{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:54:01Z","timestamp":1787018041009,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Identifying patients with chronic coronary syndrome who will benefit most from a coronary revascularization strategy is essential. Data on the performance of stress cardiac magnetic resonance (CMR) to guide revascularization are limited. To assess the long-term prognostic impact of stress CMR-guided revascularization strategy to predict all-cause death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>We conducted an observational study including all consecutive patients who underwent stress CMR for suspected or known chronic coronary syndrome in 3 centers in France. CMR-guided coronary revascularization was defined as any revascularization performed within 90 days following stress CMR. The primary outcome was all-cause death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      A total of 50\u2009701 patients were included (mean age, 64\u00b112 years; 68.5% men). After a median follow-up of 7.2 years (interquartile range, 3.0\u201311.0), 3665 (7.2%) patients died. Among the 7396 patients with ischemia, 6523 (88%) underwent revascularization. Ischemia and late gadolinium enhancement (LGE) without viability were independent predictors of death (adjusted hazard ratio, 3.67 [99.5% CI, 3.15\u20134.27] and adjusted hazard ratio, 1.26 [99.5% CI, 1.10\u20131.44], respectively;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001 for both). CMR-guided revascularization was an independent predictor of improved survival in the overall population (adjusted hazard ratio, 0.30 [99.5% CI, 0.25\u20130.36]). In a 1:1 propensity-matched cohort of 1700 patients, CMR-guided revascularization remained independently associated with a lower incidence of death (adjusted hazard ratio, 0.37 [99.5% CI, 0.28\u20130.50];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). This beneficial effect was observed in patients without LGE or with LGE and viability (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001 for both), but not in those with LGE without viability (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.23).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>In this registry of consecutive patients with chronic coronary syndrome from 3 centers, stress CMR-guided revascularization was associated with a lower rate of death. The combined assessment of inducible myocardial ischemia and LGE may help to select patients most suitable for revascularization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/circinterventions.125.015765","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T10:00:11Z","timestamp":1769680811000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Stress Perfusion CMR Imaging-Guided Management and Prognosis in Patients With Suspected Coronary Heart Disease"],"prefix":"10.1161","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9279-4220","authenticated-orcid":true,"given":"Antonin","family":"Trimaille","sequence":"first","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, Ho\u0302pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301, Massy, France (A.T., P.G., F.S., T.H., S.D., S.C., T.U., M.A., A.N., E.G., J.G., T.P.)."},{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., T.G., A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"MIRACL.ai laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., S.T., T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Department of Cardiovascular Medicine, Nouvel H\u00f4pital Civil, Strasbourg University Hospital, France (A.T., O.M.)."},{"name":"UR 3074, Translational Cardiovascular Medicine, CRBS, University of Strasbourg, France (A.T., O.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8960-7006","authenticated-orcid":true,"given":"Philippe","family":"Garot","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, Ho\u0302pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301, Massy, France (A.T., P.G., F.S., T.H., S.D., S.C., T.U., M.A., A.N., E.G., J.G., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9967-0044","authenticated-orcid":true,"given":"Solenn","family":"Toupin","sequence":"additional","affiliation":[{"name":"MIRACL.ai laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., S.T., T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2127-5778","authenticated-orcid":true,"given":"Francesca","family":"Sanguineti","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, Ho\u0302pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301, Massy, France (A.T., P.G., F.S., T.H., S.D., S.C., T.U., M.A., A.N., E.G., J.G., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Hovasse","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, Ho\u0302pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301, Massy, France (A.T., P.G., F.S., T.H., S.D., S.C., T.U., M.A., A.N., E.G., J.G., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8440-4974","authenticated-orcid":true,"given":"Suzanne","family":"Duhamel","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, Ho\u0302pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301, Massy, France (A.T., P.G., F.S., T.H., S.D., S.C., T.U., M.A., A.N., E.G., J.G., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7431-6305","authenticated-orcid":true,"given":"Ste\u0301phane","family":"Champagne","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, Ho\u0302pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301, Massy, France (A.T., P.G., F.S., T.H., S.D., S.C., T.U., M.A., A.N., E.G., J.G., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4810-3159","authenticated-orcid":true,"given":"Thierry","family":"Unterseeh","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, Ho\u0302pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301, Massy, France (A.T., P.G., F.S., T.H., S.D., S.C., T.U., M.A., A.N., E.G., J.G., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2957-5655","authenticated-orcid":true,"given":"Mariama","family":"Akodad","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, Ho\u0302pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301, Massy, France (A.T., P.G., F.S., T.H., S.D., S.C., T.U., M.A., A.N., E.G., J.G., 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J.G.D., P.H., T.P.)."},{"name":"Inserm MASCOT - UMRS 942, University Hospital of Lariboisiere, Paris, France (T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Department of Cardiology, University of Medicine and Pharmacy Craiova, Romania (A.S.A.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7045-6909","authenticated-orcid":true,"given":"Alexandre","family":"Unger","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., T.G., A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"MIRACL.ai laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., S.T., T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Inserm MASCOT - UMRS 942, University Hospital of Lariboisiere, Paris, France (T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Department of Cardiology, H\u00f4pital universitaire de Bruxelles, H\u00f4pital Erasme, Universit\u00e9 libre de Bruxelles, Belgium (A.U.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6440-562X","authenticated-orcid":true,"given":"Jeremy","family":"Florence","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., T.G., A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"MIRACL.ai laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., S.T., T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Inserm MASCOT - UMRS 942, University Hospital of Lariboisiere, Paris, France (T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Gall","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, Ho\u0302pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301, Massy, France (A.T., P.G., F.S., T.H., S.D., S.C., T.U., M.A., A.N., E.G., J.G., T.P.)."},{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., T.G., A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"MIRACL.ai laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., S.T., T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Inserm MASCOT - UMRS 942, University Hospital of Lariboisiere, Paris, France (T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8301-624X","authenticated-orcid":true,"given":"Paul-Jun","family":"Martial","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., T.G., A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"MIRACL.ai laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., S.T., T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Inserm MASCOT - UMRS 942, University Hospital of Lariboisiere, Paris, France (T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Pfeffer","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., T.G., A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"MIRACL.ai laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., S.T., T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Inserm MASCOT - UMRS 942, University Hospital of Lariboisiere, Paris, France (T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4724-7946","authenticated-orcid":true,"given":"Elena Sofia","family":"Canuti","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., T.G., A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"MIRACL.ai laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., S.T., T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Inserm MASCOT - UMRS 942, University Hospital of Lariboisiere, Paris, France (T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7464-741X","authenticated-orcid":true,"given":"Aicha","family":"Kante","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., T.G., A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"MIRACL.ai laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.T., S.T., T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Inserm MASCOT - UMRS 942, University Hospital of Lariboisiere, Paris, France (T.G.\u0327, A.S.A., A.U., J.F., E.G., P.-J.M., A.P., E.S.C., A.K., M.S., J.G.D., P.H., T.P.)."},{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Internal Medecine, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), France (A.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6780-4643","authenticated-orcid":true,"given":"Manveer","family":"Singh","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Department of Cardiology, University 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