The Prognostic Value of Qualitative and Quantitative Stress CMR in Patients with Known or Suspected CAD - JIMG March 2024-Article: The Prognostic Value of Qualitative and Quantitative Stress CMR in Patients with Known or Suspected CAD

Article: The Prognostic Value of Qualitative and Quantitative Stress CMR in Patients with Known or Suspected CAD

Pdf Summary

A systematic review and meta-analysis of 41 studies involving 38,030 patients with known or suspected coronary artery disease (CAD) evaluated the prognostic value of qualitative and quantitative stress cardiac magnetic resonance (CMR) assessments. Both qualitative and quantitative stress CMR assessments were found to be associated with a higher risk of major adverse cardiovascular events (MACE). Patients with positive CMR results had higher rates of cardiac events, cardiac death, nonfatal MI, coronary revascularization, and all-cause mortality. The presence of myocardial ischemia on CMR was linked to worse clinical outcomes. Stress CMR was deemed a valuable tool for predicting clinical outcomes across various patient populations and was shown to be noninferior to other imaging modalities in assessing MACE. The analysis highlighted the importance of utilizing stress CMR for risk assessment and management in patients with CAD. Further research is needed to compare the prognostic value of qualitative and quantitative stress CMR assessments.

Keywords

systematic review

meta-analysis

coronary artery disease

stress cardiac magnetic resonance

prognostic value

major adverse cardiovascular events

myocardial ischemia

clinical outcomes

imaging modalities

risk assessment