Patients with acute myocarditis and preserved systolic left ventricular function: comparison of global and regional longitudinal strain imaging by echocardiography with quantification of late gadolinium enhancement by CMR

URN zum Zitieren dieses Dokuments:

urn:nbn:de:bvb:355-epub-459901 Copy

DOI zum Zitieren dieses Dokuments:

10.5283/epub.45990 Copy

Meindl, Christine ; Paulus, Michael ; Poschenrieder, Florian ; Zeman, Florian ; Maier, Lars S. ; Debl, Kurt

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Lizenz: Creative Commons Namensnennung 4.0 International PDF - Veröffentlichte Version (1MB)

Veröffentlichungsdatum dieses Volltextes: 15 Jun 2021 05:08

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Diese Publikation ist Teil des DEAL-Vertrags mit Springer.

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Details

Dokumentenart:	Artikel
Open Access Art:	DEAL (Springer)
Titel eines Journals oder einer Zeitschrift:	Clinical Research in Cardiology
Verlag:	SPRINGER HEIDELBERG
Ort der Veröffentlichung:	HEIDELBERG
Band:	110
Seitenbereich:	S. 1792-1800
Datum:	4 Juni 2021
Institutionen:	Medizin > Lehrstuhl für Innere Medizin II Medizin > Lehrstuhl für Röntgendiagnostik Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identifikationsnummer:	Wert Typ 10.1007/s00392-021-01885-0 DOI
Stichwörter / Keywords:	CARDIOVASCULAR MAGNETIC-RESONANCE; SPECKLE-TRACKING ECHOCARDIOGRAPHY; CARDIAC MR; DIAGNOSIS; DEFORMATION; INFARCTION; PATTERNS; SOCIETY; ADULTS; Myocarditis; CMR; Speckle tracking; Regional longitudinal strain
Dewey-Dezimal-Klassifikation:	600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
Status:	Veröffentlicht
Begutachtet:	Ja, diese Version wurde begutachtet
An der Universität Regensburg entstanden:	Ja
Dokumenten-ID:	45990

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Zusammenfassung

Background Conventional transthoracic echocardiography (TTE) does often not accurately reveal pathologies in patients with acute myocarditis and preserved left ventricular ejection fraction (LVEEF). Therefore, we investigated the diagnostic value of two-dimensional (2D) speckle tracking echocardiography compared to late gadolinium enhancement (LGE) by cardiac magnetic resonance (CMR) imaging in ...

Zusammenfassung

Background Conventional transthoracic echocardiography (TTE) does often not accurately reveal pathologies in patients with acute myocarditis and preserved left ventricular ejection fraction (LVEEF). Therefore, we investigated the diagnostic value of two-dimensional (2D) speckle tracking echocardiography compared to late gadolinium enhancement (LGE) by cardiac magnetic resonance (CMR) imaging in patients with acute myocarditis and normal global LVEF. Methods and results 31 patients (group 1) with the diagnosis of acute myocarditis confirmed by CMR according to the Lake Louise criteria and 20 healthy controls (group 2) were analyzed including global longitudinal strain (GLS) and regional longitudinal strain (RLS) derived by the bull's eye plot. Although preserved LVEF was present in both groups, GLS was significantly lower in patients with acute myocarditis (group 1: GLS - 19.1 +/- 1.8% vs. group 2: GLS - 22.1 +/- 1.7%, p < 0.001). Compared to controls, lower RLS values were detected predominantly in the lateral, inferolateral, and inferior segments in patients with acute myocarditis. Additionally RLS values were significantly lower in segments without LGE. Conclusion In patients with acute myocarditis and preserved LVEF, a significant reduction of GLS compared to healthy subjects was detected. Further RLS adds important information to the localization and extent of myocardial injury. [GRAPHICS] .

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