ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
Safety and T
Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
8 authors.
Funding
Abstract
backgroundFerumoxytol, an intravenous iron supplement that can be used off-label as a contrast agent in cardiovascular magnetic resonance (CMR), has been proposed to enhance the amplitude and dynamic range of myocardial T
methodsSeventy-two participants (ischemic heart disease [IHD]: N = 44, healthy: N = 28) underwent FE-CMR under continuous hemodynamic monitoring. All IHD patients underwent clinically indicated regadenoson stress cardiac positron emission tomography (PET) between 6 days and 31 weeks before FE-CMR. Ferumoxytol was administered in cumulative doses of 3.0 or 4.0 mg/kg, followed by regadenoson. Hemodynamic responses were compared with gadobutrol alone and with regadenoson alone. Post-contrast T
resultsNo severe or life-threatening adverse events occurred. Five patients had mild symptoms. One study was terminated early due to moderate hypotension. Post-ferumoxytol MAP increased slightly (0.1%-3.4%) at rest, without statistical significance. MAP decreased modestly post-regadenoson (-5.3 to -2.8%; all P<0.05). HR remained stable after ferumoxytol administration at rest and increased transiently after regadenoson, consistent with its pharmacologic effect. Unlike the modest MAP increase with ferumoxytol at rest, gadobutrol produced minor MAP decreases (-2.1 to -0.8%), with no significant between-agent differences. FE-T
conclusionsRegadenoson stress FE-CMR is well tolerated. Hemodynamic changes from combined ferumoxytol and regadenoson were small in magnitude and generally not clinically significant. Relative to healthy myocardium, blunted responses were observed in remote, ischemic, and infarcted tissues. Despite early promise, FE-T
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