Impact of a new cardiac magnetic resonance (CMR) program on management and clinical decision-making in cardiomyopathy pa
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POSTER PRESENTATION
Open Access
Impact of a new cardiac magnetic resonance (CMR) program on management and clinical decision-making in cardiomyopathy patients Siddique Abbasi1*, Jaehoon Chung1, Geetha Bhat2, Ankit A Desai1, Thomas Stamos1, Melissa Robinson Wood1, Joan Briller1, George T Kondos1, Samuel Dudley1, Afshin Farzaneh-Far1,3 From 15th Annual SCMR Scientific Sessions Orlando, FL, USA. 2-5 February 2012 Summary We sought to evaluate the direct impact of a new CMR program on clinical management and decision-making in patients with cardiomyopathies from our established Heart Failure program. Background CMR provides unique diagnostic and prognostic information in patients with cardiomyopathies. Despite this, widespread uptake of CMR by Heart Failure physicians has been slow, particularly in the United States. In the current health care climate, routine use of a new imaging modality like CMR requires evidence for direct additive impact on clinical management. Methods This was a single-center registry from an academic medical center in the United States. The first 200 patients from a newly established CMR program were enrolled. All procedures were performed using standardized SCMR-recommended protocols on 1.5T and 3T scanners and interpreted by a Level 3 reader. Definitions for “significant clinical impact” of CMR were pre-defined and were collected directly from medical records and/or from patients. Categories of clinical impact included: new diagnosis, medication change, hospital admission/ discharge, as well as performance or avoidance of invasive procedures (angiography, revascularization, device therapy or biopsy).
1
Division of Cardiology, University of Illinois at Chicago, Chicago, IL, USA Full list of author information is available at the end of the article
Results No complications occurred and image quality was good in 96% of cases. Overall, 36% (n=75) of referrals were for assessment of cardiomyopathy (ejection fraction
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