Clinical features, Cardiac magnetic resonance imaging findings and outcome of patients with suspected myocarditis
Myocarditis is largely underdiagnosed due to subclinical symptoms and non-availability of diagnostic techniques necessitating high index of suspicion and early disease identification. This study aimed to assess the clinical presentation, cardiac magnetic resonance (CMR) imaging findings and prognos...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Pakistan Medical Association
2021-07-01
|
| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/277 |
| _version_ | 1797820637906993152 |
|---|---|
| author | Salik Ur Rehman Iqbal Fateh Ali Tipoo Sultan |
| author_facet | Salik Ur Rehman Iqbal Fateh Ali Tipoo Sultan |
| author_sort | Salik Ur Rehman Iqbal |
| collection | DOAJ |
| description |
Myocarditis is largely underdiagnosed due to subclinical symptoms and non-availability of diagnostic techniques necessitating high index of suspicion and early disease identification. This study aimed to assess the clinical presentation, cardiac magnetic resonance (CMR) imaging findings and prognosis of these patients. After reviewing the CMR data of Aga Khan University Hospital from January 2011 to December 2019, a total of 24 patients were included with the confirmed diagnosis of myocarditis on CMR. Mean age was 33.4 +15 years with the majority (58%) being male.
Dyspnea (n = 15, 62%) was the commonest symptom followed by chest pain (n = 13, 54%). On echocardiogram, 55% showed LV dysfunction. Common CMR findings were late gadolinium enhancement (n=18, 75%) and bright T2 signals (n=11, 45%). With a mean follow-up of 3.6 + 2.0 years, one patient died of non-cardiac cause. More than half (60%) had resolution of LV dysfunction suggesting favorable prognosis.
Continuous...
|
| first_indexed | 2024-03-13T09:41:12Z |
| format | Article |
| id | doaj.art-1c2999f35faa4d0ca224f6f3720eeaa6 |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:41:12Z |
| publishDate | 2021-07-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-1c2999f35faa4d0ca224f6f3720eeaa62023-05-25T04:24:25ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822021-07-01711010.47391/JPMA.02-277Clinical features, Cardiac magnetic resonance imaging findings and outcome of patients with suspected myocarditisSalik Ur Rehman Iqbal0Fateh Ali Tipoo Sultan1Department of Medicine, Aga Khan University Hospital, Karachi, PakistanDepartment of Medicine, Aga Khan University Hospital, Karachi, Pakistan Myocarditis is largely underdiagnosed due to subclinical symptoms and non-availability of diagnostic techniques necessitating high index of suspicion and early disease identification. This study aimed to assess the clinical presentation, cardiac magnetic resonance (CMR) imaging findings and prognosis of these patients. After reviewing the CMR data of Aga Khan University Hospital from January 2011 to December 2019, a total of 24 patients were included with the confirmed diagnosis of myocarditis on CMR. Mean age was 33.4 +15 years with the majority (58%) being male. Dyspnea (n = 15, 62%) was the commonest symptom followed by chest pain (n = 13, 54%). On echocardiogram, 55% showed LV dysfunction. Common CMR findings were late gadolinium enhancement (n=18, 75%) and bright T2 signals (n=11, 45%). With a mean follow-up of 3.6 + 2.0 years, one patient died of non-cardiac cause. More than half (60%) had resolution of LV dysfunction suggesting favorable prognosis. Continuous... https://www.ojs.jpma.org.pk/index.php/public_html/article/view/277 |
| spellingShingle | Salik Ur Rehman Iqbal Fateh Ali Tipoo Sultan Clinical features, Cardiac magnetic resonance imaging findings and outcome of patients with suspected myocarditis Journal of the Pakistan Medical Association |
| title | Clinical features, Cardiac magnetic resonance imaging findings and outcome of patients with suspected myocarditis |
| title_full | Clinical features, Cardiac magnetic resonance imaging findings and outcome of patients with suspected myocarditis |
| title_fullStr | Clinical features, Cardiac magnetic resonance imaging findings and outcome of patients with suspected myocarditis |
| title_full_unstemmed | Clinical features, Cardiac magnetic resonance imaging findings and outcome of patients with suspected myocarditis |
| title_short | Clinical features, Cardiac magnetic resonance imaging findings and outcome of patients with suspected myocarditis |
| title_sort | clinical features cardiac magnetic resonance imaging findings and outcome of patients with suspected myocarditis |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/277 |
| work_keys_str_mv | AT salikurrehmaniqbal clinicalfeaturescardiacmagneticresonanceimagingfindingsandoutcomeofpatientswithsuspectedmyocarditis AT fatehalitipoosultan clinicalfeaturescardiacmagneticresonanceimagingfindingsandoutcomeofpatientswithsuspectedmyocarditis |