Intermediate-Term Prognostic Value of Reversible Perfusion Deficit Diagnosed by Adenosine CMR

Buckert, Dominik; Dewes, Patricia; Walcher, Thomas; Rottbauer, Wolfgang; Bernhardt, Peter

doi:10.1016/j.jcmg.2012.08.011

Cited by 54 publications

(26 citation statements)

References 21 publications

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“…30 Buckert et al have confirmed that the presence of late gadolinium enhancement is a strong clinical predictor of cardiovascular events in patients with stable coronary artery disease. 10,31,32 Rizzi et al have demonstrated in the MESA study that several techniques can be used to quantify infarction dimension, such as: visual technique, planimetry, the standard deviation technique, full width at half maximum, and the correction of image noise. 33 Semiautomatic analysis with manual correction and removal of artifacts is the first choice among diagnostic methods to quantify the infarction zone and fibrosis.…”

Section: Assessment Of Myocardial Viabilitymentioning

confidence: 99%

Cardiac Magnetic Resonance and Myocardial Viability: Why Is It so Important?

Rodean¹,

Beganu²,

Hodaş³

et al. 2017

Journal of Interdisciplinary Medicine

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For a better assessment of ischemic heart diseases, myocardial viability should be quantified. Current studies underline the importance and the evolution of several techniques and methods used in the evaluation of myocardial viability. Taking into account these considerations, the aim of this manuscript was to present the recent points of view regarding myocardial viability and its clinical significance in patients with ischemic cardiomyopathies and left ventricular dysfunction. On the other hand, the manuscript points out the role of magnetic resonance imaging (MRI), one of the most useful noninvasive imaging techniques, in the assessment of myocardial viability. By comparing the advantages and disadvantages of cardiac MRI, its usefulness can be better appreciated by the clinician. In the following years, it is considered that MRI will be an indispensable imaging tool in the assessment of ischemic heart disease, guiding interventions for revascularization and long-term risk stratification in patients with stable angina or myocardial infarction.

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Section: Assessment Of Myocardial Viabilitymentioning

confidence: 99%

Cardiac Magnetic Resonance and Myocardial Viability: Why Is It so Important?

Rodean¹,

Beganu²,

Hodaş³

et al. 2017

Journal of Interdisciplinary Medicine

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“…cardiac episodes after 3 years was significantly greater in patients with normal CMR---dobutamine or CMR---adenosine. 64 In addition, a normal stress test predicted better the episodes that the cardiovascular risk factors or the segmental contractility defects. Other studies have proved the usefulness and prognostic value of CMR---dobutamine when it is not possible to perform stress echocardiography examinations.…”

Section: Inducible Myocardial Ischemiamentioning

confidence: 99%

Usefulness of cardiac MRI in the prognosis and follow-up of ischemic heart disease

Hidalgo

Pons-Lladó

2015

Radiología (English Edition)

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“…It is viable to reliably detect and visualize myocardial ischemia as well as necrotic tissue in one single exam [11]. It has been shown to provide important prognostic information in patients with known or suspected CAD [12][13][14][15][16][17][18][19]. There remains however, a gap in the current evidence base and that gap is a lack of standardization for the quantification of ischemia [20].…”

Section: Introductionmentioning

confidence: 99%

Cardiac magnetic resonance imaging derived quantification of myocardial ischemia and scar improves risk stratification and patient management in stable coronary artery disease

et al. 2017

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(10.7 ± 12.25% vs. 3.73 ± 8.29%, p < 0.0001) and LGE (21.09 ± 15.11% vs. 17.73 ± 10.72%, p < 0.0001). A risk prediction model containing the extent of ischemia and LGE proved to be superior in comparison to all other models (c² increase: from 39.678 to 56.676, integrated discrimination index: 0.3851, p = 0.0033, net reclassification index: 0.11516, p = 0.0071). The beneficial effect of revascularization tended to be higher in patients with greater extents of ischemia, though statistical significance was not reached. Conclusions: Quantification of myocardial ischemia and LGE was shown to significantly improve existing risk prediction models and might thus lead to an improvement in patient management. (Cardiol J 2017; 24, 3: 293-304)

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Intermediate-Term Prognostic Value of Reversible Perfusion Deficit Diagnosed by Adenosine CMR

Abstract: Adenosine perfusion CMR provides excellent risk stratification and intermediate-term prognostic value in patients with stable coronary artery disease. The presence of a myocardial perfusion deficit is an incremental prognostic risk factor over other risk factors.

Cited by 54 publications

References 21 publications

Cardiac Magnetic Resonance and Myocardial Viability: Why Is It so Important?

Cardiac Magnetic Resonance and Myocardial Viability: Why Is It so Important?

Usefulness of cardiac MRI in the prognosis and follow-up of ischemic heart disease

Cardiac magnetic resonance imaging derived quantification of myocardial ischemia and scar improves risk stratification and patient management in stable coronary artery disease

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