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welcome everybody to this EA CBI tutorial on radionuclide imaging in heart failure hello rechart hello what do you understand by myocardial viability and hibernation well thats an important question because many people use those two terms interchangeably viable muscle they say is hibernating in fact I find it easier to think in different terms to think of viability and hibernation differently viability just means that muscle is alive and hibernating myocardium is a subset of that that is alive but has reduced resting function using the set and setting of chronic ischemic heart disease