医学
内科学
心脏病学
冠状动脉疾病
磁共振成像
射血分数
心肌炎
心脏磁共振成像
血管病学
放射科
心脏成像
一致性
心力衰竭
作者
Yohann Bohbot,Théo Pezel,Ahmet Demirkıran,Emmanuel Androulakis,Golnaz Houshmand,Liliána Szabó,Robert Manka,Simona Botezatu,José F. Rodríguez Palomares,Tor Biering‐Sørensen,Tomaž Podlesnikar,Marc R Dweck
出处
期刊:European Journal of Echocardiography
[Oxford University Press]
日期:2024-04-03
标识
DOI:10.1093/ehjci/jeae092
摘要
To assess the current role of cardiac imaging in the diagnosis, management, and follow-up of patients with acute myocarditis (AM) through an European Association of Cardiovascular Imaging survey.A total of 412 volunteers from 74 countries responded to the survey. Most participants worked in tertiary centres(56%). All participants had access to echocardiography, while 79% and 75% had access to cardiac computed tomography (CCTA) and cardiac magnetic resonance (CMR), respectively. Less than half(47%) had access to myocardial biopsy and only 5% used this test routinely. CMR was performed within 7 days of presentation in 73% of cases. Non-ischemic late gadolinium enhancement (LGE,88%) and high-signal intensity in T2-weighted images(74%) were the most used diagnostic criteria for AM. CCTA was preferred to coronary angiography by 47% of participants to exclude coronary artery disease. Systematic prescription of beta-blockers and ACEi was reported by 38% and 32% of participants. Around a quarter of participants declared considering LGE burden as a reason to treat. Most participants (90%) reported performing a follow-up echocardiogram, while 63% scheduled a follow-up CMR. The main reason for treatment discontinuation was improvement of left ventricular ejection fraction(89%), followed by LGE regression(60%). In two-thirds of participants the decision to resume high-intensity sport was influenced by residual LGE.This survey confirms the high utilization of cardiac imaging in AM, but reveals major differences in how cardiac imaging is used and how the condition is managed between centres, underlining the need for recommendation statements in this topic.
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