Patient's Query
Hello doctor,
I am 50 years old and had a cardiac MRI with dark blood, bright cone blood, and delayed enhancement images using gadoterate contrast. My doctor told me that this is a great test to rule out coronary artery disease. The only thing is, it was not a stress MRI. He mentioned that the coronary arteries looked good and predicted a positive result if a stress test were performed. Do you agree with this? Everything on the test appeared to be normal.
Please advise.
Hello,
Welcome to icliniq.com.
Your doctor is correct. Stress CMR (cardiovascular magnetic resonance imaging) is highly sensitive and specific for detecting cardiac ischemia. Furthermore, it is the test of choice for cardiac morpho-functional studies and tissue characterization.
Patient's Query
Hello doctor,
Thank you for the reply.
This test was not a stress test; it was the standard cardiac MRI with contrast, but not a stress MRI. He said it was just as good and predicted a normal stress test because the results were very favorable.
Hello,
Welcome back to icliniq.com.
Even if stress is not utilized, the information provided by CMR is sufficient to rule out significant cardiac issues. There are early cardiac sequences after contrast administration that can provide valuable data regarding myocardial perfusion and potential cardiac ischemia. The fact that your CMR results are normal is quite reassuring for a healthy heart. So, relax and do not worry about the potential issue of cardiac ischemia. Let me know if you have any further questions.
Regards.
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Answered byDr. Ilir Sharka
Medically reviewed byDr. Nithila. A
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