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Methods We retrospectively examined all stress CMR studies performed at our tertiary referral centre over a 20-month period, since the service was started in 2007. Patients were scanned in a 1.5T magnet (Avanto, Siemens), using a standardised protocol with routine imaging for late gadolinium enhancement (LGE). They were screened for contraindications to adenosine, and routine anti-anginal therapies, including beta-blockers, were not discontinued. Dobutamine stress was given in small number of patients in whom adenosine was contraindicated. Angiograms of patients who also had cardiac catheterization within 6 months of their CMR scan, were reassessed by an interventional cardiologist, blinded to the CMR data. For receiver-operator curve (ROC) analysis, CMR stress perfusion defects were graded into 5 categories (normal, probably normal, possibly abnormal, probably abnormal, abnormal).

Tolerance, safety and accuracy of stress cardiovascular magnetic resonance in routine clinical practice