Myocarditis echocardiography: Difference between revisions
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*Cardiac function may be monitored via serial echocardiograms. In general, [[left ventricular function]] improves in fulminant myocarditis over a course of approximately 6 months<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>. | *Cardiac function may be monitored via serial echocardiograms. In general, [[left ventricular function]] improves in fulminant myocarditis over a course of approximately 6 months<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>. | ||
==Fulminant Versus Acute Myocarditis on Echocardiography== | ===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<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>. | 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<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>. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Cardiology]] | |||
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[[Category:Up-To-Date cardiology]] | |||
[[Category:Signs and symptoms]] | |||
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Revision as of 14:30, 10 January 2013
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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.
Overview
Echocardiography in patients with myocarditis allows for serial assessment of left ventricular dysfunction[1], 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
Echocardiographic findings in myocardits include:
- Wall motion abnormalities[2].
- Systolic dysfunction[2][3].
- Diastolic dysfunction[4].
- Changes in image texture on echocardiogram, i.e. increase in brightness, heterogeneity, and contrast[5].
- Pericardial effusion may be noted in few patients.
- Functional regurgitation through the AV valves may be noted due to ventricular dilation.
- Cardiac function may be monitored via serial echocardiograms. In general, left ventricular function improves in fulminant myocarditis over a course of approximately 6 months[1].
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 1.3 Felker GM, Boehmer JP, Hruban RH, Hutchins GM, Kasper EK, Baughman KL; et al. (2000). ; "Echocardiographic findings in fulminant and acute myocarditis" Check
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value (help). J Am Coll Cardiol. 36 (1): 227–32. PMID 10898439. - ↑ 2.0 2.1 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.
- ↑ Nieminen MS, Heikkilä J, Karjalainen J (1984). "Echocardiography in acute infectious myocarditis: relation to clinical and electrocardiographic findings". Am J Cardiol. 53 (9): 1331–7. PMID 6711435.
- ↑ 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.