CAN CARDIAC MRI STRESS TESTING REDUCE HEALTHCARE COSTS OF CARDIAC ISCHEMIC EVALUATION?

Title

CAN CARDIAC MRI STRESS TESTING REDUCE HEALTHCARE COSTS OF CARDIAC ISCHEMIC EVALUATION?

Creator

Yendamuri R; Kuraan T; Yim M; Mikolich B; Mikolich JR

Publisher

Journal Of The American College Of Cardiology

Date

2021
2021-05-11

Description

An institutional imaging database was queried for all patients who had a normal CMR stress within six months after an abnormal MPI. Fifty-three patients met the criteria for this study. The number of CATHs and invasive coronary procedures (CABG and PCI) were tabulated over a 2.5-year follow-up period, along with clinical outcomes.

Subject

Annually, over 1 million invasive coronary arteriography (CATH) procedures are performed in the US (Mozaffarian et al. Circulation. 2016 133(4):e38-360). Patel et al (N Engl J Med. 2010 362(10):886-95) showed that less than 50% of nuclear stress myocardial perfusion imaging (MPI) studies correlate with subsequent CATH, due to a high false positive rate. Yet, the landmark CE-MARC trial (Lancet 2012;379:453-60) showed that cardiac magnetic resonance stress imaging (CMR stress) had greater sensitivity than MPI in patients with coronary artery disease (CAD). The study was designed to determine whether CMR stress could be a cost-reducing alternative to CATH after an abnormal MPI.

Rights

Copyright © 2021 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Format

Journal Article

URL Address

http://doi.org/10.1016/S0735-1097(21)02664-4

Pages

1306

Issue

18

Volume

77

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Internal Medicine

Update Year & Number

Jan to Aug list 2021

Citation

Yendamuri R; Kuraan T; Yim M; Mikolich B; Mikolich JR, “CAN CARDIAC MRI STRESS TESTING REDUCE HEALTHCARE COSTS OF CARDIAC ISCHEMIC EVALUATION?,” NEOMED Bibliography Database, accessed January 14, 2025, https://neomed.omeka.net/items/show/11801.