Arq Bras Cardiol: Imagem cardiovasc. 2023; 36(1): e20230004
Contemporary Non-Invasive Imaging in Chronic Coronary Syndrome: What Stress Cardiovascular Magnetic Resonance has to Offer
DOI: 10.36660/abcimg.20230004i
Non-invasive cardiac imaging has an established diagnostic and prognostic role in patients with suspected or known ischemic heart disease (IHD) and the imaging technology has significantly evolved over the years. Cardiovascular magnetic resonance (CMR) has emerged as a robust diagnostic and prognostic imaging modality and it currently represents a valid alternative to other existing and well-validated techniques, but also as a possible first-line strategy.
Major clinical practice guidelines have been increasingly incorporating stress CMR as a clinical test indicated in patients with chest pain, receiving a Class I recommendation first in the 2014 European Society of Cardiology (ESC) guidelines for revascularisation, followed by the 2017 ESC guidelines in the diagnosis and management of ST-elevation myocardial infarction which has been recommending CMR as an alternative test for left ventricular (LV) function when echocardiography is suboptimal, but also for the evaluation of myocardial viability and ischemia. The recently published 2021 American Heart Association (AHA)/American College of Cardiology (ACC) Guidelines also indicate stress CMR with class I recommendation in patients with acute and chronic chest pain and intermediate risk of coronary artery disease (CAD) ( ).
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