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
Summary
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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