Chronic Coronary Syndrome
Conditions
Brief summary
Patients will undergo quantitative perfusion assessment in cardiovascular magnetic resonance imaging (dual bolus or dual sequence approach) as well as invasive coronary angiography for assessment of fractional flow reserve (FFR) including assessment of coronary flow reserve (CFR) and microcirculatory resistance (IMR).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* clinical indication for vasodilatator CMR or invasive coronar angiography * capability to give informed consent
Exclusion criteria
* general: non-compliance, \<18 years of age, pregnancy * contraindications for CMR (non-CMR compatible device, chronic kidney disease (eGFR \<30ml/min), allergies (medications)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quantitative Perfusion | assessment of CMR and invasive data within 24hours | Correlation of myocardial blood flow and perfusion reserve in CMR with invasively dervived fractional flow reserve (FFR), coronary flow reserve (CFR) and microcirculatory resistance (IMR) |
| Dual bolus vs dual sequence | assessment of CMR and invasive data within 24hours | Compare both CMR-derived quantitative perfusion for prediction of FFR/CFR/IMR |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Strain | baseline CMR data | Correlation of segmental perfusion and myocardial strain |
| Tissue characterisation | baseline CMR data | Correlation of segmental perfusion and T1/T2/ECV/LGE |
| Cardiovascular Hospitalisation (CVH) | 12 months | CVH within 12 months |
Countries
Germany