Stress cardiovascular magnetic resonance imaging: current and future perspectives
Thu-Thao Le1, Weiting Huang1, Jennifer Ann Bryant1
1a Department of cardiovascular medicine , National Heart Centre Singapore , Singapore , Singapore.
Expert Review of Cardiovascular Therapy
|March 4, 2017
Summary
Stress cardiovascular magnetic resonance (CMR) using exercise offers a comprehensive assessment of heart conditions, including wall motion, perfusion, and exercise capacity, with promising clinical potential.
Area of Science:
- Cardiovascular Imaging
- Magnetic Resonance Imaging
Background:
- Current stress cardiovascular magnetic resonance (CMR) primarily uses vasodilator and dobutamine agents.
- Exercise stress CMR has potential but faces technical limitations.
- This review covers diagnostic performance, prognostic value, and future perspectives of stress CMR techniques.
Purpose of the Study:
- To review current stress CMR techniques, including vasodilator, dobutamine, and exercise stress.
- To evaluate the diagnostic and prognostic value of these methods.
- To discuss the future of exercise stress CMR.
Main Methods:
- Review of existing literature on stress CMR techniques.
- Analysis of diagnostic performance and prognostic value.
- Discussion of technical considerations and future developments in exercise stress CMR.
Main Results:
- Vasodilator and dobutamine stress CMR show similar diagnostic and prognostic value in coronary artery disease.
- Combined dobutamine stress CMR (perfusion and wall motion) improves sensitivity but reduces specificity.
- Exercise stress CMR is emerging with promising data due to improved equipment and imaging sequences.
Conclusions:
- Exercise stress CMR integrates wall motion, perfusion, exercise capacity, and viability assessment in one exam.
- This integrated approach holds significant clinical potential for various cardiovascular conditions.
- Further development in exercise stress CMR is warranted.
Keywords:
Cardiovascular magnetic resonancePerfusion stress CMRdobutamine stress CMRexercise stresssupine cycle ergometerMore Related Videos
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