Advanced Noninvasive Cardiac Imaging using Cardiac Magnetic Resonance Imaging in the Diagnosis and Evaluation of Coronary Artery Disease

Jung, Jin Tae; Yoon, Yeonyee E.

doi:10.17996/anc.17-00007

Cited by 4 publications

(1 citation statement)

References 36 publications

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“…Perfusion CMR has several advantages over nuclear medicine techniques and may be used as an alternative to these as cardiac MRI allows detailed evaluation of the coronary artery disease, left ventricular function, myocardial viability without the need of any radiation. 13 Areas of aberrant coronary artery blood flow under stress due to coronary artery stenosis or blockage were represented by myocardial ischemia, whereas areas of myocardial scar owing to previous infarction were represented by myocardial infarction. Cardiac MRI was found to be non-inferior to FFR (free fractional reserve) in patient with coronary artery disease.…”

Section: Discussionmentioning

confidence: 99%

Association between contrast-enhanced adenosine-stress perfusion cardiac magnetic resonance imaging and invasive coronary angiogram for the detection of coronary artery disease: A retrospective analysis

Khan,

Ghaffar,

Muhammad Adil

et al. 2023

Pak J Med Sci

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Objective: The objective of this study was to determine the diagnostic value of stress perfusion CMR for the detection of coronary artery disease. Methods: The was a retrospective cross sectional study in which 43 subjects were included from Cardiac MRI unit in the Hayatabad Medical Complex, Peshawar for study from 1st April 2020 to 30th November 2020. All the subjects who had been referred for stress perfusion CMR with suspected CAD were included in the study. Cardiac MRI both at rest and with adenosine stress perfusion was performed which was followed by invasive coronary angiography. Result: A total of 43 patients were enrolled for the detection or exclusion CAD who underwent stress perfusion CMRI and invasive coronary artery angiography. The study revealed strong and statistically significant association between positive stress perfusion CMR and positive coronary angiogram vs negative stress perfusion CMR and negative coronary angiogram (p= value 0.0001). Conclusions: Stress perfusion CMRI can be considered as a first line, relatively safe, noninvasive test with significant accuracy to diagnose coronary artery disease in patients with suspected CAD without subjecting these patients to invasive coronary angiogram Abbreviations:CMR: Cardiac magnetic resonance imaging, CAD: Coronary artery disease, FFR: Free Fractional Reserve, MACE: Major Adverse Cardiovascular Events. doi: https://doi.org/10.12669/pjms.39.6.8008 How to cite this: Khan SB, Ghaffar R, Adil M, Jan MU. Association between contrast-enhanced adenosine-stress perfusion cardiac magnetic resonance imaging and invasive coronary angiogram for the detection of coronary artery disease: A retrospective analysis. Pak J Med Sci. 2023;39(6):---------. doi: https://doi.org/10.12669/pjms.39.6.8008 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Association between contrast-enhanced adenosine-stress perfusion cardiac magnetic resonance imaging and invasive coronary angiogram for the detection of coronary artery disease: A retrospective analysis

Khan,

Ghaffar,

Muhammad Adil

et al. 2023

Pak J Med Sci

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The recent advances, drawbacks, and the future directions of CMRI in the diagnosis of IHD

Fagiry

Abdelaziz

Davidson

et al. 2021

Sci Rep

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Ischemic heart disease (IHD), also known as coronary artery disease (CAD), is a leading cause of morbidity and mortality in adults. The aims of this research were to study the recent advances on the prognostic and diagnostic value, drawbacks, and the future directions of cardiac magnetic resonance imaging (CMRI) in the diagnosis of IHD. One hundred patients with IHD who had been clinically diagnosed were enrolled in this study prospectively. CMRI; Siemens Magnetom Sola 1.5 T MRI scanner was used to examine the patients. To confirm the diagnosis, conventional coronary angiography was used. CMRI revealed that the left ventricular (LV) volumes and systolic function of male and female patients differed by age decile were 28.9 ± 3.5%; 32 ± 1.7%, 53.3 ± 11.2; 58 ± 6.6 ml, 100.6 ± 7.1; 98.3 ± 14.7 bpm, 5.4 ± 1.4; 5.8 ± 1.5 L/min, 189 ± 14.3; 180 ± 10.9 ml, and 136 ± 3.1; 123 ± 4.4 ml for the left ventricle ejection fraction (LVEF), stroke volume (SV), heart rate, cardiac output, end diastolic volume (EDV), and end systolic volume (ESV), respectively. CMRI has sensitivity, specificity, and accuracy of 97%, 33.33%, and 95.15%, respectively. Finally, CMRI provides a comprehensive assessment of LV function, myocardial perfusion, and viability, as well as coronary anatomy.

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Cardiac Magnetic Resonance Imaging in the Diagnosis of Ischemic Heart Disease

唐福瑩¹,

邱蔡賢²,

王昀³

2018

J. of Medical Sciences

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Advanced Noninvasive Cardiac Imaging using Cardiac Magnetic Resonance Imaging in the Diagnosis and Evaluation of Coronary Artery Disease

Abstract: The purpose of this review article is to describe the essential characteristics of cardiac magnetic resonance imaging (

Cited by 4 publications

References 36 publications

Association between contrast-enhanced adenosine-stress perfusion cardiac magnetic resonance imaging and invasive coronary angiogram for the detection of coronary artery disease: A retrospective analysis

Association between contrast-enhanced adenosine-stress perfusion cardiac magnetic resonance imaging and invasive coronary angiogram for the detection of coronary artery disease: A retrospective analysis

The recent advances, drawbacks, and the future directions of CMRI in the diagnosis of IHD

Cardiac Magnetic Resonance Imaging in the Diagnosis of Ischemic Heart Disease

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