Skip to content


Journal of Cardiovascular Magnetic Resonance

Open Access

Exercise stress CMR in patients with coronary heart disease - preliminary results

  • Agnes Mayr1,
  • Markus Holotta1,
  • Regina Esterhammer1,
  • Klemens Mairer1,
  • Gert Klug2,
  • Hans-Josef Feistritzer2,
  • Bernhard Metzler2 and
  • Michael Schocke1
Journal of Cardiovascular Magnetic Resonance201517(Suppl 1):P125

Published: 3 February 2015


DobutamineExercise StressExercise Stress TestingLate EnhancementPerfusion Deficit


Cardiac stress MRI has grown to a well established method to detect hypokinesia or perfusion deficits due to ischemia. Commonly, myocardial load is generated by the administration of adenosine or dobutamine, which is associated by a higher complication rate compared to exercise stress testing. Our purpose was to evaluate the use of an MR conditional pedal ergometer for cardiac stress MRI.


We included 15 patients with coronary heart disease until now. All patients underwent exercise stress MRI at a whole-body 3 Tesla MR system and received real-time TRUFI CINE imaging and first-pass perfusion imaging before and after stress testing as well as late enhancement (LE) PSIR sequences after stress. All images were visually rated by three experienced radiologists.


As shown on LE images, two patients suffered from silent myocardial infarction and showed stress-induced hypokinesia and slight perfusion deficits nearby the infarction scar. In additional 5 patients, we detected segmental hypokinesia and endocardial perfusion deficits due to exercise. 3 patients exhibited endocardial perfusion deficits without hypokinesia. 5 patient did not show any abnormalities due to stress.


Exercise stress of the myocardium is a helpful method to detect ischemic area in cardiac MRI.


Nothing to declare.

Authors’ Affiliations

Radiology, Medical University Innsbruck, Innsbruck, Austria
Cardiology, Medical University Innsbruck, Innsbruck, Austria


© Mayr et al; licensee BioMed Central Ltd. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.