Hibernating myocardium 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 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 is indicative of decreased metabolism. The wall of the affected segments is hypo-, a-, or dyskinetic. The phenomenon is highly significant clinically because it usually manifests itself in the setting of chronic ischemia, that is potentially reversible by revascularisation via cardiac catheterization. The regions of myocardium are
Dense regular connective tissue Dense regular connective tissue Dense regular connective tissue provides connection between different tissues in the human body. The collagen fibers in dense regular connective tissue are bundled in a parallel fashion. Dense regular connective tissue (DRCT) is divided into white fibrous connective tissue and yellow fibrous connective tissue, both of which occur in two forms: cord arrangement and sheet arrangement. In cord arrangement bundles of collagen and matrix are distributed in regular alternate patterns. In sheet arrangement collagen bundles and matrix are distributed in irregular patterns, sometimes in the form of a network. It is similar to areolar tissue, but