Résumé
L’IRM de stress est une technique validée et de plus en plus utilisée, avec une précision diagnostique et une valeur pronostique très performantes [1,2]. Au-delà de l’information sur l’existence, la localisation et l’étendue de l’ischémie myocardique, cette méthode apporte de nombreux éléments complémentaires, notamment sur l’anatomie et la fonction des ventricules, ainsi que sur la viabilité myocardique [3]. Ce chapitre s’intéresse aux principales limites de l’IRM de stress, telles que nous les rencontrons en pratique quotidienne.
This is a preview of subscription content, log in via an institution to check access.
Preview
Unable to display preview. Download preview PDF.
Références
Schwitter J, Wacker CM, van Rossum AC, et al. (2008) MR-IMPACT: comparison of perfusion cardiac magnetic resonance with single-photon emission computed tomography for the detection of coronary artery disease in a multicentre, multivendor, randomized trial. Eur Heart J 29:480–9
Greenwood JP, Maredia N, Younger JF, et al. (2011) Cardiovascular magnetic resonance and single-photon emission computed tomography for diagnosis of coronary heart disease (CE-MARC): a prospective trial. Lancet 379:453–60
Kim RJ, Wu E, Rafael A, et al. (2000) The use of contrast-enhanced magnetic resonance imaging to identify reversible myocardial dysfunction. N Engl J Med 343: 1445–53
Watkins S, McGeoch R, Lyne J, et al. (2009) Validation of magnetic resonance myocardial perfusion imaging with fractional flow reserve for the detection of significant coronary heart disease. Circulation 120: 2207–13
Lockie T, Ishida M, Perera D, et al. (2010) High-resolution magnetic resonance myocardial perfusion imaging at 3.0-Tesla to detect hemodynamically significant coronary stenoses as determined by fractional flow reserve. J Am Coll Cardiol 57: 70–5
Nagel E, Lehmkuhl HB, Bocksch W, et al. (1999) Noninvasive diagnosis of ischemia-induced wall motion abnormalities with the use of high-dose dobutamine stress magnetic resonance imaging: comparison with dobutamine stress echocardiography. Circulation 99: 763–70
Wahl A, Paetsch I, Gollesch A, et al. (2004) Safety and feasibility of high-dose dobutamine-atropine stress cardiovascular magnetic resonance for diagnosis of myocardial ischaemia: experience in 1000 consecutive cases. Eur Heart J 25: 1230–6
Garot J, O h-Ici D, Hovasse T, Piéchaud JF (2010) Demonstration of extensive ischemia in a patient with Kawasaki disease. Circulation 121:409–12
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Paris
About this paper
Cite this paper
Garot, J. (2013). Limites de l’IRM de stress. In: Boyer, L., Guéret, P. (eds) Imagerie en coupes du cœur et des vaisseaux. Springer, Paris. https://doi.org/10.1007/978-2-8178-0435-4_10
Download citation
DOI: https://doi.org/10.1007/978-2-8178-0435-4_10
Publisher Name: Springer, Paris
Print ISBN: 978-2-8178-0434-7
Online ISBN: 978-2-8178-0435-4
eBook Packages: MedicineMedicine (R0)