European cardiovascular magnetic resonance (EuroCMR) registry - Multi national results from 57 centers in 15 countries

Background: the eurocmr registry sought to evaluate indications,image quality,safety and impact on patient management of clinical routine cmr in a multi-national european setting. furthermore,interim analysis of the specific protocols should underscore the prognostic potential of cmr. methods: multi-center registry with consecutive enrolment of patients in 57 centers in 15 countries. more than 27000 consecutive patients were enrolled. results: the most important indications were risk stratification in suspected cad/ischemia (34.2%),workup of myocarditis/cardiomyopathies (32.2%),as well as assessment of viability (14.6%). image quality was diagnostic in more than 98% of cases. severe complications occurred in 0.026%,always associated with stress testing. no patient died during or due to cmr. in 61.8% cmr findings impacted on patient management. importantly,in nearly 8.7% the final diagnosis based on cmr was different to the diagnosis before cmr,leading to a complete change in management. interim analysis of suspected cad and risk stratification in hcm specific protocols revealed a low rate of adverse events for suspected cad patients with normal stress cmr (1.0% per year),and for hcm patients without lge (2.7% per year). conclusion: the most important indications in europe are risk stratification in suspected cad/ischemia,work-up of myocarditis and cardiomyopathies,as well as assessment of viability. cmr imaging is a safe procedure,has diagnostic image quality in more than 98% of cases,and its results have strong impact on patient management. interim analyses of the specific protocols underscore the prognostic value of clinical routine cmr in cad and hcm. © 2013 bruder et al.