi-vessels coronary artery disease and moderate to severe ischemic cardiomyopathy
        (Your Name) has sent you a message from Saudi Medical Journal
        (Your Name) thought you would like to see the Saudi Medical Journal web site.
        Citation Tools
        The impact of viability assessment using cardiac MRI and echocardiogram on the outcome of revascularization in patients with multi-vessels coronary artery disease and moderate to severe ischemic cardiomyopathy
        Atif Alzahrani, Hani Mufti, Anas Alswat, Bsaim Altirkistani, Mohammed Aljehani, Ahmed Jazzar, Fahad Alutaibi, Amir Abushouk, Jamilah Al Rahimi, Wail Al Kashkari, Mohammed Althobaiti
        Saudi Medical Journal Apr 2023, 44 (4) 373-378; DOI: 10.15537/smj.2023.44.4.20220133

        Citation Manager Formats

        • BibTeX
        • Bookends
        • EasyBib
        • EndNote (tagged)
        • EndNote 8 (xml)
        • Medlars
        • Mendeley
        • Papers
        • RefWorks Tagged
        • Ref Manager
        • RIS
        • Zotero
        Share
        The impact of viability assessment using cardiac MRI and echocardiogram on the outcome of revascularization in patients with multi-vessels coronary artery disease and moderate to severe ischemic cardiomyopathy
        Atif Alzahrani, Hani Mufti, Anas Alswat, Bsaim Altirkistani, Mohammed Aljehani, Ahmed Jazzar, Fahad Alutaibi, Amir Abushouk, Jamilah Al Rahimi, Wail Al Kashkari, Mohammed Althobaiti
        Saudi Medical Journal Apr 2023, 44 (4) 373-378; DOI: 10.15537/smj.2023.44.4.20220133
        Twitter logo Facebook logo Mendeley logo
        • Tweet Widget
        • Facebook Like
        • Google Plus One
        Bookmark this article

        Jump to section

        • Article
          • Abstract
          • Methods
          • Results
          • Discussion
          • Acknowledgment
          • Footnotes
          • References
        • Figures & Data
        • eLetters
        • References
        • Info & Metrics
        • PDF

        Related Articles

        • No related articles found.
        • PubMed
        • Google Scholar

        Cited By...

        • No citing articles found.
        • Google Scholar

        More in this TOC Section

        • Exploring communication challenges with children and parents among pharmacists in Saudi Arabia
        • Exploring hypothyroidism’s effects on lipid profiles
        • Assessment of asthma control levels in a tertiary hospital
        Show more Original Article

        Similar Articles

        Keywords

        • revascularization
        • viability assessment
        • cardiac mri
        • echo
        • ischemic cardiomyopathy

        CONTENT

        • home

        JOURNAL

        • home

        AUTHORS

        • home
        Saudi Medical Journal

        © 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

        Powered by HighWire