Abstract

Cardiovascular magnetic resonance (CMR) is becoming the test of choice for the comprehensive evaluation of cardiac structure and function. Numerous advances in CMR techniques have allowed the rapid acquisition of images required for stress CMR. Combined dobutamine/atropine stress CMR along with first-pass perfusion is a very attractive method for evaluating ischemia given its high diagnostic accuracy and significant prognostic value. Dobutamine stress CMR is particularly superior to other modalities at diagnosing significant obstructive disease and predicting outcome in women. The development of an MRI-compatible treadmill has allowed incorporation of physiologic exercise data into the ischemic evaluation, further providing prognostic information on the patient’s hemodynamic response and functional capacity. Dobutamine and exercise treadmill stress CMR are two feasible and highly accurate modalities which are becoming mainstay in the assessment of coronary artery disease.

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