Mediante cardiorresonancia es posible realizar estudios de detección de isquemia miocárdica en condiciones de estrés, evaluando la perfusión miocárdica, la contractilidad miocárdica o ambas con una elevada exactitud diagnóstica. En este capítulo analizamos los protocolos de estudio, sus indicaciones y limitaciones, así como los valores diagnósticos.
Palabras clave
Cardiorresonancia de estrés
Cardiopatía isquémica
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Bibliografía
[1.]
J.D. Schuijf, L.J. Shaw, W. Wijns, H.J. Lamb, D. Poldermans, A. De Roos, et al.
Cardiac imaging in coronary artery disease: differing modalities.
Heart, (2005), 91 pp. 1110-1117
[2.]
I. Vilacosta, J.A. San Román.
Ecocardiografía de estrés farmacológico.
Mosby-Doyma Libros, (1996),
[3.]
E. Nagel, C. Lorenz, F. Baer, W.G. Hundley, N. Wilke, S. Neubauer, et al.
Stress cardiovascular magnetic resonance: consensum panel report.
J Cardiovasc Magn Reson, (2001), 3 pp. 267-281
[4.]
D. Kuijpers.
Diagnosis of coronary artery disease with dobutamine-stress MRI.
Eur Radiol, (2005), 15 pp. B48-B51
[5.]
D. Kuijpers, K.Y. Ho, P.R. Van Dijkman, R. Vliegenthart, M. Oudkerk.
Dobutamine cardiovascular magnetic resonance for the detection of myocardial ischemia with the use of myocardial tagging.
Circulation, (2003), 107 pp. 1592-1597
[6.]
N. Al-Saadi, M. Gross, I. Paetsch, B. Schnackenburg, A. Bornstedt, E. Fleck, et al.
Dobutamine induced myocardial perfusion reserve index with cardiovascular MR in patients with coronary artery disease.
J Cardiovasc Magn Reson, (2002), 4 pp. 471-480
[7.]
E. Nagel, H.B. Lehmkuhl, W. Bocksch, C. Klein, U. Vogel, E. Frantz, et al.
Noninvasive diagnosis of ischemia induced wall motion abnormalities with the use of high-dose dobutamine stress MRI.
Circulation, (1999), 99 pp. 763-770
[8.]
W.G. Hundley, C.A. Hamilton, M.S. Thomas, D.M. Herrington, T.B. Salido, D.W. Kitzman, et al.
Utility of fast cine MR imaging and display for the detection of myocardial ischemia in patients not well suited for second harmonic stress echocardiography.
Circulation, (1999), 100 pp. 1697-1702
[9.]
A. Wahl, I. Paetsch, S. Roethemeyer, C. Klein, E. Fleck, E. Nagel.
High-dose dobutamine-atropine stress cardiovascular MR imaging after coronary revascularization in patients with wall motion abnormalities at rest.
Radiology, (2004), 233 pp. 210-216
[10.]
W.G. Hundley, T.M. Morgan, C.M. Neagle, C.A. Hamilton, P. Rerkpattanapipat, K.M. Link.
Magnetic resonance imaging determination of cardiac prognosis.
Circulation, (2002), 106 pp. 2328-2333
[11.]
A. Wahl, I. Paetsch, A. Gollesch, S. Roethemeyer, D. Foell, R. Gebker, et al.
Safety and feasibility of high-dose dobutamine-atropine stress cardiovascular magnetic resonance for diagnosis of myocardial ischemia: experience in 1,000 consecutive cases.
Eur Heart J, (2004), 25 pp. 1-7
[12.]
D.J. Pennell, U.P. Sechtem, C.B. Higgins, W.J. Manning, G.M. Prohost, F.E. Rademakers, et al.
Clinical indications for cardiovascular magnetic resonance (CMR): Consensus Panel report.
Eur Heart J, (2004), 25 pp. 1940-1965
[13.]
S.K. Prasad, J. Lyne, P. Chai, P. Gatehouse.
Role of CRM in assessment of myocardial perfusion.
Eur Radiol, (2005), 15 pp. B42-B47
[14.]
