Stress cardiac MRI in stable coronary artery disease.

Abstract:

PURPOSE OF REVIEW:Non-invasive testing is often the first step in the evaluation of stable coronary artery disease (CAD). Stress cardiac magnetic resonance imaging (CMR) is an established modality with high diagnostic accuracy and prognostic value. This review will focus on the recent advances in understanding how stress CMR can help guide patient care. RECENT FINDINGS:Diagnostic accuracy of stress CMR has been validated against coronary angiography with fractional flow reserve (FFR) in patients with stable CAD. Large registry data have shown stress CMR to have important prognostic importance and that its cost-effectiveness compares favorably to alternatives. In patients with stable CAD, guidance using a CMR based strategy led to equivalent outcomes when compared to coronary angiography with FFR. SUMMARY:In persons with stable CAD, Stress CMR is an accurate and cost-effective imaging modality that should be considered in patients at intermediate pre-test probability of CAD. Prognostic studies have shown it to have excellent negative predictive value and that it can safely serve as a "gatekeeper" for invasive angiography.

journal_name

Curr Opin Cardiol

authors

Ge Y,Deva DP,Connelly KA,Yan AT

doi

10.1097/HCO.0000000000000776

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

566-573

issue

5

eissn

0268-4705

issn

1531-7080

journal_volume

35

pub_type

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