IMR Press / RCM / Volume 23 / Issue 1 / DOI: 10.31083/j.rcm2301033
Open Access Review
Coronary revascularization in patients with left ventricle systolic dysfunction, current challenges and clinical outcomes
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1 Department of Cardiology, Freeman Hospital, NE7 7DN Newcastle upon Tyne, UK
2 Cardiovascular Medicine Department, Faculty of Medicine, Tanta University, 31516 Tanta, Egypt
3 Translational and Clinical Research Institute, Newcastle University, NE1 7RU Newcastle upon Tyne, UK
*Correspondence: (Mohammad Alkhalil)
Academic Editors: Gianluca Rigatelli and Hani Jneid
Rev. Cardiovasc. Med. 2022, 23(1), 33;
Submitted: 5 August 2021 | Revised: 19 September 2021 | Accepted: 29 October 2021 | Published: 19 January 2022
(This article belongs to the Special Issue Interventions for the failing left ventricle)
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

The effects of coronary revascularization in patients with left ventricle systolic dysfunction (LVSD) are not well studied. The decision about revascularization and its timing remain challenging, not only related to procedural risk, but also linked to other several limitations including assessment of ischemia, viability, and ability to predict LV recovery. The role of viability as a prognostic marker for patients with LVSD and its use as a therapeutic target remains debatable. In this article, we will review the role of LVSD in patients undergoing coronary revascularization alongside the role of ischemia and viability assessment. We will provide a review of the literature on the outcomes of coronary revascularization, both surgically and percutaneously, in patients with LVSD.

Left ventricle systolic dysfunction
Percutaneous coronary intervention
Coronary artery bypass graft
Fig. 1.
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