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Circulation: Cardiovascular Imaging EDITORIAL Stress Cardiac Magnetic Resonance, Revascularization, and All-Cause Mortality Do We Have a Final Answer? Christopher M. Kramer , MD tress first-pass cardiac magnetic resonance (CMR) had been used off label for stress perfusion CMR in the imaging perfusion imaging has had a growing clini- United States. Scal impact since the early feasibility and validation studies of the 1990s. First, large single-center studies such as the CE-MARC trial (Clinical Evaluation of Mag- See Article by Pezel et al netic Resonance Imaging in Coronary Heart Disease) demonstrated its greater specificity and negative pre- dictive value as compared with single-photon emission The next frontier for stress perfusion CMR has been computed tomography. Then, 2 large multicenter stud- assessing its prognostic value. It is against this backdrop ies established the diagnostic accuracy and clinical util- that the article by Pezel et al is presented in this issue ity of stress CMR. The MR-INFORM study (Myocardial of Circulation: Cardiovascular Imaging. This article synthe- Perfusion CMR Versus Angiography and FFR to Guide sizes data from their team′s extensive database over the the Management of Patients With Stable Coronary last several years from subgroups of the same patient Artery Disease) compared invasive
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Oct 6, 2021
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