Cardiovascular magnetic resonance real time exercise stress testing in heart failure with preserved ejection fraction (HFpEF-stress-DZHK17)
Inclusion criteria- adult patients with dyspnoea under stress
- echocardiographic criteria for diastolic dysfunction (E/E'>8) and clinical indication for right heart catheterisation
Exclusion criteria- arrhythmia (brady- or tachycardic)
bronchial asthma (allergic)
incompliant patient
pacemaker
- ICD
- non MRI-capable devices
inability to use the ergometer in the MRI
haemodynamic relevant valvular heart disease
pulmonary disease (vital capacity or forced expiratory flow <80% of healthy control)
angina pectoris
post cardiac infarction
anaemia (Hb <12 g/dl)
uncontrollable hypertension (>150 mmHg systolic or >100 mmHg diastolic)
age <18 years
pregnancy
claustrophobia
renal insufficiency
allergic to gadolinium based contrast agents