P29 Cardiovascular magnetic resonance is vital in the management of cardiology inpatients. (21st September 2022) - Hampal, Rumneek
Abstract : Objective: Cardiovascular Magnetic Resonance (CMR) is a highly versatile imaging modality, indicated in the assessment of most common cardiac presentations. The EuroCMR registry showed that CMR impacts patient management in the majority of cases but did not specifically investigate inpatients. In this single UK tertiary centre study, we reviewed the impact of CMR on inpatient management. Methods: Inpatients who had a CMR scan between June-December 2021 were identified. Data collected included demographics, indication for CMR, CMR findings and whether patient management changed following the result. Results: There were 169 patients included within the study period – 66% were male, mean age was 57.1 years. Primary indications for CMR included assessment of cardiomyopathies (53% patients), myocardial viability (17%) and ischaemia (12%). Inpatient CMR led to a complete change in diagnosis in 29% patients. The commonest diagnosis post-CMR was ischaemic heart disease (IHD) (34%). Non-ischaemic left ventricular dysfunction was found in 23% scans, cardiomyopathy was detected in 12% and myocarditis was diagnosed in 11%. Of note, 19 patients (11%) had a normal scan. CMR changed patient management in 80% cases. This included medication changes, further procedures (e.g.CRT/ICD) or hospital discharge. In 6 cases, invasive coronary angiography was not performed due to the CMR result. CMR was non-diagnostic in 5 (3%) cases. Conclusion: In this single tertiary centre study we found that CMR impacted upon clinical management 80% of the time. CMR is a vital tool in the management of cardiology inpatients particularly in the assessment of IHD, heart failure, cardiomyopathy and myocarditis.