IJCS | Volume 32, Nº1, January/ February 2019

80 Figure 7 - “The AIMI-HF (Alternative Imaging Modalities in Ischemic Heart Failure) trial algorithm”. “The primary endpoint is a composite of cardiac death, MI, resuscitated cardiac arrest, or cardiac rehospitalization.” – With permission from Mielniczuk et al., JACC Cardiovasc Imaging 43 CMR: cardiac magnetic resonance; LGE: late gadolinium enhancement; LVEF: left ventricular ejection fraction; SPECT: single-photon emission computed tomography; PET: positron emission tomography; R: randomization. Erthal et al. Myocardial viability: from PARR-2 to IMAGE HF - current evidence and future directions Int J Cardiovasc Sci. 2019;32(1)70-83 Review Article revascularization or at least to guide imaging to guide revascularization? Further research is needed here. In the meantime, clinicians, surgeons, interventional cardiologists and imaging specialists must work together as a team to enable the best decisions for each individualized patient in order to optimize the patient’s desired outcomes. Acknowledgments and disclosures RSB is a career investigator supported by the Heart and Stroke Foundation of Ontario, a Tier 1 Research Chair supported by the University of Ottawa, and the University of Ottawa Heart Institute Vered Chair in Cardiology. He receives research support and honoraria from Lantheus Medical Imaging, Jubilant DraxImage and GE. Author contributions Acquisition of data: Erthal F, Wiefels C, Promislow S. Analysis and interpretation of the data: Erthal F, Wiefels C, Promislow S. Writing of the manuscript: Erthal F, Wiefels C, Promislow S, Kandolin R, Stadnick E. Critical revision of the manuscript for intellectual content: Erthal F, Wiefels C, Promislow S, Stadnick E, Mielniczuk L, Ruddy T, Small G, Beanlands R. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study.