PMID- 31997038 OWN - NLM STAT- MEDLINE DCOM- 20210208 LR - 20210212 IS - 1432-1459 (Electronic) IS - 0340-5354 (Print) IS - 0340-5354 (Linking) VI - 267 IP - 5 DP - 2020 May TI - Sporadic inclusion body myositis: no specific cardiac involvement in cardiac magnetic resonance tomography. PG - 1407-1413 LID - 10.1007/s00415-020-09724-4 [doi] AB - OBJECTIVE: To investigate cardiac involvement in patients with sporadic inclusion body myositis (IBM) by cardiac magnetic resonance tomography (CMR). METHODS: A case series of 20 patients with IBM underwent basic cardiac assessment and CMR including functional imaging, native and contrast-enhanced T1-weighted, and late gadolinium enhancement (LGE) imaging. RESULTS: All IBM patients reported no cardiac symptoms. Echocardiography was normal in 16/17 IBM patients. In CMR, IBM patients had normal ejection fractions (mean LVEF 63 +/- 7%) and ventricular mass. They had reduced left (mean 55 versus 88 ml) and right ventricular stroke volumes (mean 54 versus 86 ml) and increased early myocardial enhancement (pathological T1 Ratio in 44% versus 5%), as compared to age- and gender-matched controls. Since arterial hypertension was more often observed in IBM patients, hypertensive heart disease can also be causative for these changes. Late gadolinium enhancement did not differ statistically from healthy controls. There was no apparent association between elevated biomarkers, echocardiography and CMR. CONCLUSION: CMR revealed subtle changes in cardiac geometry and tissue characterization in IBM patients when compared to a gender- and age-matched control group. Findings in CMR indicated a higher extent of diffuse myocardial fibrosis as well as smaller left ventricular stroke volumes. These alterations may be due to a higher prevalence of arterial hypertension in the IBM cohort. FAU - Rosenbohm, Angela AU - Rosenbohm A AUID- ORCID: 0000-0001-9700-0338 AD - Department of Neurology, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. angela.rosenbohm@uni-ulm.de. FAU - Buckert, Dominik AU - Buckert D AD - Department of Internal Medicine II, University of Ulm, Ulm, Germany. FAU - Kassubek, Jan AU - Kassubek J AD - Department of Neurology, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. FAU - Rottbauer, Wolfgang AU - Rottbauer W AD - Department of Internal Medicine II, University of Ulm, Ulm, Germany. FAU - Ludolph, Albert C AU - Ludolph AC AD - Department of Neurology, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. FAU - Bernhardt, Peter AU - Bernhardt P AD - Heart Clinic Ulm, Ulm, Germany. LA - eng PT - Journal Article DEP - 20200129 PL - Germany TA - J Neurol JT - Journal of neurology JID - 0423161 SB - IM MH - Aged MH - Aged, 80 and over MH - Echocardiography MH - Female MH - Heart Diseases/*diagnostic imaging/*etiology MH - Humans MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Myositis, Inclusion Body/*complications PMC - PMC7184047 OTO - NOTNLM OT - Cardiac magnetic resonance tomography OT - Inclusion body myositis OT - Late gadolinium enhancement OT - Myocarditis COIS- On behalf of all authors, the corresponding author states that there is no conflict of interest. EDAT- 2020/01/31 06:00 MHDA- 2021/02/09 06:00 PMCR- 2020/01/29 CRDT- 2020/01/31 06:00 PHST- 2019/11/12 00:00 [received] PHST- 2020/01/21 00:00 [accepted] PHST- 2020/01/19 00:00 [revised] PHST- 2020/01/31 06:00 [pubmed] PHST- 2021/02/09 06:00 [medline] PHST- 2020/01/31 06:00 [entrez] PHST- 2020/01/29 00:00 [pmc-release] AID - 10.1007/s00415-020-09724-4 [pii] AID - 9724 [pii] AID - 10.1007/s00415-020-09724-4 [doi] PST - ppublish SO - J Neurol. 2020 May;267(5):1407-1413. doi: 10.1007/s00415-020-09724-4. Epub 2020 Jan 29.