This forum provides a practical overview of performing adenosine stress perfusion CMR, covering patient preparation and safety, step-by-step imaging acquisition, and strategies to overcome common challenges to ensure high-quality studies. It highlights measurable properties, associated challenges, and emerging techniques for improving quantitative cardiac imaging. Furthermore, it outlines common challenges in cardiac MRI (such as arrhythmias, breath-holding difficulties, and implanted device) and explores both technical and practical strategies, including software solutions, acceleration techniques, and sequence optimisation, to improve imaging outcomes.