Nuclear cardiac imaging has been widely used to assess viable myocardium in patients with ischemic heart disease. The assessment of viable myocardium is important in selecting patients who will be benefit from revascularization. Although revascularization is indicated in patients with sufficient myocardium, patients with scar tissue should be treated medically. Nuclear imaging methods including myocardial perfusion SPECT and FDG PET have been shown to be effective modalities for identifying viable myocardium. (Nucl Med Mol Imaging 2009;43(3):203-206)