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| Item Type: | Article |
|---|---|
| Title: | Single-centre survey of the application of cardiovascular magnetic resonance in clinical routine |
| Creators Name: | von Knobelsdorff-Brenkenhoff, F., Bublak, A., El-Mahmoud, S., Wassmuth, R., Opitz, C. and Schulz-Menger, J. |
| Abstract: | AIMS: Awareness of cardiovascular magnetic resonance (CMR) is growing due to increasing evidence for providing relevant functional and morphologic information. This single-centre survey aimed at providing descriptive data about the clinical application and potential impact of CMR. METHODS AND RESULTS: All 2598 clinically indicated CMR exams were prospectively registered during 1 year in one single centre. Detailed data of the individual patient and procedural information of each exam were collected. In a simulation of CMR-based clinical decision-making in a subgroup of 250 cases, the influence of CMR on further diagnostic testing and answering the clinical question was estimated. Inflammatory (31%) and coronary (28%) heart disease were the most frequent indications. The exams were fast (98% < 60 min), robust (0.4% non-diagnostic image quality), and mostly used contrast media (76%). Anxiolytic sedation was required to overcome claustrophobia in 3.8%. Two per cent of all exams were terminated prematurely. No severe adverse events occurred. All moderate adverse events (0.5%) were associated with stress medication (1.7% of all stress tests) or contrast media (0.15% of all contrast enhanced studies). In the simulation, CMR influenced the individual selection of diagnostic testing and provided valuable information to establish or exclude a diagnosis. CONCLUSION: This single-centre experience demonstrated a versatile application of CMR at reasonable time expense, safety, and robustness. The simulation of CMR-based decision-making indicated that CMR may influence patient management. |
| Keywords: | Magnetic Resonance, Cardiac, Clinical Use, Patient Management |
| Source: | European Heart Journal - Cardiovascular Imaging |
| ISSN: | 2047-2404 |
| Publisher: | Oxford University Press |
| Volume: | 14 |
| Number: | 1 |
| Page Range: | 62-68 |
| Date: | January 2013 |
| Official Publication: | https://doi.org/10.1093/ehjci/jes125 |
| PubMed: | View item in PubMed |
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