DISCORDANCE study V1.0

  • Research type

    Research Study

  • Full title

    Diagnostic accuracy in left ventricular systolic dysfunction for identifying coronary artery disease with dobutamine versus adenosine non-invasive stress cardiac magnetic resonance evaluation

  • IRAS ID

    252718

  • Contact name

    Jayanth Arnold

  • Contact email

    jra14@le.ac.uk

  • Sponsor organisation

    University of Leicester

  • Duration of Study in the UK

    2 years, 0 months, 0 days

  • Research summary

    Heart failure is a condition where the heart cannot pump blood effectively. It makes people feel tired, breathless and develop swollen limbs. It is associated with a high risk of disability and death. There are several different conditions that can cause heart failure and it is important to identify the cause because this can affect the treatment needed. One of the best tests to find the cause of heart failure is a cardiac MRI stress test, which is a scan that thoroughly looks at the heart. During a cardiac MRI stress test, for a short time the heart is made to work a little harder by injecting a medication. This allows us to objectively assess how the heart functions during increased activity. There are several different medicines that may be used to “stress” patients’ hearts. But in patients with heart failure, it is unclear which of these medicines is most effective. This could lead to a missed or wrong diagnosis. In this study we will compare two cardiac stress test medicines – adenosine and dobutamine – in 100 patients with heart failure. This will help us decide which is the best medicine and may prevent missed or wrongful diagnoses in the future.

  • REC name

    South Central - Oxford C Research Ethics Committee

  • REC reference

    18/SC/0540

  • Date of REC Opinion

    1 Oct 2018

  • REC opinion

    Further Information Favourable Opinion