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Long-term prognostic value of ischaemia and cardiovascular magnetic resonance-related revascularization for stable coronary disease, irrespective of patient’s gender: A large retrospective study

European Heart Journal – Cardiovascular Imaging Sep 24, 2021

Pezel T, Garot P, Kinnel M, et al. - Regardless of gender, good long-term predictors of major adverse cardiovascular events (MACE) were inducible ischaemia and early cardiovascular magnetic resonance (CMR)-related revascularization. A lower incidence of MACE in the sole subset of patients with left ventricular ejection fraction < 50% was observed in relation to CMR-related revascularization.

  • A total of 3664 consecutive patients referred for stress CMR were included from a large registry.

  • Multivariable Cox regression showed that in both women and men, independent predictors of MACE (defined by cardiovascular mortality or recurrent non-fatal myocardial infarction) were: inducible ischaemia, late gadolinium enhancement, and CMR-related revascularization.

  • For both genders, improved model discrimination for MACE was achieved with the addition of CMR-parameters.

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