Exercise and Dobutamine Stress CMR

  • Karolina M. Zareba
  • Subha V. RamanEmail author
Part of the Contemporary Cardiology book series (CONCARD)


Cardiovascular magnetic resonance (CMR) is becoming the test of choice for the comprehensive evaluation of cardiac structure and function. Numerous advances in CMR techniques have allowed the rapid acquisition of images required for stress CMR. Combined dobutamine/atropine stress CMR along with first-pass perfusion is a very attractive method for evaluating ischemia given its high diagnostic accuracy and significant prognostic value. Dobutamine stress CMR is particularly superior to other modalities at diagnosing significant obstructive disease and predicting outcome in women. The development of an MRI-compatible treadmill has allowed incorporation of physiologic exercise data into the ischemic evaluation, further providing prognostic information on the patient’s hemodynamic response and functional capacity. Dobutamine and exercise treadmill stress CMR are two feasible and highly accurate modalities which are becoming mainstay in the assessment of coronary artery disease.


Dobutamine stress cardiac magnetic resonance Wall motion abnormalities First-pass perfusion Exercise Ischemia Prognosis Women 


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.The Ohio State University Wexner Medical CenterDepartment of Internal Medicine/Cardiovascular MedicineColumbusUSA

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