OBJECTIVES: To assess the diagnostic performance of stress cardiac magnetic resonance (stress @entity65 ) vs stress single-photon emission computed tomography (SPECT) in @entity1 presenting to the @entity341 ( @entity341 ) with @entity662 . BACKGROUND: SPECT imaging is the most utilized outpatient procedure in the United States. The diagnostic accuracy of SPECT can be limited by soft tissue attenuation and low spatial resolution. Stress @entity65 has much higher spatial resolution and without the susceptibility to soft tissue attenuation. METHODS: Eighty-seven @entity1 without a history of CAD presenting to the @entity341 with @entity662 were prospectively enrolled. @entity1 underwent both stress @entity65 and stress SPECT imaging within 12  hours of presentation. Both the stress imaging tests were interpreted immediately for clinical purposes and coronary angiography was performed if either was abnormal. @entity1 were considered to have significant CAD if identified by angiography (>= 50%) or if a @entity299 ( @entity204 , @entity583 or revascularization) occurred during follow-up (mean 2.6      1.1  years). RESULTS: Thirty-seven @entity1 were referred for coronary angiography; 29 due to a positive stress test and eight @entity1 for persistent @entity662 despite two negative stress tests. There were 22 @entity1 who had significant CAD (>= 50%). The remaining @entity1 were followed for 2.6      1.1  years. At the conclusion of the follow-up period, there were four clinical events. The sensitivity, specificity, and diagnostic accuracy of @entity65 are 85%, 93%, and 89%, respectively. The sensitivity, specificity, and diagnostic accuracy of stress SPECT are 84%, 91%, and 88%, respectively. CONCLUSION: Stress @entity65 has similar diagnostic accuracy as stress SPECT in diagnosis of CAD.

Comparison of stress XXXX ( @entity65 ) with stress nuclear perfusion for the diagnosis of coronary artery disease.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity662 :: ('MESH:D002637', 'Disease') :: ['chest pain'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac event'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity204 :: ('MESH:D003643', 'Disease') :: ['cardiac death'] @entity65 :: ('MESH:D002318', 'Disease') :: ['CMR']
@entity65 :: (MESH:D002318,Disease) :: ['cardiovascular magnetic resonance imaging']
