Abstract
CMR is increasingly used to investigate patients with suspected ischaemic heart disease, and to guide the management of those with established coronary artery disease. Vasodilatory stress first pass myocardial perfusion imaging and dobutamine stress CMR have been shown to be highly accurate in diagnosing significant coronary disease and are now recommended in major society guidelines. STIR imaging may be used to identify oedema, a marker of recent myocardial injury. Microvascular obstruction represents an important prognostic marker in the acute infarct setting. Late gadolinium enhancement imaging permits the detection of myocardial infarct scar, assessment of myocardial viability by scar thickness and identification of alternative pathologies that may mimic an acute coronary syndrome.
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Mather, A.N., Maredia, N., Plein, S. (2015). Ischemic Heart Disease. In: Plein, S., Greenwood, J., Ridgway, J. (eds) Cardiovascular MR Manual. Springer, Cham. https://doi.org/10.1007/978-3-319-20940-1_29
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DOI: https://doi.org/10.1007/978-3-319-20940-1_29
Publisher Name: Springer, Cham
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