ArticleClinical research in cardiology : official journal of the German Cardiac Society2010
Diagnosis of early myocarditis after respiratory or gastrointestinal tract viral infection: insights from cardiovascular magnetic resonance.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Review
- Update on Myocarditis: From Etiology and Clinical Picture to Modern Diagnostics and Methods of Treatment.Diagnostics (Basel, Switzerland) · 2023Review
- Cardiovascular Magnetic Resonance in Myocarditis.Diagnostics (Basel, Switzerland) · 2022Review
- SARS-CoV-2 Myocarditis in a High School Athlete after COVID-19 and Its Implications for Clearance for Sports.Children (Basel, Switzerland) · 2021Article
- T2-weighted cardiac magnetic resonance image and myocardial biomarker in hypertrophic cardiomyopathy.Medicine · 2020Observational
- Assessment of edema using STIR+ via 3D cardiovascular magnetic resonance imaging in patients with suspected myocarditis.Magma (New York, N.Y.) · 2017Article
- Patients with exercise-associated ventricular ectopy present evidence of myocarditis.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2015Article
- Cardiac cystic echinococcosis: a long-term follow-up case report.Clinical research in cardiology : official journal of the German Cardiac Society · 2013Article
- Diagnosis of viral myocarditis by cardiac magnetic resonance and viral genome detection in peripheral blood.The international journal of cardiovascular imaging · 2013Article
- Electrocardiographic findings and myocardial damage in acute myocarditis detected by cardiac magnetic resonance.Clinical research in cardiology : official journal of the German Cardiac Society · 2012Article
- Evidence of myocardial edema in patients with nonischemic dilated cardiomyopathy.Clinical cardiology · 2012Article
- Severe involvement of pulmonary arteries in Takayasu arteritis: magnetic resonance imaging.Clinical research in cardiology : official journal of the German Cardiac Society · 2011Article
- Non-compaction cardiomyopathy of the left ventricle diagnosed by cardiac magnetic resonance in a 2-generation family.Clinical research in cardiology : official journal of the German Cardiac Society · 2010Article
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6 authors.
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Abstract
backgroundThe diagnosis of myocarditis continues to be a challenging task in clinical practice. The purpose of our study was to investigate cardiovascular magnetic resonance imaging in the diagnostic workup of ambulatory patients with the suspicion of early myocarditis after respiratory or gastrointestinal tract viral infection. The need for accurate diagnosis of early myocarditis arises from the low diagnostic accuracy of routine clinical tests.
methodsWe examined 67 consecutive patients with symptoms of weakness, palpitations, and fatigue after respiratory or gastrointestinal tract infection. We compared these patients to 31 controls. ECG-triggered, T2-weighted, fast-spin-echo triple inversion recovery sequences and delayed enhancement imaging were obtained in all patients, as well as functional parameters of left ventricular function and dimensions. In addition, in 25 patients and 10 controls, ECG-triggered, T1-weighted, multi-slice spin-echo images were obtained in axial orientation.
resultsWe found a significant difference between patients with suspected myocarditis and controls in T2-global myocardial signal intensity. In addition, the ratio of global myocardial signal intensity/muscle signal intensity was 2.3 ± 0.4 in patients and 1.8 ± 0.3 in controls, which was highly significant (p < 0.001). In 23 patients, a pathological late enhancement pattern was seen, but only in one of the controls. There was no significant difference in T1-signal parameters.
conclusionCardiovascular magnetic resonance technique is able to detect early myocardial involvement after respiratory or gastrointestinal tract infection.
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