Multimodality imaging approach in the diagnosis of chronic myocarditis with preserved left ventricular ejection fraction (MCpEF): The role of 2D speckle-tracking echocardiography

Kasner, Margaret; Aleksandrov, Aleksandar; Escher, Felicitas; Al-Saadi, Nidal; Makowski, Moritz; Spillmann, Frank; Genger, Martin; Schultheiss, Heinz‐Peter; Kühl, Uwe; Pieske, Burkert; Morris, Daniel A.; Noutsias, Michel; Tschöpe, Carsten

doi:10.1016/j.ijcard.2017.05.038

Cited by 43 publications

(42 citation statements)

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“…Several studies demonstrated that STE could demonstrate a reduced segmental wall contractility even in patients with normal systolic function . However, in our study, there was no significant difference in STE values between patients with systolic dysfunction and those with normal EF.…”

Section: Discussioncontrasting

confidence: 90%

The assessment of treatment outcomes in patients with acute viral myocarditis by speckle tracking and tissue Doppler methods

et al. 2019

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Objectives The aim was to evaluate the role of tissue Doppler imaging (TDI) and speckle tracking echocardiography (STE), to identify myocardial dysfunction, and to evaluate myocardial segmental deformation in acute viral myocarditis. Methods Twenty‐one patients and twelve healthy children were studied prospectively. The TDI and STE were performed before and after treatment. The myocardial velocities (Sm, Em, and Am) and time intervals (isovolumic contraction, isovolumic relaxation, and ejection times [ET]) at interventricular septum (IVS), left, and right ventricular basal segments were examined by TDI. The left ventricular global longitudinal strain (LVGLS) and strain rate (LVGLSR), left ventricular global circumferential strain (LVGCS) and strain rate (LVGCSR), and right ventricular global longitudinal strain (RVGLS) and strain rate (RVGLSR) were examined by STE. Results Sm and Em at IVS and at LV, ET at IVS, ET at RV, ET at LV were significantly lower in patients before treatment than controls. LVGLS, LVGLSR, LVGCS, LVGCSR, RVGLS, RVGLSR were significantly decreased in patients before treatment than controls. There was significant improvement for LVGLS, LVGLSR, LVGCS, LVGCSR, and RVGLS in patients after treatment. Sm, Em, and Am at LV were significantly lower in patients before treatment than in patients after treatment. In spite of improvements, Sm, Em, and ET at IVS, LVGLS, LVGLSR, LVGCS, LVGCSR were significantly lower in patients after treatment than controls. Conclusions The TDI and STE were useful methods for detection of early myocardial dysfunction and evaluation of treatment outcomes in acute viral myocarditis.

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Section: Discussioncontrasting

confidence: 90%

The assessment of treatment outcomes in patients with acute viral myocarditis by speckle tracking and tissue Doppler methods

et al. 2019

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“…3). In patients with biopsy-proven myocarditis, global longitudinal strain (longitudinal shortening as a percentage), which provides an accurate assessment of regional contractility, is significantly impaired compared with patients without inflammation 151 .…”

Section: Diagnosis Screening and Prevention Diagnosismentioning

confidence: 99%

“…However, the sensitivity of cardiac MRI to detect inflammation in DCM is low because inflammation is scarce at this stage of the disease process. The best method to confirm the presence of an inflammatory infiltrate in DCM is histology and/or immunohistology 151 . In addition, cardiac MRI cannot detect the presence of virus in the myocardium 151 .…”

Section: Diagnosis Screening and Prevention Diagnosismentioning

confidence: 99%

“…The best method to confirm the presence of an inflammatory infiltrate in DCM is histology and/or immunohistology 151 . In addition, cardiac MRI cannot detect the presence of virus in the myocardium 151 . Future multicentre prospective studies are needed to confirm the role of cardiac MRI in the prognostic stratification of DCM.…”

Section: Diagnosis Screening and Prevention Diagnosismentioning

confidence: 99%

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Dilated cardiomyopathy

Schultheiss

Fairweather

Caforio

et al. 2019

Nat Rev Dis Primers

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381

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“…In patients with biopsy-proven myocardial in lammation, global longitudinal strain rate and global longitudinal strain are signi icantly impaired compared with patients without in lammation, regardless of conventional echocardiographic parameters. Therefore, this technique has a higher sensitivity in the detection of mild myocardial damage in patients with preserved LVEF [21,82].…”

Section: Imaging Techniquesmentioning

confidence: 99%

Cardiomyopathies - The special entity of myocarditis and inflammatory cardiomyopathy

Escher¹,

Kühl²,

Laßner³

et al. 2019

J Cardiol Cardiovasc Med

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Multimodality imaging approach in the diagnosis of chronic myocarditis with preserved left ventricular ejection fraction (MCpEF): The role of 2D speckle-tracking echocardiography

Cited by 43 publications

References 42 publications

The assessment of treatment outcomes in patients with acute viral myocarditis by speckle tracking and tissue Doppler methods

The assessment of treatment outcomes in patients with acute viral myocarditis by speckle tracking and tissue Doppler methods

Dilated cardiomyopathy

Cardiomyopathies - The special entity of myocarditis and inflammatory cardiomyopathy

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