Diagnostic performance of 3D cardiac magnetic resonance perfusion in elderly patients for the detection of coronary artery disease as compared to fractional flow reserve.
Mihály KárolyiAlexander GotschyMalgorzata PolacinSven PleinIngo PaetschCosima JahnkeMichael FrickRolf GebkerHatem AlkadhiSebastian KozerkeRobert MankaPublished in: European radiology (2022)
• The increasing prevalence of coronary artery disease in elderly populations is accompanied with a larger ischemic burden of the myocardium as compared to younger individuals. • 3D cardiac magnetic resonance perfusion imaging predicts pathological fractional flow reserve in elderly patients aged ≥ 75 years with high diagnostic accuracy. • Ischemia testing with 3D CMR perfusion imaging has similarly high accuracy in the elderly as in younger patients and it might be particularly useful when other non-invasive techniques are limited by aging-related comorbidities and falling compliance abilities.
Keyphrases
- magnetic resonance
- coronary artery disease
- contrast enhanced
- high resolution
- end stage renal disease
- community dwelling
- left ventricular
- ejection fraction
- percutaneous coronary intervention
- middle aged
- chronic kidney disease
- risk factors
- cardiovascular events
- newly diagnosed
- computed tomography
- coronary artery bypass grafting
- prognostic factors
- heart failure
- patient reported outcomes
- cardiovascular disease
- atrial fibrillation
- aortic stenosis
- photodynamic therapy