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Stress Cardiac MRI for Ischemia

Stress cardiac MRI with adenosine or regadenoson offers high diagnostic accuracy in ischemic heart disease.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Stress Cardiac MRI for Ischemia?

Stress cardiac magnetic resonance imaging assesses myocardial perfusion and wall motion under stress induced by a vasodilator (adenosine, dipyridamole, regadenoson) or dobutamine.

The technique is radiation-free and is preferred in the diagnosis of coronary artery disease in patients with intermediate-to-high pretest probability. It can evaluate the functional significance of ischemic lesions, microvascular dysfunction and viability in a single study.

Thanks to its high spatial and temporal resolution, it detects even small subendocardial defects. It carries a class I indication in guidelines, supported by trials such as SCOT-HEART and MR-INFORM.

Symptoms

Stable angina-type chest pain
Exertional dyspnea
Atypical chest complaints
Unexplained dyspnea
Exercise intolerance
Exertional palpitations
Positive non-invasive stress test

Risk Factors

Known coronary artery disease
Intermediate-to-high pretest probability
Suspected ischemic cardiomyopathy
Suspected microvascular angina
Atypical symptoms in women
Prior revascularization
Indeterminate coronary CT lesion

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Evaluation of stable chest pain
  • Change in symptoms in known CAD
  • After a positive exercise test
  • Follow-up after revascularization
  • Suspected microvascular angina
  • Need for viability assessment

Treatment Methods

01
Optimization of medical therapy based on findings
02
PCI when indicated
03
Evaluation for CABG
04
Adjustment of antianginal therapy
05
Risk factor management
06
Exercise program
07
Scheduled follow-up MRI

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.