Abstract

Background Adenosine stress cardiovascular magnetic resonance (CMR) provides effective cardiac prognostication in patients with suspected coronary artery disease. However its use has been limited in high-risk patients and some reservations exist about offering adenosine stress CMR in patients with significant aortic stenosis, asthma, severe left ventricular (LV) systolic dysfunction, significant left main stem (LMS) disease and age >80years.

Highlights

  • Adenosine stress cardiovascular magnetic resonance (CMR) provides effective cardiac prognostication in patients with suspected coronary artery disease

  • Its use has been limited in high-risk patients and some reservations exist about offering adenosine stress CMR in patients with significant aortic stenosis, asthma, severe left ventricular (LV) systolic dysfunction, significant left main stem (LMS) disease and age >80years

  • Patients were classed as high-risk if any of the following criteria were fulfilled: age >80yrs, asthma or chronic obstructive pulmonary disease (COPD), significant left main stem stenosis and moderate-severe or severe aortic stenosis or severe LV systolic dysfunction

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Summary

Background

Adenosine stress cardiovascular magnetic resonance (CMR) provides effective cardiac prognostication in patients with suspected coronary artery disease. Its use has been limited in high-risk patients and some reservations exist about offering adenosine stress CMR in patients with significant aortic stenosis, asthma, severe left ventricular (LV) systolic dysfunction, significant left main stem (LMS) disease and age >80years. Aims To determine the safety, tolerability and feasibility of stress CMR, in the diagnosis of inducible myocardial ischaemia in high-risk individuals as compared to non-high risk

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