Key result
Review summarizes exercise CMR protocols to guide CAD diagnosis and prognostication across diverse populations.
Why the study?
Clinical guidelines recommend exercise-based testing in patients who can exercise, despite pharmacologic stress cardiovascular MRI being a robust noninvasive diagnostic and prognostic tool for epicardial coronary artery disease.
This review highlights the development and clinical utility of exercise cardiovascular MRI, aligning with guidelines that recommend exercise-based testing for capable patients.
Supports exercise CMR consideration for CAD assessment where feasible; extends prior reviews but leaves open prospective validation.
While pharmacologic stress cardiovascular magnetic resonance imaging (MRI) is a robust noninvasive tool in the diagnosis and prognostication of epicardial coronary artery disease, clinical guidelines recommend exercise-based testing in those patients who can exercise. This review describes the development of exercise cardiovascular MRI protocols, summarizes the insights across various patient populations, and highlights future research initiatives. LEVEL OF EVIDENCE: 5 TECHNICAL EFFICACY: Stage 2.
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Trankle et al. (2021) conducted a review in Epicardial coronary artery disease. Exercise cardiovascular magnetic resonance imaging was evaluated. Exercise cardiovascular magnetic resonance imaging protocols and their insights across various patient populations are summarized to guide diagnosis and prognostication of coronary artery disease.
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