Vinco Giulia, Dugo Clementina, Rigolli Marzia, Demattè Cristina, Giovanelli Cristiana, Caruso Fabio, Marinetti Alessandro, Chiampan Andrea, Cicciò Carmelo, Quattrocchi Carlo Cosimo, Molon Giulio, Del Greco Maurizio
Division of Cardiology, Santa Maria del Carmine Hospital, APSS, 38068 Rovereto, Italy.
Division of Cardiology, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Negrar, Italy.
Rev Cardiovasc Med. 2023 Sep 18;24(9):254. doi: 10.31083/j.rcm2409254. eCollection 2023 Sep.
Stress cardiovascular magnetic resonance (CMR) imaging has received extensive validation for the assessment of ischemic heart disease. Without ionizing radiation exposure, it offers in-depth information regarding cardiac structure and function, presence and degree of myocardial ischemia and myocardial viability. When compared to other imaging modalities, it has demonstrated excellent sensitivity and specificity in detecting functionally relevant coronary artery stenosis, as well as strong prognostic value in clinical risk stratification. The current scientific data support a greater expansion of stress CMR. This review investigates the current stress CMR techniques and protocols, as well as its relevance in diagnosis and prognosis of coronary artery disease.
应激心血管磁共振(CMR)成像在评估缺血性心脏病方面已得到广泛验证。它无需电离辐射暴露,可提供有关心脏结构和功能、心肌缺血的存在及程度以及心肌存活能力的深入信息。与其他成像方式相比,它在检测功能相关的冠状动脉狭窄方面表现出出色的敏感性和特异性,并且在临床风险分层中具有很强的预后价值。目前的科学数据支持应激CMR的更大范围应用。本综述探讨了当前的应激CMR技术和方案,以及其在冠状动脉疾病诊断和预后中的相关性。