Table 1.

Comparison between European and American guidelines regarding the use of stress CMR.

	Recommendation for the use of stress CMR	Class (Level)
European Guidelines Knuuti et al. (2) ESC Guidelines for the diagnosis and management of chronic coronary syndromes.	All non-invasive functional stress testing including Stress echocardiography, SPECT and Stress CMR, are recommended as the initial test to diagnose CAD in symptomatic patients.	I (B)
American Guidelines Fihn et al. (3)	Pharmacological stress with CMR can be useful for patients with an intermediate to high pretest probability of obstructive CAD.	II (B)
ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart diseases.	Exercise stress with nuclear imaging or echocardiography is recommended for patients with an intermediate to high pretest probability of obstructive CAD.	I (B)