Table 1.
Advantages | Disadvantages |
Cheaper than CMR scan | Cannot acquire SAX views easily - needed to calculate circumferential strain |
Can be performed at the bedside | Cannot routinely obtain stress imaging as part of acquisition protocol |
Short duration: 10-20 min for STE vs 45-60 min for CMR | Not possible to ascertain infarct size, oedema, microvascular obstruction |
Significant contraindications for CMR - for example, pacemaker/ICD, brain aneurysmal clip, claustrophobia, eGFR < 30 mL/min per 1.73 m2 - vs almost none for STE | CMR has much higher spatial resolution than STE. Consequently, a greater percentage of images are analysable by CMR than STE |
CMR: Cardiac magnetic resonance imaging; eGFR: Estimated glomerular filtration rate; ICD: Insertable cardioverter defibrillator; SAX: Short axis; STE: Speckle-tracking echocardiography.