EuroCMR (European Cardiovascular Magnetic Resonance) registry: results of the German pilot phase.

Détails

ID Serval
serval:BIB_6B28F497D69D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
EuroCMR (European Cardiovascular Magnetic Resonance) registry: results of the German pilot phase.
Périodique
Journal of the American College of Cardiology
Auteur(s)
Bruder O., Schneider S., Nothnagel D., Dill T., Hombach V., Schulz-Menger J., Nagel E., Lombardi M., van Rossum A.C., Wagner A., Schwitter J., Senges J., Sabin G.V., Sechtem U., Mahrholdt H.
ISSN
1558-3597 (Electronic)
ISSN-L
0735-1097
Statut éditorial
Publié
Date de publication
2009
Volume
54
Numéro
15
Pages
1457-1466
Langue
anglais
Notes
Publication types: Evaluation Studies ; Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
OBJECTIVES: During its German pilot phase, the EuroCMR (European Cardiovascular Magnetic Resonance) registry sought to evaluate indications, image quality, safety, and impact on patient management of routine CMR.
BACKGROUND: CMR has a broad range of applications and is increasingly used in clinical practice.
METHODS: This was a multicenter registry with consecutive enrollment of patients in 20 German centers.
RESULTS: A total of 11,040 consecutive patients were enrolled. Eighty-eight percent of patients received gadolinium-based contrast agents. Twenty-one percent underwent adenosine perfusion, and 11% high-dose dobutamine-stress CMR. The most important indications were workup of myocarditis/cardiomyopathies (32%), risk stratification in suspected coronary artery disease/ischemia (31%), as well as assessment of viability (15%). Image quality was good in 90.1%, moderate in 8.1%, and inadequate in 1.8% of cases. Severe complications occurred in 0.05%, and were all associated with stress testing. No patient died during or due to CMR. In nearly two-thirds of patients, CMR findings impacted patient management. Importantly, in 16% of cases the final diagnosis based on CMR was different from the diagnosis before CMR, leading to a complete change in management. In more than 86% of cases, CMR was capable of satisfying all imaging needs so that no further imaging was required.
CONCLUSIONS: CMR is frequently performed in clinical practice in many participating centers. The most important indications are workup of myocarditis/cardiomyopathies, risk stratification in suspected coronary artery disease/ischemia, and assessment of viability. CMR imaging as used in the centers of the pilot registry is a safe procedure, has diagnostic image quality in 98% of cases, and its results have strong impact on patient management.
Mots-clé
Aged, Cardiovascular Diseases/diagnosis, Coronary Artery Disease/diagnosis, Europe, Exercise Test, Female, Germany, Humans, Magnetic Resonance Angiography/methods, Male, Middle Aged, Multivariate Analysis, Pilot Projects, Prognosis, Registries, Risk Assessment
Pubmed
Web of science
Open Access
Oui
Création de la notice
09/02/2010 9:28
Dernière modification de la notice
20/08/2019 15:25
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