The Role of Cardiac Magnetic Resonance in the Evaluation of Patients Presenting with Suspected or Confirmed Acute Coronary Syndrome

Figure 1

CMR with pharmacologic stress. An example of an adenosine stress CMR in a diabetic patient presenting with new onset chest pain. Resting first-pass perfusion images (top panels) are shown above the corresponding stress perfusion images (bottom panels) in the basal, midventricular, and apical short-axis views. There are inferior and anterior resting perfusion defects in the basal short-axis slice, but with stress this patient develops a severe inferior perfusion defect extending to the lateral wall and septum in the midventricle and apex. On cardiac catheterization (not shown), this patient had multivessel CAD.