Stress Cardiovascular Magnetic Resonance Imaging for Stable Chest Pain

Stress Cardiovascular Magnetic Resonance Imaging for Stable Chest Pain Stress cardiovascular magnetic resonance imaging is not as commonly used for evaluation of persons with stable chest pain as other modalities of non-invasive evaluation. Ricci and colleageus have reported a systematic review and meta-analysis on this aspect in JAMA Cardiology [1]. They evaluated 33 diagnostic studies including 7814 persons and 31 prognostic studies including 67,080 persons. The included studies were between 2002 and 2021. The authors concluded that stress CMR had high diagnostic accuracy and had robust prognostication, especially when 3 Tesla MRI scanners were used. Myocardial ischemia and late gadolinium enhancement were associated with higher mortality and risk of major adverse cardiovascular events, which was  defined as the composite of myocardial infarction and cardiovascular death. Normal stress CMR was associated with a lower risk of MACE for at least a period of 3.5 years from the study. According to 2021 AHA/ACC guidelines for the evaluation and diagnosis of chest pain, contraindications for stress CMR include glomerular filtration rate below 30 ml/min/1.73m2, contraindications for administration of vasodilator, implanted devices which are not safe for CMR or producing artifact limiting scan quality or interpretation, significant claustrophobia, and use of caffeine within the past 12 hours [2]. CMR can accurately assess global and regional left and right ventricular function, as...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: General Cardiology Source Type: blogs