The role of cardiovascular magnetic resonance in the evaluation of acute myocarditis and inflammatory cardiomyopathies in clinical practice — a comprehensive review

Author:

Ismail Tevfik F12ORCID,Hua Alina12ORCID,Plein Sven13ORCID,D’Cruz David P45,Fernando Michelle M A45,Friedrich Matthias G678,Zellweger Michael J9ORCID,Giorgetti Assuero10,Caobelli Federico11,Haaf Philip9ORCID

Affiliation:

1. CMR Unit, School of Biomedical Engineering and Imaging Sciences, King’s College London, London, UK

2. Cardiology Department, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

3. Biomedical Imaging Science Department, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds & Leeds Teaching Hospitals NHS Trust, Clarendon, Way, Leeds LS2 9JT, UK

4. Rheumatology Department, Louise Coote Lupus Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

5. Rheumatology Department, Faculty of Life Sciences and Medicine, King's College London, London, UK

6. Department of Cardiology, Heidelberg University Hospital, Heidelberg, Germany

7. Department of Cardiology, McGill University Health Centre, Montreal, Canada

8. Department of Diagnostic Radiology, McGill University Health Centre, Montreal, Canada

9. Department of Cardiology, Clinic of Cardiology, University Hospital Basel and University of Basel, Petersgraben 4, CH-4031 Basel, Switzerland

10. Fondazione CNR/Regione Toscana ‘Gabriele Monasterio’, Pisa, Italy

11. Department of Nuclear Medicine, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland

Abstract

AbstractInflammatory cardiomyopathy (I-CMP) is defined as myocarditis in association with cardiac dysfunction and/or ventricular remodelling. It is characterized by inflammatory cell infiltration into the myocardium and has heterogeneous infectious and non-infectious aetiologies. A complex interplay of genetic, autoimmune, and environmental factors contributes to the substantial risk of deteriorating cardiac function, acute heart failure, and arrhythmia as well as chronic dilated cardiomyopathy and its sequelae. Multi-parametric cardiovascular magnetic resonance (CMR) imaging is sensitive to many tissue changes that occur during myocardial inflammation, regardless of its aetiology. In this review, we summarize the various aetiologies of I-CMP and illustrate how CMR contributes to non-invasive diagnosis.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,General Medicine

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