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BMC Cardiovascular Disorders
Published in: BMC Cardiovascular Disorders 1/2018

Open Access 01-12-2018 | Case report

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

Authors: Lukas Stoiber, Bernhard Schnackenburg, Rolf Gebker, Hanane Hireche-Chikaoui, Burkert Pieske, Sebastian Kelle

Published in: BMC Cardiovascular Disorders | Issue 1/2018

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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.
Literature
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Bigvava T, Zamani SM, Pieske-Kraigher E, Gebker R, Pieske B, Kelle S. Prognostic value of non-invasive stress testing for coronary artery disease in obese patients. Expert Rev Cardiovasc Ther. 2015;13:1325–32.CrossRefPubMed
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Gimelli A, Bottai M, Giorgetti A, Genovesi D, Filidei E, Marzullo P. Evaluation of ischaemia in obese patients: feasibility and accuracy of a low-dose protocol with a cadmium-zinc telluride camera. Eur J Nucl Med Mol Imaging. 2012;39:1254–61.CrossRefPubMed
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Kelle S, Nagel E, Voss A, Hofmann N, Gitsioudis G, Buss SJ, Chiribiri A, Wellnhofer E, Klein C, Schneeweis C, Egnell C, Vierecke J, Berger A, Giannitsis E, Fleck E, Katus HA, Korosoglou G. A bi-center cardiovascular magnetic resonance prognosis study focusing on dobutamine wall motion and late gadolinium enhancement in 3,138 consecutive patients. J Am Coll Cardiol. 2013;61:2310–2.CrossRefPubMed
Metadata
Title
CMR stress testing in a patient with morbid obesity (BMI 58 kg/m2) and suspected coronary artery disease
Authors
Lukas Stoiber
Bernhard Schnackenburg
Rolf Gebker
Hanane Hireche-Chikaoui
Burkert Pieske
Sebastian Kelle
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2018
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-018-0779-3

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