Abnormal T2 mapping cardiovascular magnetic resonance correlates with adverse clinical outcome in patients with suspected acute myocarditis

Autor: Maximilian Spieker, Sebastian Haberkorn, Mareike Gastl, Patrick Behm, Stratis Katsianos, Patrick Horn, Christoph Jacoby, Bernhard Schnackenburg, Petra Reinecke, Malte Kelm, Ralf Westenfeld, Florian Bönner
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of Cardiovascular Magnetic Resonance, Vol 19, Iss 1, Pp 1-9 (2017)
Druh dokumentu: article
ISSN: 1532-429X
DOI: 10.1186/s12968-017-0350-x
Popis: Abstract Background While most patients recover from suspected acute myocarditis (sAMC) some develop progressive disease with 5-year mortality up to 20%. Recently, parametric Cardiovascular Magnetic Resonance (CMR) approaches, quantifying native T1 and T2 relaxation time, have demonstrated the ability to increase diagnostic accuracy. However, prognostic implications of T2 values in this cohort are unknown. The purpose of the study was to investigate the prognostic relevance of elevated CMR T2 values in patients with sAMC. Methods and Results We carried out a prospective study in 46 patients with sAMC defined by current ESC recommendations. A combined endpoint was defined by the occurrence of at least one major adverse cardiac event (MACE) and hospitalisation for heart failure. Event rate was 24% (n = 11) for 1-year-MACE and hospitalisation. A follow-up after 11 ± 7 months was performed in 98% of the patients. Global T2 values were significantly increased at acute stage of disease compared to controls and decreased over time. During acute disease, elevated global T2 time (odds ratio 6.3, p 80 ms (odds ratio 4.9, p
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