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NCT03231189Completed

Cardiac MRI in Front Line for the Diagnosis of Coronary Artery Disease as the Etiology of Left Ventricular Dysfunction

Prospective Multicentric Study for the Diagnostic Performance of CArdiac MAgnetic REsonance Imaging Used First for the Diagnosis of Coronary Artery Disease as the Etiology of Left Ventricular Dysfunction

Source: ClinicalTrials.gov · Last updated 27 Aug 2025

Brief summary (registry, in English)

When a patient is newly diagnosed of systolic dysfunction without obvious etiology (such as rhythmic, ischemic, or valvular disease), most of the time a coronary angiography is performed. In this situation, the investigators aim to evaluate a strategy with CMR as the front line exam, and invasive coronary angiography performed only in case of ischemic scar on CMR Additionally, a secondary analysis of the collected CMR images will be performed by the MIRACL.AI core lab (AP-HP, Paris) using artificial intelligence (AI) algorithms. This analysis aims to enhance the diagnostic accuracy of coronary artery disease (CAD) detection in patients with reduced left ventricular ejection fraction (rLVEF).

Status (registry)
Completed
Study type
Observational
Enrollment
415 (actual)
First submitted
27 Jun 2017
Start date
15 May 2018
Primary completion date
28 Apr 2021
Lead sponsor
Assistance Publique - Hôpitaux de Paris
NCT number
NCT03231189

What you commit to

  • Study type: Observational
  • Participants enrolled: 415
  • From 15 May 2018 to the primary completion date, 28 Apr 2021
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Known significant coronary artery stenosis (history of myocardial infarction or coronary artery stenosis).
  • Formal indication for coronary angiography other than LV dysfunction (typical angina, acute coronary syndrome, …).
  • Other contraindication for CMR (severe allergy to gadolinium known), or coronary artery angiography.

Lab values

  • First diagnosis of LVEF dysfunction \> 8 weeks.

Other

  • Obvious etiology for LV dysfunction (valvular, rhythmic…).
  • Pregnancy or breastfeeding.
  • Non covered patient by the social security, the CMU
  • Patients under guardianship, or unable to give consent

Who the study is looking for

  • Age ≥ 18 years
  • Left Ventricular Ejection Fraction ≤ 45% on transthoracic echocardiography
  • Informed signed consent
  • Patient having had a preliminary clinical examination

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Hôpital Bichat - Claude-Bernard
Coordinator of this site? Confirm its status
ParisFranceUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.