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Table 15 Recommendations for CMR in the guideline on myocardial revascularization

From: Cardiovascular magnetic resonance in the guidelines of the European Society of Cardiology: a comprehensive summary and update

Recommendation

Class

Level

Recommendations for non-invasive imaging in patients with coronary artery disease (CAD) and heart failure with reduced ejection fraction

Non-invasive stress imaging (CMR, stress echocardiography, SPECT, or PET) may be considered for the assessment of myocardial ischemia and viability in patients with heart failure and CAD (considered suitable for coronary revascularization) before the decision on revascularization

IIb

B

Strategies for follow-up and management in symptomatic patients after myocardial revascularization

An imaging stress test should be considered in patients with prior revascularization over stress ECG

IIa

B

Strategies for follow-up and management in asymptomatic patients after myocardial revascularization

Surveillance by non-invasive imaging-based stress testing may be considered in high-risk patient subsets 6 months after revascularization

IIb

C

Routine non-invasive imaging-based stress testing may be considered 1 year after PCI and > 5 years after CABG

IIb

C

  1. CMR  cardiovascular magnetic resonance, SPECT  single photon emission computed tomography, PET  positron emission tomography, ECG  electrocardiogram, PCI  percutaneous coronary intervention, CABG  coronary artery bypass grafting