Combined assessment of stress cardiovascular magnetic resonance and angiography to predict the effect of revascularization in chronic coronary syndrome patients

J. Gavara et al (Universitat Politècnica de València, Valencia, Spain) explored the potential of “a combined assessment of ischaemic burden by vasodilator stress cardiovascular magnetic resonance and presence of multivessel disease by angiography to predict the effect of revascularisation on all-cause mortality in chronic coronary syndrome”. The study group comprised 1066 patients. During a median follow-up period of 7.51-years, 557 CMR-related revascularisations and 308 deaths were documented.
Take-home message: The authors acknowledged that “Revascularization exerted a neutral effect on all-cause mortality in the whole study group”. However, “evidence of simultaneous extensive cardiovascular magnetic resonance-related ischaemic burden and multivessel disease identifies the subset in whom revascularisation can reduce all-cause mortality.”