title: [Stress cardiac MRI in management of ischemic heart disease].
abstract: Stress magnetic cardiac resonance imaging (MRI) development is in progress. Many cardiac imaging technics already known are completed by this safe radiation free exam with a short time acquisition (30minutes) and a good diagnostic performance in particular for patients with three vessels coronary artery diseases. Best indication concerns symptomatic patients unable to exercise with intermediate or high pretest probability. Pharmacological heart stress can be induced with vasodilatators or dobutamine to identify the presence and extent of myocardial ischemia, with high precision to guide coronary vessels revascularization. MRI gives many other interesting informations like heart anatomy, left ventricular function. Myocardial viability can be assessed with study of late gadolinium enhancement or analysis of contractile reserve with low dose of dobutamine.
authors.affiliation: Service de cardiologie, hôpital Foch, 40, rue Worth, 92150 Suresnes, France. Electronic address: s.russel@hopital-foch.org.
authors.forename: S
authors.initials: S
authors.lastname: Russel
authors.affiliation: Service de radiologie, hôpital Foch, 92150 Suresnes, France.
authors.forename: S
authors.initials: S
authors.lastname: Darmon
authors.affiliation: Service de cardiologie, hôpital Foch, 40, rue Worth, 92150 Suresnes, France.
authors.forename: A
authors.initials: A
authors.lastname: Vermillet
authors.affiliation: Service de cardiologie, hôpital Foch, 40, rue Worth, 92150 Suresnes, France.
authors.forename: F
authors.initials: F
authors.lastname: Haziza
mesh_terms: D000241:Adenosine; D003287:Contrast Media; D017023:Coronary Angiography / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000628:therapy; D023921:Coronary Stenosis / Q000175:diagnosis / Q000628:therapy; D004176:Dipyridamole; D025401:Echocardiography, Stress / Q000379:methods*; D004562:Electrocardiography / Q000379:methods*; D005080:Exercise Test / Q000379:methods*; D005682:Gadolinium; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods*; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000628:therapy*; D012307:Risk Factors; D012680:Sensitivity and Specificity; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D003287:Contrast Media; D004176:Dipyridamole; D005682:Gadolinium; D000241:Adenosine
keywords: Cardiac magnetic resonance imaging; Coronaropathie; Coronary artery disease; Imagerie cardiaque par résonance magnétique; Ischémie myocardique; Late gadolinium enhancement; Myocardial ischemia; Rehaussement tardif; Stress