CARDIAC MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS OF ACUTE MYOCARDITIS: A CLINICAL CASE AND A REVIEW OF LITERATURE
https://doi.org/10.20862/0042-4676-2014-0-5-54-59
Abstract
The clinical manifestations of myocarditis are extremely variable and it may commonly manifest as acute myocardial infarction. The diagnosis of acute myocarditis is frequently empiric and substantiated by the clinical picture of the disease, ECG changes, elevated enzyme levels, and the lack of any data on coronary heart disease. Until recently, endomyocardial biopsy has been considered to be the most accurate diagnostic method. However, endomyocardial biopsy has a low sensitivity and is associated with the high risk of complications.
This paper describes a clinical case of a patient with cardialgias occurring after acute respiratory viral disease, with ST segment elevation, and higher levels of cardiospecific enzymes. The diagnosis of myocarditis was verified by contrast-enhanced cardiac magnetic resonance imaging.
About the Authors
O. M. Larina
Federal Center of Treatment and Rehabilitation, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, Radiologist
Ivan’kovskoe shosse, 3, Moscow, 125367
E. A. Mershina
Federal Center of Treatment and Rehabilitation, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, Head of Department of Tomography
Ivan’kovskoe shosse, 3, Moscow, 125367
V. E. Sinitsyn
Federal Center of Treatment and Rehabilitation, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, DSc, Professor, Director
Ivan’kovskoe shosse, 3, Moscow, 125367
D. A. Andreev
A.I. Burnazyan Federal Medical Biophysical Center, Federal Medical-and-Biological Agency of Russia
Russian Federation
Russian Federation
MD, PhD, Cardiologist
ul. Zhivopisnaya, 46, Moscow, 123182
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Review
For citations:
Larina O.M., Mershina E.A., Sinitsyn V.E., Andreev D.A. CARDIAC MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS OF ACUTE MYOCARDITIS: A CLINICAL CASE AND A REVIEW OF LITERATURE. Journal of radiology and nuclear medicine. 2014;(5):54-59. (In Russ.) https://doi.org/10.20862/0042-4676-2014-0-5-54-59
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