C.Y. Tong, F.S. Prato, G. Wisenberg, T.Y. Lee, E. Carroll, D. Sandler, et al.
Measurement of the extraction efficiency and distriution volume for Gd-DTPA in normal and diseased canine myocardium.
Magn Reson Med, (1993), 30 pp. 337-346
[15.]
N. Wilke, C. Simm, J. Zhang, J. Ellermann, X. Ya, H. Merkle, et al.
Contrast-enhanced first pass myocardial perfusion imaging: correlation between myocardial blood flow in dogs at rest and during hyperemia.
Magn Reson Med, (1993), 29 pp. 485-497
[16.]
S.D. Wolf, J. Schwitter, R. Coulden, M.G. Friedrich, D.A. Bluemke, R.W. Bierderman, et al.
Myocardial first pass perfusion magnetic resonance imaging. A multicenter dose-ranging study.
Circulation, (2004), 110 pp. 732-737
[17.]
T.H. Giang, D. Nanz, R. Coulden, M. Friederich, M. Graves, N. Al Saadi, et al.
Detection of coronary artery disease by magnetic resonance myocardial perfusion imaging with various contrast medium doses. First european multicentre experience.
Eur Heart J, (2004), 25 pp. 1657-1665
[18.]
J.R. Panting, P.D. Gatehouse, G.Z. Yang, F. Grothues, D.N. Firmin, P. Collins, et al.
Abnormal subendocardial perfusion in cardiac syndrome X detected by cardiovascular magnetic resonance imaging.
N Engl J Med, (2002), 346 pp. 1948-1953
[19.]
K. Vernooy, X. Verbeek, M. Peschar, H. Crinjs, Th. Arts, R. Cornelussen, et al.
Left bundle Branch block induces ventricular remodeling and functional septal hypoperfusion.
Eur Heart J, (2005), 26 pp. 91-98
[20.]
S.R. Underwood, C. Anagnostopoulos, M. Cerqueira, P.J. Ell, E.J. Flint, M. Harbinson, et al.
British Cardiac Society; British Nuclear Cardiology Society; British Nuclear Medicine Society; Royal College of Physicians of London; Royal College of Radiologists. Myocardial perfusion scintigraphy: the evidence.
Eur J Nucl Med Mol imaging, (2004), 31 pp. 261-291
[21.]
K. Lauerma, K.S. Virtanen, L.M. Sipila, P. Hekali, H.J. Aronen.
Multislice MRI assesment in patients with single vessel proximal left anterior Descending Coronary Artery Disease before and after revascularization.
Circulation, (1997), 96 pp. 2859-2867
[22.]
N. Al-Saadi, E. Nagel, M. Gross, A. Bornstedt, B. Schnackenburg, C. Klein, et al.
Non invasive detection of myocardial ischemia from perfusion reserve based on cardiovascular magnetic resonance.
Circulation, (2000), 101 pp. 1379-1383
[23.]
J. Schwitter, D. Nanz, S. Kneifel, K. Bertschinger, M. Buchi, P.R. Knusel, et al.
Assessment of myocardial perfusion in coronary artery disease by magnetic resonance: a comparison with positron emision tomography and coronary angiography.
Circulation, (2001), 103 pp. 2230-2235
[24.]
E. Nagel, C. Klein, I. Paetsch, S. Hettwer, B. Schnackenburg, K. Weigscheider.
Magnetic resonance perfusion measurements for the non invasive detection of coronary artery disease.
Circulation, (2003), 108 pp. 432-437
[25.]
G. Pons Lladó, F. Carreras, R. Leta, S. Pujadas, J. García Picart.
Estudio de perfusión miocárdica por cardiorresonancia magnética: comparación con la angiografía coronaria.
Rev Esp Cardiol, (2004), 57 pp. 388-395
[26.]
I. Paetsch, C. Jahnke, A. Wahl, R. Gebker, M. Neuss, E. Fleck, et al.
Comparison of dobutamine stress magnetic resonance, adenosine stress magnetic resonance perfusion.
Circulation, (2004), 110 pp. 835-842
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2006. Sociedad Española de Cardiología