Volume 14, Issue 6 pp. 1166-1175
REVIEW ARTICLE

Pharmacologic stress cardiovascular magnetic resonance in the pediatric population: A review of the literature, proposed protocol, and two examples in patients with Kawasaki disease

Munes Fares MD

Munes Fares MD

Division of Pediatric Cardiology, UH Rainbow Babies & Children’s Hospital, Cleveland, Ohio

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Paul J. Critser MD, PhD

Paul J. Critser MD, PhD

Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

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Maria J. Arruda MD

Maria J. Arruda MD

Division of Pediatric Cardiology, UH Rainbow Babies & Children’s Hospital, Cleveland, Ohio

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Carolyn M. Wilhelm MD

Carolyn M. Wilhelm MD

Division of Pediatric Cardiology, UH Rainbow Babies & Children’s Hospital, Cleveland, Ohio

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Mantosh S. Rattan MD

Mantosh S. Rattan MD

Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

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Sean M. Lang MD

Sean M. Lang MD

Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

Faculty of Medicine, Heart Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio

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Tarek Alsaied MD, MSc

Corresponding Author

Tarek Alsaied MD, MSc

Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

Faculty of Medicine, Heart Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio

Correspondence

Tarek Alsaied, Faculty of Medicine, Heart Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati, MLC 2003, 3333 Burnet Avenue, Cincinnati, OH 45229-3039.

Email: [email protected]

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First published: 09 September 2019
Citations: 3

Abstract

Pharmacologic stress cardiovascular magnetic resonance (PSCMR) is a well-established and reliable diagnostic tool for evaluation of coronary artery disease in the adult population. Stress imaging overall and PSCMR in particular is less utilized in the pediatric population with limited reported data. In this review, we highlight the potential use of PSCMR in specific pediatric cohorts with congenital and acquired heart disease, and we review the reported experience. A suggested protocol is presented in addition to two case examples of patients with Kawasaki disease where PSCMR aided decision making.

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