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Temporal trends in the referral pattern to and yield of cardiac MRI: an analysis from Saudia Arabia


Cardiac MRI was recently introduced in Saudia Arabia and is only available in few centers. The aim of this analysis is to describe the current referral pattern to cardiac MRI in Saudia Arabia.


This is a single center study that included patients who were referred for cardiac MRI for evaluation of clinical indications. The indications and baseline demographics of patients referred to cardiac MRI were collected. The different indications were compared in each year.


A total of 1,581 patients (38% females) were included. In first few years of the initiation of the service, most patients were referred for assessment of viability (54%) followed by assessment of etiology of cardiomyopathy (19%). However, in the subsequent years, viability referrals decreased and there was a steady increase in other indications (assessment of LV function, arrhythmias, cardiac masses, congenital heart disease,..etc.) (figure). Referral to stress MRI continued to be very low (less than 1%). 46% of the reoffered patients had an ejection fraction less than 50% and 42% of the patients had evidence of myocardial delayed enhancement.

figure 1

Figure 1


In the first years of establishing a cardiac MRI program, assessment of viability and cardiomyopathy constitute more than two thirds of referral to cardiac MRI.



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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.

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Al-Mallah, M.H., Anazi, E., AlJizeeri, A. et al. Temporal trends in the referral pattern to and yield of cardiac MRI: an analysis from Saudia Arabia. J Cardiovasc Magn Reson 17 (Suppl 1), P136 (2015).

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