What is it about?

In the longest follow-up published to date, Stress CMR is highly predictive of future adverse cardiovascular events. In this cohort of high risk patients, Stress CMR proved a useful non-invasive diagnostic tool to identify patients that need closer attention.

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Why is it important?

We were able to show the great long-term prognostic implications of stress CMR in patients with atrial fibrillation. In an aging society, the prevalence of coronary artery disease is high among these patients. But previous studies on stress cardiac magnetic resonance frequently excluded patients with atrial fibrillation, because of fears regarding diminished image quality and validity in these patients. So its prognostic and diagnostic value in high-risk patients were unclear so far.


Non-invasive Stress CMR is a powerful diagnostic tool in atrial fibrillation and its use is warranted even in patients with a high baseline risk. Careful selection of patients might avoid unnecessary invasive procedures and select patients that need the full attention of the treating physician.

Karl Weiss
German Heart Center Berlin

Read the Original

This page is a summary of: Long‐term prognostic value of vasodilator stress cardiac magnetic resonance in patients with atrial fibrillation, ESC Heart Failure, December 2021, Wiley, DOI: 10.1002/ehf2.13736.
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