Intended for healthcare professionals


MRI found suitable for detecting coronary heart disease

BMJ 1999; 319 doi: (Published 23 October 1999) Cite this as: BMJ 1999;319:1092
  1. Deborah Josefson
  1. San Francisco

    Traditional electrocardiographic exercise stress tests for heart disease may soon be supplanted by cardiac magnetic resonance imaging (MRI).

    Researchers from Wake Forest University School of Medicine in Winston Salem, North Carolina, investigated the technique of fast cinematic, cardiac magnetic resonance imaging to detect ischaemic heart disease in patients unsuitable for the usual stress echocardiography (Circulation 1999;100:1676-9, 1697-702).

    Classically, patients with suspected coronary artery disease are referred for exercise stress testing and are hooked up to electrocardiographic and blood pressure monitors while doing progressively more intensive exercise on a treadmill.

    Treadmill based stress tests are not suitable for many people, such as some postoperative patients, frail elderly people, amputees, and many patients who are obese …

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