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Exercise cardiovascular magnetic resonance: development, current utility and future applications.

Thomas P Craven1, Connie W Tsao2, Andre La Gerche3,4

  • 1Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK. thomascraven@doctors.org.uk.

Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance
|September 10, 2020
PubMed
Summary

Exercise cardiovascular magnetic resonance (Ex-CMR) offers advanced imaging for diagnosing coronary artery disease and other heart conditions. This review details Ex-CMR methods and future developments for broader clinical application.

Keywords:
Cardiovascular magnetic resonanceExercise cardiovascular magnetic resonanceExercise stressStress cardiovascular magnetic resonanceSupine cycle ergometerTreadmill cardiovascular magnetic resonance

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Area of Science:

  • Cardiovascular Imaging
  • Medical Technology

Background:

  • Stress cardiac imaging is the primary diagnostic tool for coronary artery disease.
  • Exercise cardiovascular magnetic resonance (Ex-CMR) integrates high-quality cardiac magnetic resonance imaging (CMR) with exercise stress testing.

Purpose of the Study:

  • To provide an in-depth review of various Ex-CMR stress methods and pulse sequences.
  • To highlight current and future developments in Ex-CMR image acquisition.

Main Methods:

  • Review of existing literature on Ex-CMR techniques.
  • Assessment of different exercise protocols (treadmill, supine ergometer) and pulse sequences.
  • Discussion of image acquisition advancements.

Main Results:

  • Ex-CMR is applicable to a wide range of cardiac conditions, including ischemic and non-ischemic heart disease.
  • Multiple exercise stress methods and specialized pulse sequences are available for Ex-CMR.
  • Ongoing developments promise enhanced clinical utility.

Conclusions:

  • Ex-CMR is a versatile and evolving diagnostic tool for cardiovascular diseases.
  • Advancements in Ex-CMR are expected to increase its clinical adoption.
  • This review provides a comprehensive overview of Ex-CMR methodologies and future directions.