WJCD  Vol.4 No.10 , September 2014
Myopericarditis: Physiopathological Consideration and Image Diagnosis—A Case Report
ABSTRACT
Myocarditis is a disease whose diagnosis is based on the detection of inflammation. It is usually made by the finding of myocardium damage markers (usually troponin and CPK). Inflammation can also be detected in image tests. However, the low sensitivity and specificity of echocardiogram (which can be performed as a routine) make it less useful. We present a case in which the diagnosis was made by image (Cardiac Magnetic Resonance) which helped to clarify the evolution and the prognosis. The aim of this case is to show the importance of image technics in the diagnosis of myocarditis, while biomarkers alone can underestimate the inflammation and therefore the risk.

Cite this paper
de Dios, S. , Jurado, A. and Fernandez, J. (2014) Myopericarditis: Physiopathological Consideration and Image Diagnosis—A Case Report. World Journal of Cardiovascular Diseases, 4, 510-512. doi: 10.4236/wjcd.2014.410061.
References
[1]   Masek, K. and Levis, T. (2013) ECG Diagnosis: Acute Pericarditis. The Permanente Journal, 17, Article ID: e146.

[2]   Scott, P.A., Rosengarten, J.A., Curzen, N.P. and Morgan, J.M. (2013) Late Gadolinium Enhancement Cardiac Magnetic Resonance Imaging for the Prediction of Ventricular Tachyarrhythmic Events: A Meta-Analysis. European Journal of Heart Failure, 15, 1019-1027.
http://dx.doi.org/10.1093/eurjhf/hft053

[3]   Kuruvilla, S., Adenaw, N., Katwal, A.B., Lipinski, M.J., Kramer, C.M. and Salerno, M. (2014) Late Gadolinium Enhancement on Cardiac Magnetic Resonance Predicts Adverse Cardiovascular Outcomes in Nonischemic Cardiomyopathy: A Systematic Review and Meta-Analysis. Circulation: Cardiovascular Imaging, 7, 250-258.
http://dx.doi.org/10.1161/CIRCIMAGING.113.001144

[4]   Leurent, G. (2010) Management and Prognosis of Myopericarditis. International Journal of Cardiology, 141, 192.
http://dx.doi.org/10.1016/j.ijcard.2008.11.065

[5]   Ariyarajah, V., Jassal, D.S., Kikpatrick, I. and Kwong, R.Y. (2009) The Utility of Cardiovascular Magnetic Resonance in Contrictive Pericardial Disease. Cardiology in Review, 17, 77-82.
http://dx.doi.org/10.1097/CRD.0b013e318197e950

[6]   Hoffmann, E., Alcamisi, G.P., Finazzo, M. and Midiri, M. (1998) The Role of Nuclear Magnetic Resonance in the Diagnosis of Pericardial Disease. Cardiologia, 43, 581-587.

 
 
Top