European Cardiovascular Magnetic Resonance (EuroCMR) registry--multi national results from 57 centers in 15 countries.

Details

Ressource 1Download: BIB_C5F7ED687BC3.P001.pdf (684.43 [Ko])
State: Public
Version: author
Serval ID
serval:BIB_C5F7ED687BC3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
European Cardiovascular Magnetic Resonance (EuroCMR) registry--multi national results from 57 centers in 15 countries.
Journal
Journal of Cardiovascular Magnetic Resonance
Author(s)
Bruder O., Wagner A., Lombardi M., Schwitter J., van Rossum A., Pilz G., Nothnagel D., Steen H., Petersen S., Nagel E., Prasad S., Schumm J., Greulich S., Cagnolo A., Monney P., Deluigi C.C., Dill T., Frank H., Sabin G., Schneider S., Mahrholdt H.
ISSN
1532-429X (Electronic)
ISSN-L
1097-6647
Publication state
Published
Issued date
2013
Volume
15
Number
9
Pages
1-9
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: epublish. PDF type: Research
Abstract
BACKGROUND: The EuroCMR registry sought to evaluate indications, image quality, safety and impact on patient management of clinical routine CMR in a multi-national European setting. Furthermore, interim analysis of the specific protocols should underscore the prognostic potential of CMR.
METHODS: Multi-center registry with consecutive enrolment of patients in 57 centers in 15 countries. More than 27000 consecutive patients were enrolled.
RESULTS: The most important indications were risk stratification in suspected CAD/Ischemia (34.2%), workup of myocarditis/cardiomyopathies (32.2%), as well as assessment of viability (14.6%). Image quality was diagnostic in more than 98% of cases. Severe complications occurred in 0.026%, always associated with stress testing. No patient died during or due to CMR. In 61.8% CMR findings impacted on patient management. Importantly, in nearly 8.7% the final diagnosis based on CMR was different to the diagnosis before CMR, leading to a complete change in management. Interim analysis of suspected CAD and risk stratification in HCM specific protocols revealed a low rate of adverse events for suspected CAD patients with normal stress CMR (1.0% per year), and for HCM patients without LGE (2.7% per year).
CONCLUSION: The most important indications in Europe are risk stratification in suspected CAD/Ischemia, work-up of myocarditis and cardiomyopathies, as well as assessment of viability. CMR imaging is a safe procedure, has diagnostic image quality in more than 98% of cases, and its results have strong impact on patient management. Interim analyses of the specific protocols underscore the prognostic value of clinical routine CMR in CAD and HCM.
Pubmed
Web of science
Open Access
Yes
Create date
21/03/2013 16:47
Last modification date
20/08/2019 15:41
Usage data