Fig. 2

Examples of inducible ischemia on stress CMR in patients without prior CAD. a fifty-three-year-old female without prior CAD but with diabetes, dyslipidemia and hypertension. Stress CMR revealed no perfusion defect and no LGE, excluding the diagnosis of CAD. b Fifty-eight-year-old female without prior CAD but with diabetes and obesity referred for atypical chest pain. Stress CMR showed a subendocardial perfusion defect on the anteroseptal wall on first-pass perfusion images (white arrows) without myocardial scar on LGE, indicative of myocardial ischemia. Coronary angiography revealed a high-grade stenosis of the LAD. c Seventy-one-year-old male without prior CAD but with diabetes, hypertension and heredity referred for atypical chest pain. Stress CMR showed a transmural anteroseptal MI on LGE (orange arrows) without perfusion defect, therefore no ischemia. Coronary angiography confirmed the chronic occlusion of the LAD and the absence of other significant stenosis. CAD coronary artery disease, LAD left anterior descending, LGE late gadolinium enhancement, RCA right coronary artery