CMR stress testing in a patient with morbid obesity (BMI 58 kg/m2) and suspected coronary artery disease

BMC Cardiovasc Disord. 2018 Mar 5;18(1):47. doi: 10.1186/s12872-018-0779-3.

Abstract

Background: Severe obesity is asscociated with an increased risk of coronary artery disease (CAD) but non-invasive cardiac imaging modalities have important technical limits.

Case presentation: We report a case of a 58-year old patient with suspected CAD and severely elevated BMI of 58 kg/m2.

Conclusions: Stress-CMR was able to non-invasively stratify risk with good imaging quality despite the body dimensions of the patient.

Keywords: CMR; Cardiac magnetic resonance tomography; Coronary artery disease; Obesity; Stress test.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Mass Index*
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / diagnostic imaging*
  • Coronary Artery Disease / physiopathology
  • Coronary Circulation*
  • Coronary Stenosis / complications
  • Coronary Stenosis / diagnostic imaging*
  • Coronary Stenosis / physiopathology
  • Female
  • Humans
  • Magnetic Resonance Imaging*
  • Middle Aged
  • Myocardial Perfusion Imaging / methods*
  • Obesity, Morbid / complications*
  • Obesity, Morbid / diagnosis
  • Predictive Value of Tests
  • Prognosis
  • Purines / administration & dosage*
  • Pyrazoles / administration & dosage*
  • Risk Factors
  • Vasodilator Agents / administration & dosage*

Substances

  • Purines
  • Pyrazoles
  • Vasodilator Agents
  • regadenoson