PMID- 31982265 OWN - NLM STAT- MEDLINE DCOM- 20200826 LR - 20210602 IS - 2174-2049 (Electronic) IS - 2174-2049 (Linking) VI - 38 IP - 11 DP - 2019 Nov TI - Myocardial deformation measures by cardiac magnetic resonance tissue tracking in myocarditis: Relationship with systolic function and myocardial damage. PG - 767-776 LID - S0870-2551(20)30001-9 [pii] LID - 10.1016/j.repc.2019.01.008 [doi] AB - INTRODUCTION AND OBJECTIVES: Cardiac magnetic resonance (CMR)-based tissue tracking (TT) enables quantification of myocardial deformation and may be used as an objective measure of myocardial involvement in myocarditis. The aims of this study were to characterize myocardial deformation alterations in myocarditis and to determine their relationship with the extent of late gadolinium enhancement (LGE), regional wall motion abnormalities (WMA) and left ventricular ejection fraction (LVEF). METHODS: A single-center, retrospective study was conducted by identifying patients with clinically suspected myocarditis who underwent CMR between 2012 and 2016. The myocardial deformation parameters were derived by TT and correlated with LVEF, LGE and WMA, through Spearman's coefficient. RESULTS: A cohort of 78 patients with myocarditis (aged 42.7+/-17.2 years) were included. CMR characteristics including morphologic parameters (LVEF 52.1+/-12.8%), extent of WMA (29.3+/-41.0%) and of LGE (30.5+/-21.8%) were assessed. Significant correlations were found between all deformation parameters (strain, strain rate, velocity and displacement) and both LVEF and extent of WMA. LGE was significantly correlated with systolic radial strain (r: -0.32, p=0.004), strain rate (r: -0.27, p=0.017) and displacement (r: -0.32, p=0.004) as well as systolic circumferential strain (r: 0.28, p=0.013). CONCLUSION: Deformation parameters are an objective method for quantification of myocardial function in myocarditis. They correlate with LVEF, extent of WMA and degree of myocardial damage. Further studies are needed to assess their incremental beneficial value for the diagnosis and risk stratification of myocarditis. CI - Copyright (c) 2020 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Ruivo, Catarina AU - Ruivo C AD - Cardiology Department, Leiria Hospital Center, Portugal; Cardiology Department, Vila Nova de Gaia Hospital Center, Portugal. Electronic address: catarinaruivo10@gmail.com. FAU - Vilela, Eduardo M AU - Vilela EM AD - Cardiology Department, Vila Nova de Gaia Hospital Center, Portugal. FAU - Ladeiras-Lopes, Ricardo AU - Ladeiras-Lopes R AD - Cardiology Department, Vila Nova de Gaia Hospital Center, Portugal. FAU - Faria, Rita AU - Faria R AD - Cardiology Department, Vila Nova de Gaia Hospital Center, Portugal. FAU - Ferreira, Nuno AU - Ferreira N AD - Cardiology Department, Vila Nova de Gaia Hospital Center, Portugal. FAU - Ribeiro, Vasco Gama AU - Ribeiro VG AD - Cardiology Department, Vila Nova de Gaia Hospital Center, Portugal. LA - eng LA - por PT - Journal Article DEP - 20200122 PL - Spain TA - Rev Port Cardiol (Engl Ed) JT - Revista portuguesa de cardiologia JID - 101770878 SB - IM CIN - Rev Port Cardiol (Engl Ed). 2019 Nov;38(11):777-778. PMID: 31980216 MH - Adult MH - Female MH - Heart/diagnostic imaging/physiopathology MH - Humans MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - *Myocarditis/diagnostic imaging/pathology/physiopathology MH - Myocardium/pathology MH - Systole/*physiology OTO - NOTNLM OT - Cardiac magnetic resonance OT - Miocardite OT - Myocarditis OT - Ressonancia magnetica cardiaca OT - Tissue tracking EDAT- 2020/01/27 06:00 MHDA- 2020/08/28 06:00 CRDT- 2020/01/27 06:00 PHST- 2018/09/24 00:00 [received] PHST- 2018/12/29 00:00 [revised] PHST- 2019/01/13 00:00 [accepted] PHST- 2020/01/27 06:00 [pubmed] PHST- 2020/08/28 06:00 [medline] PHST- 2020/01/27 06:00 [entrez] AID - S0870-2551(20)30001-9 [pii] AID - 10.1016/j.repc.2019.01.008 [doi] PST - ppublish SO - Rev Port Cardiol (Engl Ed). 2019 Nov;38(11):767-776. doi: 10.1016/j.repc.2019.01.008. Epub 2020 Jan 22.