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(0.91 cm 2 and 0.94 cm 2 respectively, p = 0.17), and significantly higher during SE (1.1 cm 2 ) compared to both RE and CMR (p < 0.001 and p = 0.002, respectively). Differences in AVA between the modalities after stratification by EF and by flow rate are presented in table 1 and table 2, respectively. In patients with low EF, although higher by CMR, there was no significant difference in AVA when compared to RE. In low EF, AVA was similar between SE and CMR. However, in the presence of low flow rate, CMR AVA was significantly higher than RE AVA, but similar to SE AVA. In preserved EF and normal flow rate groups, there were no significant differences between RE and CMR AVA - however, SE AVA remained significantly higher than CMR AVA.

Assessment of aortic stenosis severity by rest CMR correlates well with stress echocardiography in the setting of low left ventricular flow states