Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2005;58:753-5 - Vol. 58 Num.06 DOI: 10.1016/S1885-5857(06)60258-2

Diagnosis of Acute Myocarditis by Contrast-Enhanced Cardiac Magnetic Resonance Imaging

Asier Subinas a, Irene Rilo a, Iñaki Lekuona a, Sonia Velasco a, José Alejandro Larena b, Eva Laraudogoitia a

a Servicio de Cardiología, Hospital de Galdakao, Vizcaya, Spain.
b Servicio de Resonancia Magnética, OSATEK, Hospital de Galdakao, Vizcaya, Spain.

Keywords

Myocarditis. Magnetic resonance imaging. Coronary syndrome.

Abstract

Myocarditis is defined as an inflammatory process of the heart muscle. The symptoms are often nonspecific, and it can mimic acute coronary syndrome. Although the majority of patients recover fully, in some cases myocarditis can lead to dilated cardiomyopathy and even death. Available diagnostic tools are unsatisfactory and there is a need to develop noninvasive techniques that can aid diagnosis, prognosis, and follow-up. Contrast-enhanced magnetic resonance imaging is a valuable tool for the evaluation of inflammatory heart diseases such as myocarditis. We describe a 39-year-old man presenting in the emergency department with chest pain, ST segment elevation and elevated cardiac enzymes, who was treated initially with thrombolysis. Coronary angiography showed normal coronary arteries. Magnetic resonance imaging showed focally delayed uptake of gadolinium with a patchy pattern typical of myocarditis.

1885-5857/© 2005 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

Cookies
x
To improve our services and products, we use cookies (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.
Cookies policy
x
To improve our services and products, we use cookies (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.