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.