Utility of fast cine magnetic resonance imaging and display for the detection of myocardial ischemia in patients not well suited for second harmonic stress echocardiography
Some patients referred for pharmacological stress testing with transthoracic echocardiography (TTE) are unable to undergo testing owing to poor acoustic windows. Fast cine MRI can be used to assess left ventricular contraction, but its utility for detection of myocardial ischemia in patients poorly...
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| Veröffentlicht in: | Circulation (New York, N.Y.) N.Y.), 1999-10, Vol.100 (16), p.1697-1702 |
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| container_title | Circulation (New York, N.Y.) |
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| creator | HUNDLEY, W. G HAMILTON, C. A THOMAS, M. S HERRINGTON, D. M SALIDO, T. B KITZMAN, D. W LITTLE, W. C LINK, K. M |
| description | Some patients referred for pharmacological stress testing with transthoracic echocardiography (TTE) are unable to undergo testing owing to poor acoustic windows. Fast cine MRI can be used to assess left ventricular contraction, but its utility for detection of myocardial ischemia in patients poorly suited for echocardiography is unknown.
One hundred fifty-three patients (86 men and 67 women aged 30 to 88 years) with poor acoustic windows that prevented adequate second harmonic TTE imaging were consecutively referred for MRI to diagnose inducible myocardial ischemia during intravenous dobutamine and atropine. Diagnostic studies were completed in an average of 53 minutes. No patients experienced myocardial infarction, ventricular fibrillation, exacerbation of congestive heart failure, or death. In patients who underwent computer-assisted quantitative coronary angiography, the sensitivity and specificity for detecting a >50% luminal diameter narrowing were 83% and 83%, respectively. In the 103 patients with a negative MRI examination, the cardiovascular occurrence-free survival rate was 97%.
Fast cine cardiac MRI provides a mechanism to assess left ventricular contraction and diagnose inducible myocardial ischemia in patients not well suited for stress echocardiography. |
| doi_str_mv | 10.1161/01.CIR.100.16.1697 |
| format | Article |
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One hundred fifty-three patients (86 men and 67 women aged 30 to 88 years) with poor acoustic windows that prevented adequate second harmonic TTE imaging were consecutively referred for MRI to diagnose inducible myocardial ischemia during intravenous dobutamine and atropine. Diagnostic studies were completed in an average of 53 minutes. No patients experienced myocardial infarction, ventricular fibrillation, exacerbation of congestive heart failure, or death. In patients who underwent computer-assisted quantitative coronary angiography, the sensitivity and specificity for detecting a >50% luminal diameter narrowing were 83% and 83%, respectively. In the 103 patients with a negative MRI examination, the cardiovascular occurrence-free survival rate was 97%.
Fast cine cardiac MRI provides a mechanism to assess left ventricular contraction and diagnose inducible myocardial ischemia in patients not well suited for stress echocardiography.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/01.CIR.100.16.1697</identifier><identifier>PMID: 10525488</identifier><identifier>CODEN: CIRCAZ</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adrenergic beta-Agonists - administration & dosage ; Adult ; Aged ; Aged, 80 and over ; Atropine - administration & dosage ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary Angiography ; Coronary heart disease ; Disease-Free Survival ; Dobutamine - administration & dosage ; Echocardiography - drug effects ; Electrocardiography ; Exercise Test - adverse effects ; Exercise Test - drug effects ; Female ; Heart ; Heart Rate - drug effects ; Humans ; Infusions, Intravenous ; Magnetic Resonance Imaging - adverse effects ; Male ; Medical sciences ; Middle Aged ; Myocardial Ischemia - diagnosis ; Myocardial Ischemia - diagnostic imaging ; Myocardial Ischemia - mortality ; Myocardial Ischemia - physiopathology ; Patient Selection</subject><ispartof>Circulation (New York, N.Y.), 1999-10, Vol.100 (16), p.1697-1702</ispartof><rights>1999 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. Oct 19, 1999</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-51171a982866f148fe2e001dfe413cbc9a8c442db47384328c3eba1f32a0665f3</citedby><cites>FETCH-LOGICAL-c491t-51171a982866f148fe2e001dfe413cbc9a8c442db47384328c3eba1f32a0665f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,3687,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1968809$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10525488$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HUNDLEY, W. G</creatorcontrib><creatorcontrib>HAMILTON, C. A</creatorcontrib><creatorcontrib>THOMAS, M. S</creatorcontrib><creatorcontrib>HERRINGTON, D. M</creatorcontrib><creatorcontrib>SALIDO, T. B</creatorcontrib><creatorcontrib>KITZMAN, D. W</creatorcontrib><creatorcontrib>LITTLE, W. C</creatorcontrib><creatorcontrib>LINK, K. M</creatorcontrib><title>Utility of fast cine magnetic resonance imaging and display for the detection of myocardial ischemia in patients not well suited for second harmonic stress echocardiography</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>Some patients referred for pharmacological stress testing with transthoracic echocardiography (TTE) are unable to undergo testing owing to poor acoustic windows. Fast cine MRI can be used to assess left ventricular contraction, but its utility for detection of myocardial ischemia in patients poorly suited for echocardiography is unknown.
