Clinical evaluation of myocardial involvement in acute myopericarditis in young adults

Sarıçam, Ersin; Saglam, Yasemin; Hazırolan, Tuncay

doi:10.1186/s12872-017-0564-8

Cited by 15 publications

(22 citation statements)

References 30 publications

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“…Focal echobright is defined as local enhancement of echogenicity seen on 2‐dimensional echocardiography. It has been reported to be a distinctive feature only for the acute phase of myocarditis 1 . Indeed, at the 6‐month follow‐up, we did not see this phenomenon anymore.…”

Section: Introductioncontrasting

confidence: 61%

“…It has been reported to be a distinctive feature only for the acute phase of myocarditis. 1 Indeed, at the 6-month follow-up, we did not see this phenomenon anymore. Furthermore, we found that the detection of a reduced GLS value, regional disturbances of segmental myocardial strain, and diminished values of both GLS and GCS in the epicardial layer could help to diagnose myocarditis.…”

Section: Introductionmentioning

confidence: 72%

“…A variety of clinical scenarios makes the diagnosis of myocarditis a clinical challenge. 1 Among the various imaging techniques, echocardiography plays an important role in the diagnostic process, 2 and the analysis of myocardial strain may be helpful. 3 In this case report, we highlight the usefulness of echocardiography in the diagnosis of myocarditis in a young man after sudden cardiac arrest.…”

Section: Introductionmentioning

confidence: 99%

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The usefulness of echocardiography in the diagnosis of myocarditis in a young man after sudden cardiac arrest

2021

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The diagnosis of acute myocarditis (AM) remains challenging because of its diverse clinical manifestations. Thus, a wide range of diagnostic tests may be warranted.Although cardiac magnetic resonance (CMR) is the preferred imaging technique, it may not be applicable in the acute AM phase. Our case report highlights the usefulness and diagnostic accuracy of echocardiographic examination. In the first 2-dimensional echocardiography, the focal echobright was presented. A reduced value of global longitudinal strain and regional disturbances of segmental myocardial strain, both longitudinal and circumferential, in the epicardial layer, were detected with a good correlation with CMR results.

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Section: Introductioncontrasting

confidence: 61%

Section: Introductionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

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The usefulness of echocardiography in the diagnosis of myocarditis in a young man after sudden cardiac arrest

2021

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“…14 Echocardiographic involvement was accepted as pericardial effusion or focal perimyocardial echo bright appearance. 15…”

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confidence: 99%

Laboratory and Imaging Evaluation of Cardiac Involvement in Patients with Post-Acute COVID-19

Sarıçam¹,

Dursun²,

Sarıyıldız³

et al. 2021

IJGM

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Background In the post-acute COVID-19 syndrome, many patients suffer from palpitations, effort-associated fatigue, and even sudden death. The mechanism of heart involvement in this syndrome is uncertain. The main purpose of the study was to identify possible cardiac involvement causes in patients with post-acute COVID-19 by using biomarkers such as NT-proBNP and nitric oxide (NO) and cardiac imaging modalities. Methods In this cross-sectional study, a total of 105 participants were included according to the existence of symptoms, and 40 of these participants were asymptomatic patients. The ages of the participants ranged from 20 to 50 years. All patients were healthy before COVID-19. The symptoms were defined as palpitations and/or fatigue association with exercise in post-acute COVID-19 term. The comparison of the two groups was made by using biochemical parameters (NT-proBNP, Troponin I, NO) and imaging techniques (echocardiography, cardiovascular magnetic resonance (CMR) and cardiac positron emission tomography (PET)). Results The symptomatic patients had higher NT-proBNP levels compared with asymptomatic patients (132.30±35.15; 76.86±16.79, respectively; p < 0.001). Interestingly, the symptomatic patients had lower NO levels than asymptomatic patients (9.20±3.08; 16.15±6.02, respectively; p < 0.001). Echocardiography and CMR were normal. However, we found regional increased 18F-FDG uptake on cardiac PET to be compatible with myocardial fatigue. Conclusion We found elevated NT-proNBP levels, low serum NO levels, and increased 18F-FDG uptake on cardiac PET in post-acute COVID syndrome. Cardiac PET could replace or be added to CMR for detecting subtle subacute/chronic myocarditis. The follow-up of patients with post-acute COVID-19 could target the possibility of risk of heart failure.

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“…It is likely that the typical clinical presentations of myocardial infarction, such as chest pain, ST-segment elevation and incremental serum markers, appear in patients diagnosed with myocarditis [11]. In one study of clinically suspected cases, about a quarter of patients had reduced LVEF, sustained ventricular arrhythmias or symptoms of low cardiac output [12]. When the pericardium is involved, as in myopericarditis, chest pain with features similar to pericarditis will arise.…”

Section: Introductionmentioning

confidence: 99%

High Level of Suspicion Based on Detailed Medical History and Focused Physical Examination: Important Tool to Diagnose Acute Myocarditis

Lahoud¹

2021

Clin Med Rev Case Rep

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The present study describes the case of a 39-year-old man who had acute retrosternal pain, history of upper tract infection and low-grade fever 3 days prior to presentation, elevated cardiac markers and electrocardiographic ST-T changes, which led to an original suspicion of acute myocarditis. The patient underwent coronary angiography after 36 hours to rule out coronary artery disease, which revealed normal coronary arteries. Finally, the diagnosis of viral myocarditis was confirmed on consideration of his normal coronary angiography, fever, history of upper tract infection and other auxiliary examination results obtained in the following days, which were supportive of the diagnosis. The patient was managed using NSAID, colchicine, betablocker and angiotensin converting enzymes inhibitors and was discharged 4 days later. Viral myocarditis is a common disease with a variable natural history. It remains challenging for doctors to differentiate between acute myocarditis and myocardial infarction, particularly in the early stages. A diagnosis of myocarditis should be made on the basis of synthetic evaluation of the evidence, including medical history, clinical presentation and results of the available auxiliary tests, in order to provide guidelines for treatment.A series of investigations were subsequently performed in the ER. The results of the cardiac enzyme tests disclosed that the troponin I (TnI) level was significantly elevated, up to 583.2 pg/ml and CPK 523 IU/L and CPK-MB 17.47 ng/ml. Of note were the signs of ST-segment elevations in leads V2, V3 and V4 on the electrocardiogram (ECG) (Figure 1). A chest X-ray showed a normal heart size and mild markings in the lungs, with no clear indication of substantive lesion. An echocardiogram showed that the patient's heart functioned normally with an ejection fraction of

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Clinical evaluation of myocardial involvement in acute myopericarditis in young adults

Cited by 15 publications

References 30 publications

The usefulness of echocardiography in the diagnosis of myocarditis in a young man after sudden cardiac arrest

The usefulness of echocardiography in the diagnosis of myocarditis in a young man after sudden cardiac arrest

Laboratory and Imaging Evaluation of Cardiac Involvement in Patients with Post-Acute COVID-19

High Level of Suspicion Based on Detailed Medical History and Focused Physical Examination: Important Tool to Diagnose Acute Myocarditis

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