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Journal of Computer Assisted Tomography:
doi: 10.1097/RCT.0b013e3182a474a0
Cardiovascular Imaging

The Prognostic Value of Normal Stress Cardiovascular Magnetic Resonance Imaging

Iwata, Kunihiro PhD*†; Nakagawa, Sadahiro BS*; Ogasawara, Katsuhiko PhD, MBA

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Abstract

Objectives

The purpose of our study was to determine the prognostic value of normal stress cardiovascular magnetic resonance imaging (CMR) by a systematic literature review and meta-analysis.

Methods

A comprehensive literature search of published studies through November 2011 in MEDLINE database and Cochrane Library, regarding prognostic value of stress CMR in patients with known or suspected coronary artery disease, was performed.

Results

Ultimately, we identified 11 studies. The summary relative risk ratio for major adverse cardiac events was 0.50 (95% confidence interval [CI], 0.44–0.58) for normal cine CMR and 0.09 (95% CI, 0.02–0.35) for normal perfusion CMR. The summary relative risk ratio for hard cardiac events was 0.36 (95% CI, 0.16–0.8) for normal cine CMR and 0.22 (95% CI, 0.07–0.66) for normal perfusion CMR.

Conclusions

Normal stress CMR for patients known or suspected of having coronary artery disease has good prognostic value in predicting cardiac events.

Copyright © 2014 by Lippincott Williams & Wilkins

 

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