RESUMO
Cardiovascular disease (CVD) represents the main cause of death in the world. According to the World Health Organization (WHO), its prevalence is estimated to increase considering the high prevalence of cardiovascular risk factors. In Peru, CVD remains the second cause of death in general population. Ischemia represents a strong predictor of future adverse events such as myocardial infarction and cardiovascular death. Accurate detection of ischemia exerts a pivotal role in the diagnostic strategy of patients with suspected coronary disease. Stress magnetic resonance is a non-invasive diagnostic tool, that offers advantage over other diagnostic techniques, considering that possesses high spatial resolution and no radiation exposure. Its diagnostic precision for detecting coronary artery disease (CAD) is high, in addition of its prognostic value in patients with suspicion of CAD.In this review we will describe how cardiac magnetic resonance with pharmacologic stress is performed in order to detect ischemia. We will also discuss the diagnostic and prognostic values of this tool in patients with suspicion of CAD.