One hundred fifty-three patients (86 men and 67 women aged 30 to 88 years) with poor acoustic windows that prevented adequate second harmonic TTE imaging were consecutively referred for MRI to diagnose inducible myocardial ischemia during intravenous dobutamine and atropine. Diagnostic studies were completed in an average of 53 minutes. No patients experienced myocardial infarction, ventricular fibrillation, exacerbation of congestive heart failure, or death. In patients who underwent computer-assisted quantitative coronary angiography, the sensitivity and specificity for detecting a >50% luminal diameter narrowing were 83% and 83%, respectively. In the 103 patients with a negative MRI examination, the cardiovascular occurrence-free survival rate was 97%.
Fast cine cardiac MRI provides a mechanism to assess left ventricular contraction and diagnose inducible myocardial ischemia in patients not well suited for stress echocardiography.</description><subject>Adrenergic beta-Agonists - administration & dosage</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Atropine - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Angiography</subject><subject>Coronary heart disease</subject><subject>Disease-Free Survival</subject><subject>Dobutamine - administration & dosage</subject><subject>Echocardiography - drug effects</subject><subject>Electrocardiography</subject><subject>Exercise Test - adverse effects</subject><subject>Exercise Test - drug effects</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Rate - drug effects</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Magnetic Resonance Imaging - adverse effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Ischemia - diagnosis</subject><subject>Myocardial Ischemia - diagnostic imaging</subject><subject>Myocardial Ischemia - mortality</subject><subject>Myocardial Ischemia - physiopathology</subject><subject>Patient Selection</subject><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkd-K1DAUxoMo7uzqC3ghQWTvOuakaZpeyuCfhQVB3OuSSU-mWdqkJhmWvpMPacYZUIRA-A6_852TfIS8AbYFkPCBwXZ3930LrGhZTtc-IxtouKhEU3fPyYYx1lVtzfkVuU7psUhZt81LcgWs4Y1QakN-PWQ3ubzSYKnVKVPjPNJZHzxmZ2jEFLz2BqkrNecPVPuBDi4tk16pDZHmEemAGU12wZ9c5jUYHQenJ-qSGXF2mjpPF50d-pyoD5k-4TTRdHQZhz8mCU0ovqOOc_BlbMplcKJoxrNXOES9jOsr8sLqKeHry31DHj5_-rH7Wt1_-3K3-3hfGdFBrhqAFnSnuJLSglAWOTIGg0UBtdmbTisjBB_2oq2VqLkyNe412JprJmVj6xtye_ZdYvh5xJT7uTyl7Kw9hmPqW6aEFNAU8N1_4GM4Rl926znwVjDGeYH4GTIxpBTR9kssvxnXHlh_CrJn0Jcgiyxa9qcgS9Pbi_NxP-PwT8s5uQK8vwA6GT3ZWFJy6S_XSaVYV_8GgQSpEA</recordid><startdate>19991019</startdate><enddate>19991019</enddate><creator>HUNDLEY, W. 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Vascular system</topic><topic>Coronary Angiography</topic><topic>Coronary heart disease</topic><topic>Disease-Free Survival</topic><topic>Dobutamine - administration & dosage</topic><topic>Echocardiography - drug effects</topic><topic>Electrocardiography</topic><topic>Exercise Test - adverse effects</topic><topic>Exercise Test - drug effects</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Rate - drug effects</topic><topic>Humans</topic><topic>Infusions, Intravenous</topic><topic>Magnetic Resonance Imaging - adverse effects</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Ischemia - diagnosis</topic><topic>Myocardial Ischemia - diagnostic imaging</topic><topic>Myocardial Ischemia - mortality</topic><topic>Myocardial Ischemia - physiopathology</topic><topic>Patient Selection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HUNDLEY, W. G</creatorcontrib><creatorcontrib>HAMILTON, C. A</creatorcontrib><creatorcontrib>THOMAS, M. S</creatorcontrib><creatorcontrib>HERRINGTON, D. M</creatorcontrib><creatorcontrib>SALIDO, T. B</creatorcontrib><creatorcontrib>KITZMAN, D. W</creatorcontrib><creatorcontrib>LITTLE, W. C</creatorcontrib><creatorcontrib>LINK, K. