Evaluation of ischemic heart disease

Heart Fail Clin. 2009 Jul;5(3):315-32, v. doi: 10.1016/j.hfc.2009.02.001.


Approximately two thirds of patients with heart failure have underlying coronary artery disease. In the setting of ischemic heart disease, cardiovascular magnetic resonance has demonstrated usefulness in two ways: for the detection of coronary artery disease and for the assessment of myocardial viability in consideration for revascularization. This article discusses the use of cardiovascular magnetic resonance for the detection of coronary artery disease. The purpose of this article is to provide readers with a brief overview of each of the cardiovascular magnetic resonance techniques, their relative strengths, and their relative weaknesses. Because adenosine stress cardiovascular magnetic resonance is currently the most widely used clinically, it is the primary focus of this article.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adenosine
  • Adrenergic beta-Agonists
  • Algorithms
  • Artifacts
  • Clinical Protocols
  • Coronary Stenosis / complications
  • Coronary Stenosis / diagnosis
  • Dobutamine
  • Exercise Test / methods
  • Humans
  • Magnetic Resonance Imaging / economics
  • Magnetic Resonance Imaging / methods*
  • Myocardial Ischemia / diagnosis*
  • Myocardial Ischemia / etiology
  • Prognosis
  • Vasodilator Agents


  • Adrenergic beta-Agonists
  • Vasodilator Agents
  • Dobutamine
  • Adenosine