PMID- 30315606 OWN - NLM STAT- MEDLINE DCOM- 20190405 LR - 20190405 IS - 1540-8175 (Electronic) IS - 0742-2822 (Linking) VI - 35 IP - 12 DP - 2018 Dec TI - Left ventricular endocardial longitudinal dysfunction persists after acute myocarditis with preserved ejection fraction. PG - 1966-1973 LID - 10.1111/echo.14156 [doi] AB - BACKGROUND: The aim of present study was to assess left ventricular (LV) myocardial deformation and changes over time in patients with acute myocarditis (AM) with preserved ejection fraction detected by late gadolinium enhancement (LGE) magnetic resonance imaging. METHODS: Thirty-five male patients with AM diagnoses and preserved systolic function based on cardiac magnetic resonance imaging (MRI) were prospectively enrolled. On admission, echocardiography with measurements of global and segmental longitudinal (LS) strains was performed both at the endocardial (ENDO) and epicardial (EPI) levels. Findings were compared to 25 control subjects. Twenty-six patients were also monitored over a 22-month follow-up (FU group). RESULTS: On admission, global ENDO-LS was poorer in magnitude in AM (-19.2 +/- 3.1) than in controls (-24.0 +/- 1.05) (P < 0.0001), whereas EPI-LS was not different (-20.6 +/- 3.4 vs -19.7 +/- 6 P = NS). A functional increase in magnitude in both ENDO-LS (-20.8 +/- 5.4, P = NS) and EPI-LS (-22.6 +/- 4.6, P = 0.02) was found in FU vs AM patients. CONCLUSIONS: The present study demonstrates a steady ENDO-LS impairment in infarct-like AM during a 2-year follow-up period, despite a preserved LV ejection fraction. CI - (c) 2018 Wiley Periodicals, Inc. FAU - Di Bella, Gianluca AU - Di Bella G AUID- ORCID: 0000-0001-8933-9884 AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. FAU - Carerj, Scipione AU - Carerj S AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. FAU - Recupero, Antonino AU - Recupero A AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. FAU - Donato, Rocco AU - Donato R AD - Department of Radiological Science, University of Messina, Messina, Italy. FAU - Pugliatti, Pietro AU - Pugliatti P AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. FAU - Falanga, Gabriella AU - Falanga G AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. FAU - Pedri, Stefano AU - Pedri S AD - Esaote-Italy, Florence, Italy. FAU - Vizzari, Giampiero AU - Vizzari G AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. FAU - Campisi, Mariapaola AU - Campisi M AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. FAU - Zito, Concetta AU - Zito C AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. FAU - de Gregorio, Cesare AU - de Gregorio C AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. LA - eng PT - Journal Article DEP - 20181012 PL - United States TA - Echocardiography JT - Echocardiography (Mount Kisco, N.Y.) JID - 8511187 SB - IM MH - Acute Disease MH - Adult MH - Disease Progression MH - Echocardiography, Doppler, Pulsed MH - Endocardium/*diagnostic imaging MH - Follow-Up Studies MH - Heart Ventricles/*diagnostic imaging/physiopathology MH - Humans MH - Magnetic Resonance Imaging, Cine MH - Male MH - Myocarditis/*complications/diagnosis/physiopathology MH - Retrospective Studies MH - Stroke Volume/*physiology MH - Time Factors MH - Ventricular Dysfunction, Left/diagnosis/etiology/*physiopathology MH - Ventricular Function, Left/*physiology OTO - NOTNLM OT - acute myocarditis OT - cardiac magnetic resonance OT - chronic myocarditis OT - strain echocardiography EDAT- 2018/10/14 06:00 MHDA- 2019/04/06 06:00 CRDT- 2018/10/14 06:00 PHST- 2018/08/27 00:00 [received] PHST- 2018/09/12 00:00 [accepted] PHST- 2018/10/14 06:00 [pubmed] PHST- 2019/04/06 06:00 [medline] PHST- 2018/10/14 06:00 [entrez] AID - 10.1111/echo.14156 [doi] PST - ppublish SO - Echocardiography. 2018 Dec;35(12):1966-1973. doi: 10.1111/echo.14156. Epub 2018 Oct 12.