Assessment of Mitral Annular and Velocity Vector Imaging in Acute Myopericarditis |
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| Authors: | Matthew Lynch M.D. Robert O'Donnell M.D. Neal L. Weintraub M.D. Angel López‐Candales M.D. F.A.C.C. F.A.S.E. |
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| Affiliation: | 1. Department of Internal Medicine, University of Cincinnati College of Medicine, , Cincinnati, Ohio;2. Cardiovascular Division, University of Cincinnati College of Medicine, , Cincinnati, Ohio |
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| Abstract: | A 25‐year‐old student presenting with pleuritic chest pain, elevated troponin levels and subtle electrocardiogram abnormalities was treated for presumptive myopericarditis. On echocardiography, a lower than expected mitral annular displacement and systolic velocity were identified along with abnormalities in left ventricular strain generation that matched areas of edema and necrosis by cardiac magnetic resonance imaging. The patient was treated with nonsteroidal antiinflammatory drugs and colchicine, and both the symptoms and echocardiographic abnormalities rapidly resolved. These novel findings suggest that changes in mitral annular displacement and systolic velocity occur in acute myopericarditis and may be useful in following the course of the disease |
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| Keywords: | cardiac magnetic resonance imaging echocardiography mitral annular systolic velocity mitral annular systolic displacement myopericarditis speckle tracking velocity vector imaging |
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