Review Article

Functional Relevance of Coronary Artery Disease by Cardiac Magnetic Resonance and Cardiac Computed Tomography: Myocardial Perfusion and Fractional Flow Reserve

Table 1

Summary of the most common drug stressors used for the evaluation of myocardial perfusion.

Drug stressorsActionHalf-lifeSide effectsCost

AdenosineCoronary vasodilatation induced by not-selective A1 adenosine-receptors stimulation (increasing cellular cAMP levels)10 secondsFacial flushing
Diaphoresis nausea asthma
Bradyarrhythmias

DipyridamoleCoronary vasodilatation induced by inhibition of the phosphodiesterase enzymes that normally break down cAMP (increasing cellular cAMP levels)25 minutesFacial flushing
Diaphoresis nausea asthma
Bradyarrhythmias

RegadenosonCoronary vasodilatation induced by selective A2A adenosine-receptors stimulation 2-3 minutesHeadache, dizziness, nausea, stomach discomfort, decreased sense of taste, mild chest discomfort, or warmth, redness, or tingly feeling under your skin