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Figure 1 Examples of abnormal adenosine cardiac magnetic resonance studies demonstrate the ability to detect ischemia in the absence of infarction and peri-infarct ischemia. The top row shows results from a 67-year-old female with no prior coronary artery disease (CAD), no evidence of myocardial infarction (MI), and an inferoseptal to inferolateral perfusion defect (arrows). The bottom row summarizes results from a 56-year-old female with a history of coronary artery bypass graft surgery (h/o CABG), silent micro-inferior myocardial infarction (MI) (black arrow), and a more extensive inferior to inferolateral perfusion defect (white arrows). Both patients had significant coronary stenoses and required revascularization. DE = delayed enhancement; Perf = perfusion.
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