Figure 9.
Stress perfusion cardiac magnetic resonance (CMR) imaging obtained after 3 minutes of adenosine demonstrating hypoperfusion to the anterior and anteroseptal walls (top left), followed by normal rest perfusion imaging 10 minutes later (top right). The 4 chamber view late gadolinium enhancement image demonstrates a thin apex and no enhancement (lower left). The stress perfusion CMR thus demonstrated ischemia and at cardiac catheterization the patient had three vessel disease involving his ramus, first obtuse-maginal and left anterior descending.