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HUNDLEY, W. G</au><au>HAMILTON, C. A</au><au>THOMAS, M. S</au><au>HERRINGTON, D. M</au><au>SALIDO, T. B</au><au>KITZMAN, D. W</au><au>LITTLE, W. C</au><au>LINK, K. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utility of fast cine magnetic resonance imaging and display for the detection of myocardial ischemia in patients not well suited for second harmonic stress echocardiography</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>1999-10-19</date><risdate>1999</risdate><volume>100</volume><issue>16</issue><spage>1697</spage><epage>1702</epage><pages>1697-1702</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>Some patients referred for pharmacological stress testing with transthoracic echocardiography (TTE) are unable to undergo testing owing to poor acoustic windows. Fast cine MRI can be used to assess left ventricular contraction, but its utility for detection of myocardial ischemia in patients poorly suited for echocardiography is unknown.
One hundred fifty-three patients (86 men and 67 women aged 30 to 88 years) with poor acoustic windows that prevented adequate second harmonic TTE imaging were consecutively referred for MRI to diagnose inducible myocardial ischemia during intravenous dobutamine and atropine. Diagnostic studies were completed in an average of 53 minutes. No patients experienced myocardial infarction, ventricular fibrillation, exacerbation of congestive heart failure, or death. In patients who underwent computer-assisted quantitative coronary angiography, the sensitivity and specificity for detecting a >50% luminal diameter narrowing were 83% and 83%, respectively. In the 103 patients with a negative MRI examination, the cardiovascular occurrence-free survival rate was 97%.
Fast cine cardiac MRI provides a mechanism to assess left ventricular contraction and diagnose inducible myocardial ischemia in patients not well suited for stress echocardiography.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>10525488</pmid><doi>10.1161/01.CIR.100.16.1697</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Circulation (New York, N.Y.), 1999-10, Vol.100 (16), p.1697-1702 |
| issn | 0009-7322 1524-4539 |
| language | eng |
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| source | MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals |
| subjects | Adrenergic beta-Agonists - administration & dosage Adult Aged Aged, 80 and over Atropine - administration & dosage Biological and medical sciences Cardiology. Vascular system Coronary Angiography Coronary heart disease Disease-Free Survival Dobutamine - administration & dosage Echocardiography - drug effects Electrocardiography Exercise Test - adverse effects Exercise Test - drug effects Female Heart Heart Rate - drug effects Humans Infusions, Intravenous Magnetic Resonance Imaging - adverse effects Male Medical sciences Middle Aged Myocardial Ischemia - diagnosis Myocardial Ischemia - diagnostic imaging Myocardial Ischemia - mortality Myocardial Ischemia - physiopathology Patient Selection |
| title | Utility of fast cine magnetic resonance imaging and display for the detection of myocardial ischemia in patients not well suited for second harmonic stress echocardiography |
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