Here is the detailed tweetorial on this debate. Predominantly the first part in favor of stress #whyCMR.

Follow along.

❤️did you know that the FFR was validated with ETT/SPECT/DSE in 45 patients only?
❤️ we use 0.8 instead of 0.75?

#SCMR2021 https://twitter.com/purviparwani/status/1362510397715083265
#SCMR2021
🧲 data showing CMR is as good if not better than SPECT.
🧲 #whyCMR also better with risk stratification with available prognostic data

FFR - binary
Stress CMR perfusion imaging with gradient of imaging severity
MR-INFORM #whyCMR

🧲 CMR is excellent gatekeeper for cardiac Cath
🧲 it led to decrease in Cath/ PCI without any difference in clinical outcomes compared to FFR

#SCMR2021
Stress CMR can offer
🧲 rapid CMT sequence establish efficient workflow
🧲 no radiation
🧲 noninvasive nature( less risky compared to the FFR)
🧲 diagnostic accuracy and prognostic implication

#SCMR2021
When asked about #Ischemia & role of CCT
#SCMR2021
Dr. Greenwood said
1.Ischemia nt designed to test imaging modalities
2.Promise data~10K population with quite heterogeneity in study arm( should hv worked in favor of CT)didn’t show any diff. in outcomes
3. MVD can be missed.
@ColinBerryMD on use of #FFR
#CardioTwitter
#SCMR2021

🩸 FFR indicates lesion level ischemia
🩸 FFR indices such as PPG predict PCI success
🩸 adjunct guide wire techniques such as IMR/CFR permit stratified medicine use in INOCA

@DBelardoMD @DrMarthaGulati
You can follow @purviparwani.
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