Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2002-1-4
pubmed:abstractText
To determine if visualization of left ventricular contraction throughout the course of a pharmacologic stress test performed with magnetic resonance imaging (MRI) (rather than solely at baseline and peak stress) is necessary, we retrospectively reviewed dobutamine MRI results in 469 consecutively referred patients for diagnosis of inducible ischemia. At each stage of pharmacologic stress, six image planes of the heart were viewed and left ventricular wall motion was scored as normal, hypokinetic, akinetic, or dyskinetic. Inducible ischemia was identified in 102 patients; in 39 patients (38%), evidence of ischemia occurred before receiving high doses of dobutamine. During testing, 103 patients developed chest discomfort consistent with angina, but only 26 of the 103 patients (25%) developed new wall motion abnormalities indicative of ischemia. Continuous image acquisition and review during dobutamine MRI pharmacologic stress testing provides a mechanism to detect ischemia and avoid premature test termination during the early stages of the procedure. Compared with protocols that image only at baseline and at peak stress, continuous acquisition and review may enhance the safety and improve the diagnostic accuracy of pharmacologic stress testing during dobutamine MRI.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1097-6647
pubmed:author
pubmed:issnType
Print
pubmed:volume
3
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
297-302
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11777220-Adrenergic beta-Agonists, pubmed-meshheading:11777220-Adult, pubmed-meshheading:11777220-Aged, pubmed-meshheading:11777220-Aged, 80 and over, pubmed-meshheading:11777220-Angina Pectoris, pubmed-meshheading:11777220-Dobutamine, pubmed-meshheading:11777220-Exercise Test, pubmed-meshheading:11777220-Female, pubmed-meshheading:11777220-Heart Rate, pubmed-meshheading:11777220-Humans, pubmed-meshheading:11777220-Magnetic Resonance Imaging, Cine, pubmed-meshheading:11777220-Male, pubmed-meshheading:11777220-Middle Aged, pubmed-meshheading:11777220-Myocardial Contraction, pubmed-meshheading:11777220-Myocardial Ischemia, pubmed-meshheading:11777220-Retrospective Studies, pubmed-meshheading:11777220-Stimulation, Chemical, pubmed-meshheading:11777220-Ventricular Dysfunction, Left
pubmed:year
2001
pubmed:articleTitle
Is imaging at intermediate doses necessary during dobutamine stress magnetic resonance imaging?
pubmed:affiliation
Department of Medical Engineering, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't, Evaluation Studies