Approximation of the incidence of myocarditis by systematic screening with cardiac magnetic resonance imaging
JACC: Heart Failure Jun 30, 2018
Patriki D, et al. - In this retrospective chart review, researchers investigated if patients who present with angina-like symptoms, elevated troponin T, and no significant coronary artery disease are screened with cardiac magnetic resonance imaging (CMR), it will provide an approximation of the true incidence of myocarditis. They found a 6.3-fold increase in the occurrence of myocarditis in their hospital after using a novel diagnostic screening algorithm. The diagnostic value of this method was further supported by the observation that the percentage of CMRs positive for myocarditis doubled as a result of its use. In patients with angina-like symptoms and elevated high-sensitivity troponin T after exclusion of coronary artery disease, a low threshold was recommended for the use of CMR when the potentially lethal adverse events of untreated myocarditis were considered.
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