Acute myocarditis: can novel echocardiographic techniques assist with diagnosis?

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology
Luis AfonsoVipin Khetarpal

Abstract

Two-dimensional echocardiography has historically played a limited role in the diagnosis of acute myocarditis because of a lack of specific diagnostic features. The emergence of novel echocardiographic modalities such as strain and myocardial perfusion imaging have greatly augmented the scope of echocardiography, permitting the assessment of myocardial contractility, blood flow, and microvascular integrity. However, the application of these cutting-edge techniques in the diagnosis of acute myocarditis is still at a nascent stage. We present a case of acute myocarditis where echo-based strain imaging/mapping and real-time myocardial contrast echocardiography enabled the detection of regional contractile and perfusion abnormalities, not otherwise apparent with conventional echocardiography. These findings and the final diagnosis were later confirmed by cardiac magnetic resonance imaging. This case highlights the potential utility of novel echocardiographic techniques in the diagnostic workup of acute myocarditis and underscores the need for prospective studies to assess the sensitivity and specificity of these newer technologies. To our knowledge, this is the first report of a multimodality echocardiographic approach towards the ...Continue Reading

References

Jun 19, 2003·Nuclear Medicine Communications·Y SunE E Van Der Wall
Sep 29, 2004·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Marina LeitmanZvi Vered
Dec 20, 2005·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·L AgatiUNKNOWN A.M.I.C.I. Investigators
May 1, 2007·International Journal of Cardiology·Gianluca Di BellaScipione Carerj
Dec 19, 2008·Cardiology in Review·Katarina H NelsonLuis Afonso
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Apr 25, 2009·Journal of the American College of Cardiology·Matthias G FriedrichUNKNOWN International Consensus Group on Cardiovascular Magnetic Resonance in Myocarditis
Jul 25, 2009·The New England Journal of Medicine·John R Kapoor

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Citations

Mar 25, 2015·Case Reports in Hepatology·M PremkumarBadal Kumar
Nov 29, 2017·The International Journal of Cardiovascular Imaging·Marina LeitmanLaurian Copel

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