Long-Term Prognostic Value of Dobutamine Stress CMR

Kelle, Sebastian; Chiribiri, Amedeo; Vierecke, Juliane; Egnell, Christina; Hamdan, Ashraf; Jahnke, Cosima; Paetsch, Ingo; Wellnhofer, Ernst; Fleck, Eckart; Klein, Christoph; Gebker, Rolf

doi:10.1016/j.jcmg.2010.11.012

Cited by 64 publications

(39 citation statements)

References 35 publications

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“…2. Eventually, 11 studies [5,6,8,[18][19][20][21][22][23][24][25] fulfilled all inclusion criteria and were eligible for meta-analysis. All eligible studies had been published in peer-reviewed journals between 2004 and 2011.…”

Section: Search Resultsmentioning

confidence: 99%

“…To achieve this, evidence assessment is required using articles collected through a comprehensive search; therefore, investigation of evidence will be increasingly important in diagnostic imaging [30]. Stress CMR has added value for predicting cardiac events in terms of improved differentiation between high-risk and low-risk patients [19]. Accurate prognosis evaluation from risk stratification by non-invasive procedures will contribute to a reduction in unnecessary hospitalizations and invasive coronary angiography.…”

Section: Discussionmentioning

confidence: 99%

“…These patients were followed for 0.8 to 6.2 years (Table 1). For prognostic utility, six studies evaluated stress cine MRI [5,6,8,19,[21][22] and seven studies evaluated stress p-MRI [6,18,20,[22][23][24][25]. Three studies evaluated both stress cine MRI and stress p-MRI in the same patient groups [6,21,22].…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Three studies evaluated both stress cine MRI and stress p-MRI in the same patient groups [6,21,22]. Five studies reported data on both hard cardiac events and MACE [5,6,8,18,23], three studies hard cardiac events only [19,22,24], and three studies MACE only [20,21,25]. Methodological quality assessment by NOS was 5-6 stars (Table 1).…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Prognostic value of negative result in stress cine MRI for predicting hard cardiac events There were five studies assessing the prognostic value of stress cine MRI for hard cardiac events (Table 4) [5,6,8,19,22]. These patients were followed for 1.4 to 6.2 years to check for the occurrence of hard cardiac events.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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The Prognostic Value of Normal Stress Cardiovascular Magnetic Resonance Imaging

Iwata

Nakagawa

Ogasawara

2014

Journal of Computer Assisted Tomography

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None of the authors have any conflicts of interest associated with this study. Abstract ObjectivesThe purpose of our study was to determine the prognostic value of normal stress cardiovascular MRI (CMR) by a systematic literature review and meta-analysis. MethodsA comprehensive literature search of published studies through November 2011 in MEDLINE database and Cochrane Library, regarding prognostic value of stress CMR in patients with known or suspected coronary artery disease (CAD), was performed. ResultsUltimately, we identified 11 studies. The summary relative risk ratio for major adverse cardiac events (MACE) was 0.50 (95% confidence interval (CI): 0.44 to 0.58) for normal cine CMR and 0.09 (95% CI: 0.02 to 0.35) for normal perfusion CMR. The summary relative risk ratio for hard cardiac events was 0.36 (95% CI: 0.16 to 0.8) for normal cine CMR and 0.22 (95% CI: 0.07 to 0.66) for normal perfusion CMR. ConclusionNormal stress CMR for patients known or suspected of having CAD has good prognostic value in predicting cardiac events.

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Section: Search Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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The Prognostic Value of Normal Stress Cardiovascular Magnetic Resonance Imaging

Iwata

Nakagawa

Ogasawara

2014

Journal of Computer Assisted Tomography

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Prognostic impact of collaterals in patients with a coronary chronic total occlusion: A meta‐analysis of over 3,000 patients

Allahwala

Nour

Bhatia

et al. 2020

Cathet Cardio Intervent

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Objectives To assess the prognostic implications of the degree of coronary collaterals on outcomes in patients with a CTO. Background Coronary chronic total occlusions (CTO) are identified frequently in patients undergoing coronary angiography and have been associated with poorer prognosis. Whether the degree of coronary collaterals, the hallmark of CTOs impacts prognosis, is unknown. Methods A search of EMBASE, MEDLINE, and Cochrane Library was conducted to identify studies reporting on coronary collaterals and risk of all‐cause mortality, acute myocardial infarction (AMI) and successful percutaneous coronary intervention (PCI). Patients with Rentrop grade 0 or 1 collaterals were defined as poor collaterals, while Rentrop grade 2 or 3 were defined as robust collaterals. Results Twelve studies with a total of 3,369 were included. Patients with robust collaterals did not have lower rates of AMI (OR: 0.89, 95%CI: 0.39–2.04) or lower rates of all‐cause mortality (OR: 0.81, 95% CI: 0.42–1.58), however were more likely to have successful PCI (OR: 4.04, 95%CI: 1.10–14.85). Conclusion The presence of robust collaterals is not associated with lower rates of AMI or mortality, but does increase the likelihood of successful CTO PCI. These results have importance implications with respect to the indications for CTO PCI as well as selecting appropriate patients to undergo the procedure.

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Cardiovascular magnetic resonance imaging in ischemic heart disease

Knobelsdorff‐Brenkenhoff

Schulz‐Menger

2012

Magnetic Resonance Imaging

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Ischemic heart disease is the most frequent etiology for cardiovascular morbidity and mortality. Early detection and accurate monitoring are essential to guide optimal patient treatment and assess the individual's prognosis. In this regard, cardiovascular magnetic resonance (CMR), which entered the arena of noninvasive cardiovascular imaging over the past two decades, became a very important imaging modality, mainly due to its unique versatility. CMR has proven accuracy and is a robust technique for the assessment of myocardial function both at rest and during stress. It also allows stress perfusion analysis with high spatial and temporal resolution, and provides a means by which to differentiate tissue such as distinguishing between reversibly and irreversibly injured myocardium. In particular, the latter aspect is a unique benefit of CMR compared with other noninvasive imaging modalities such as echocardiography and nuclear medicine, and provides novel information concerning the presence, size, transmurality, and prognosis of myocardial infarction. This article is intended to provide the reader with an overview of the various applications of CMR for the assessment of ischemic heart disease from a clinical perspective. J. Magn. Reson. Imaging 2012;36:20–38. © 2012 Wiley Periodicals, Inc.

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Long-Term Prognostic Value of Dobutamine Stress CMR

Cited by 64 publications

References 35 publications

The Prognostic Value of Normal Stress Cardiovascular Magnetic Resonance Imaging

The Prognostic Value of Normal Stress Cardiovascular Magnetic Resonance Imaging

Prognostic impact of collaterals in patients with a coronary chronic total occlusion: A meta‐analysis of over 3,000 patients

Cardiovascular magnetic resonance imaging in ischemic heart disease

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