Myocarditis echocardiography: Difference between revisions
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==Echocardiography== | ==Echocardiography== | ||
Echocardiographic findings in myocardits include:<ref name="pmid10898439">{{cite journal| author=Felker GM, Boehmer JP, Hruban RH, Hutchins GM, Kasper EK, Baughman KL et al.| title=Echocardiographic findings in fulminant and acute myocarditis. | journal=J Am Coll Cardiol | year= 2000 | volume= 36 | issue= 1 | pages= 227-32 | pmid=10898439 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10898439 }} </ref><ref name="pmid3400607">{{cite journal| author=Pinamonti B, Alberti E, Cigalotto A, Dreas L, Salvi A, Silvestri F et al.| title=Echocardiographic findings in myocarditis. | journal=Am J Cardiol | year= 1988 | volume= 62 | issue= 4 | pages= 285-91 | pmid=3400607 | doi= | pmc= | url= }} </ref><ref name="pmid8296760">{{cite journal| author=James KB, Lee K, Thomas JD, Hobbs RE, Rincon G, Bott-Silverman C et al.| title=Left ventricular diastolic dysfunction in lymphocytic myocarditis as assessed by Doppler echocardiography. | journal=Am J Cardiol | year= 1994 | volume= 73 | issue= 4 | pages= 282-5 | pmid=8296760 | doi= | pmc= | url= }} </ref><ref name="pmid8682119">{{cite journal| author=Lieback E, Hardouin I, Meyer R, Bellach J, Hetzer R| title=Clinical value of echocardiographic tissue characterization in the diagnosis of myocarditis. | journal=Eur Heart J | year= 1996 | volume= 17 | issue= 1 | pages= 135-42 | pmid=8682119 | doi= | pmc= | url= }} </ref> | Cardiac function may be monitored via serial echocardiograms. In general, [[left ventricular function]] improves in fulminant myocarditis over a course of approximately 6 months. Echocardiographic findings in myocardits include:<ref name="pmid10898439">{{cite journal| author=Felker GM, Boehmer JP, Hruban RH, Hutchins GM, Kasper EK, Baughman KL et al.| title=Echocardiographic findings in fulminant and acute myocarditis. | journal=J Am Coll Cardiol | year= 2000 | volume= 36 | issue= 1 | pages= 227-32 | pmid=10898439 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10898439 }} </ref><ref name="pmid3400607">{{cite journal| author=Pinamonti B, Alberti E, Cigalotto A, Dreas L, Salvi A, Silvestri F et al.| title=Echocardiographic findings in myocarditis. | journal=Am J Cardiol | year= 1988 | volume= 62 | issue= 4 | pages= 285-91 | pmid=3400607 | doi= | pmc= | url= }} </ref><ref name="pmid8296760">{{cite journal| author=James KB, Lee K, Thomas JD, Hobbs RE, Rincon G, Bott-Silverman C et al.| title=Left ventricular diastolic dysfunction in lymphocytic myocarditis as assessed by Doppler echocardiography. | journal=Am J Cardiol | year= 1994 | volume= 73 | issue= 4 | pages= 282-5 | pmid=8296760 | doi= | pmc= | url= }} </ref><ref name="pmid8682119">{{cite journal| author=Lieback E, Hardouin I, Meyer R, Bellach J, Hetzer R| title=Clinical value of echocardiographic tissue characterization in the diagnosis of myocarditis. | journal=Eur Heart J | year= 1996 | volume= 17 | issue= 1 | pages= 135-42 | pmid=8682119 | doi= | pmc= | url= }} </ref> | ||
*Wall motion abnormalities | *Wall motion abnormalities | ||
*[[Systolic dysfunction]] | *[[Systolic dysfunction]] | ||
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*Changes in image texture on echocardiogram, i.e. increase in brightness, heterogeneity, and contrast | *Changes in image texture on echocardiogram, i.e. increase in brightness, heterogeneity, and contrast | ||
*[[Pericardial effusion]] may be noted in few patients | *[[Pericardial effusion]] may be noted in few patients | ||
*Functional regurgitation through the AV valves may be noted due to [[ventricular dilation]] | *Functional regurgitation through the AV valves may be noted due to [[ventricular dilation]] | ||
===Fulminant Versus Acute Myocarditis on Echocardiography=== | ===Fulminant Versus Acute Myocarditis on Echocardiography=== | ||
Revision as of 14:41, 8 October 2015
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Myocarditis echocardiography On the Web |
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American Roentgen Ray Society Images of Myocarditis echocardiography |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-In-Chief: Varun Kumar M.B.B.S.; Maliha Shakil, M.D. [2]
Overview
Echocardiography in patients with myocarditis allows for serial assessment of left ventricular dysfunction, and can be used to distinguish fulminant (non-dilated hypocontractile left ventricle with thick interventricular septum) from acute myocarditis (dilated hypocontractile left ventricle with normal interventricular septum)[1].
Echocardiography
Cardiac function may be monitored via serial echocardiograms. In general, left ventricular function improves in fulminant myocarditis over a course of approximately 6 months. Echocardiographic findings in myocardits include:[1][2][3][4]
- Wall motion abnormalities
- Systolic dysfunction
- Diastolic dysfunction
- Changes in image texture on echocardiogram, i.e. increase in brightness, heterogeneity, and contrast
- Pericardial effusion may be noted in few patients
- Functional regurgitation through the AV valves may be noted due to ventricular dilation
Fulminant Versus Acute Myocarditis on Echocardiography
Fulminant myocarditis appears as a non-dilated, thickened and hypocontractile left ventricle with increased septal thickness while, acute myocarditis is associated with marked left ventricular dilation, normal septal thickness and decreased ventricular function[1].
References
- ↑ 1.0 1.1 1.2 Felker GM, Boehmer JP, Hruban RH, Hutchins GM, Kasper EK, Baughman KL; et al. (2000). "Echocardiographic findings in fulminant and acute myocarditis". J Am Coll Cardiol. 36 (1): 227–32. PMID 10898439. Unknown parameter
|http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=ignored (help) - ↑ Pinamonti B, Alberti E, Cigalotto A, Dreas L, Salvi A, Silvestri F; et al. (1988). "Echocardiographic findings in myocarditis". Am J Cardiol. 62 (4): 285–91. PMID 3400607.
- ↑ James KB, Lee K, Thomas JD, Hobbs RE, Rincon G, Bott-Silverman C; et al. (1994). "Left ventricular diastolic dysfunction in lymphocytic myocarditis as assessed by Doppler echocardiography". Am J Cardiol. 73 (4): 282–5. PMID 8296760.
- ↑ Lieback E, Hardouin I, Meyer R, Bellach J, Hetzer R (1996). "Clinical value of echocardiographic tissue characterization in the diagnosis of myocarditis". Eur Heart J. 17 (1): 135–42. PMID 8682119.