Case report: role of cardiac MRI in the diagnosis of myocarditis
https://doi.org/10.38109/2225-1685-2023-3-90-94
Abstract
Diagnosis of myocarditis remains one of the most difficult clinical problems in cardiology. In connection with the coronavirus infection COVID-19 caused by the acute respiratory virus SARS-CoV-2, non-invasive diagnosis of myocarditis is an urgent task. The most informative method for diagnosing myocarditis is magnetic resonance imaging [1,2]. The arsenal of MRI includes a number of pulse sequences that make it possible to identify and evaluate the process of inflammation in its various phases. Various pulse sequences (T2-weighted images or T2-mapping, delayed contrast, T1-mapping) allow not only to diagnose the disease, but also to determine the stages of damage. The ability of MRI to differentiate ischemic and non-ischemic lesions [3] is used in emergency cardiology for various myocardial injuries.
The peculiarity of this clinical case is the use of MRI diagnostics in a patient with a typical clinical picture of acute coronary syndrome in the emergency department of cardiology. The data of the contrast MRI of the heart allowed the patient to make the correct diagnosis.
About the Authors
E. A. Butorova
E.I. Chazov National Medical Research Center of Cardiology
Russian Federation
Russian Federation
Ekaterina A. Butorova - Cand. Of Sci (Med.), doctor, Department of Tomography, E.I. Chazov National Medical Research Center of Cardiology.
Ac. Chazov street, 15 a, Moscow 121552
O. V. Stukalova
E.I. Chazov National Medical Research Center of Cardiology
Russian Federation
Russian Federation
Olga V. Stukalova - Cand. Of Sci (Med.), Senior Researcher, Department of Tomography, E.I. Chazov National Medical Research Center Of Cardiology.
Ac. Chazov street, 15 a, Moscow 121552
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Review
For citations:
Butorova E.A., Stukalova O.V. Case report: role of cardiac MRI in the diagnosis of myocarditis. Eurasian heart journal. 2023;(3):90-94. (In Russ.) https://doi.org/10.38109/2225-1685-2023-3-90-94
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