Myocardial perfusion 3-Tesla cardiac magnetic resonance vs. exercise electrocardiogram for diagnosics of coronary artery disease
2011
Comparing Cardiac MRI and Exercise ECG for Diagnosing Heart Disease
Sample size: 40
publication
Evidence: high
Author Information
Author(s): Speiser Uwe, Abbas Achmed, Jellinghaus Stefanie, Sievers Burkhard, Strasser Ruth H, Schön Steffen
Primary Institution: Dresden University of Technology
Hypothesis
Is adenosine stress 3-Tesla cardiac MRI more effective than exercise electrocardiogram for diagnosing coronary artery disease?
Conclusion
Cardiac MRI is better than exercise ECG for diagnosing significant coronary artery disease.
Supporting Evidence
- Cardiac MRI detected perfusion deficits in 80% of patients.
- The sensitivity of MRI for detecting significant coronary stenosis was 93%.
- All patients with prior myocardial infarction were identified by late enhancement imaging.
Takeaway
This study found that a special heart scan is better at finding heart problems than a treadmill test.
Methodology
Patients underwent exercise ECG, stress cardiac MRI, and invasive coronary diagnostics.
Participant Demographics
Patients aged around 63 years, with some having a history of myocardial infarction.
Digital Object Identifier (DOI)
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