Abstract

Background Dobutamine stress cardiac magnetic resonance imaging (DCMR) was not an established test for coronary ischemia in 2003/2004. Meanwhile, long-term outcome has demonstrated a strong prognostic value of negative DCMR testing (Kelle et al. JACC CVI 2011). However, only limited data are as yet available about reimbursement for and costeffectiveness of DCMR in patients with stable coronary artery disease (CAD).

Highlights

  • Dobutamine stress cardiac magnetic resonance imaging (DCMR) was not an established test for coronary ischemia in 2003/2004

  • An electronic patient information system (PIS) archive allowed the selection of a matched control group of patients undergoing cardiac catheterization (CA) without prior DCMR

  • A group of patients with DCMR guided treatment strategy (DCMR) (N= 264; CA: N=65; no CA: N=199) was matched to a control group with CA indicated by standard evaluation (SECA) (N=442)

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Summary

Background

Dobutamine stress cardiac magnetic resonance imaging (DCMR) was not an established test for coronary ischemia in 2003/2004. Long-term outcome has demonstrated a strong prognostic value of negative DCMR testing (Kelle et al JACC CVI 2011). Only limited data are as yet available about reimbursement for and costeffectiveness of DCMR in patients with stable coronary artery disease (CAD)

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