Evaluation of ischemic heart disease
Dipan J Shah1, Han W Kim, Raymond J Kim
1Weill Cornell Medical College, New York, NY, USA. djshah@tmhs.org
Heart Failure Clinics
|July 1, 2009
Summary
Cardiovascular magnetic resonance (CMR) aids in detecting coronary artery disease (CAD) and assessing myocardial viability in heart failure patients. This review focuses on CMR techniques for CAD detection, highlighting adenosine stress CMR.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Cardiac Magnetic Resonance
Background:
- Coronary artery disease (CAD) is a common cause of heart failure, affecting approximately two-thirds of patients.
- Cardiovascular magnetic resonance (CMR) offers dual utility in ischemic heart disease: detecting CAD and evaluating myocardial viability for revascularization decisions.
Purpose of the Study:
- To provide an overview of cardiovascular magnetic resonance (CMR) techniques for detecting coronary artery disease (CAD).
- To discuss the relative strengths and weaknesses of various CMR methods used in diagnosing CAD.
- To emphasize adenosine stress CMR due to its widespread clinical application.
Main Methods:
- Review of cardiovascular magnetic resonance (CMR) techniques.
- Focus on adenosine stress CMR as the primary clinical method.
- Comparative analysis of different CMR approaches for CAD detection.
Main Results:
- CMR is a valuable tool for identifying coronary artery disease (CAD) in patients with heart failure.
- Different CMR techniques possess distinct advantages and limitations for CAD assessment.
- Adenosine stress CMR is the most prevalent clinical modality for this purpose.
Conclusions:
- Cardiovascular magnetic resonance (CMR) plays a significant role in the diagnostic pathway for patients with suspected coronary artery disease (CAD).
- Understanding the nuances of various CMR techniques allows for optimized patient selection and diagnostic accuracy.
- Adenosine stress CMR represents a key technique for non-invasive CAD detection in clinical practice.
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