The association of myocardial strain with cardiac magnetic resonance and clinical outcomes in patients with acute myocarditis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSOEIRO, Alexandre M.
dc.contributor.authorBOSSA, Aline S.
dc.contributor.authorCESAR, Maria C.
dc.contributor.authorLEAL, Tatiana C. A. T.
dc.contributor.authorGARCIA, Guilherme
dc.contributor.authorFONSECA, Rafael A.
dc.contributor.authorNAKAMURA, Debora
dc.contributor.authorGUIMARAES, Patricia O.
dc.contributor.authorSOEIRO, Maria C. F. A.
dc.contributor.authorJR, Carlos V. Serrano
dc.contributor.authorSOARES, Paulo R.
dc.contributor.authorMUELLER, Christian
dc.contributor.authorMEBAZAA, Alexandre
dc.contributor.authorFERNANDES, Fabio
dc.contributor.authorNOMURA, Cesar H.
dc.contributor.authorROCHITTE, Carlos E.
dc.contributor.authorJR, Mucio T. de Oliveira
dc.date.accessioned2023-10-30T14:25:22Z
dc.date.available2023-10-30T14:25:22Z
dc.date.issued2023
dc.description.abstractIntroductionThe role of myocardial strain in risk prediction for acute myocarditis (AMC) patients, measured by cardiac magnetic resonance (CMR), deserves further investigation. Our objective was to evaluate the association between myocardial strain measured by CMR and clinical events in AMC patients. Material and methodsThis was a prospective single-center study of patients with AMC. We included 100 patients with AMC with CMR confirmation. The primary outcome was the composite of all-cause mortality, heart failure and AMC recurrence in 24 months. A subgroup analysis was performed on a sample of 36 patients who underwent a second CMR between 6 and 18 months. The association between strain measures and clinical events or an increase in left ventricular ejection fraction (LVEF) was explored using Cox regression analysis. Global peak radial, circumferential and longitudinal strain in the left and right ventricles was assessed. ROC curve analysis was performed to identify cutoff points for clinical event prediction. ResultsThe mean follow-up was 18.7 & PLUSMN; 2.3 months, and the composite primary outcome occurred in 26 patients. The median LVEF at CMR at baseline was 57.5% (14.6%). LV radial strain (HR = 0.918, 95% CI: 0.858-0.982, p = 0.012), LV circumferential strain (HR = 1.177, 95% CI: 1.046-1.325, p = 0.007) and LV longitudinal strain (HR = 1.173, 95% CI: 1.031-1.334, p = 0.015) were independently associated with clinical event occurrence. The areas under the ROC curve for clinical event prediction were 0.80, 0.79 and 0.80 for LV radial, circumferential, and longitudinal strain, respectively. LV longitudinal strain was independently correlated with prognosis (HR = 1.282, CI 95%: 1.022-1.524, p = 0.007), even when analyzed together with ejection fraction and delayed enhancement. LV and right ventricle (RV) strain were not associated with an increase in LVEF. Finally, when the initial CMR findings were compared with the follow-up CMR findings, improvements in the measures of LV and RV myocardial strain were observed. ConclusionMeasurement of myocardial strain by CMR can provide prognostic information on AMC patients. LV radial, circumferential and longitudinal strain were associated with long-term clinical events in these patients.eng
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipBayer (R) (gadolinium contrast medium)
dc.description.sponsorshipToshiba Medical System (CMR)
dc.identifier.citationFRONTIERS IN CARDIOVASCULAR MEDICINE, v.10, article ID 1121083, 10p, 2023
dc.identifier.doi10.3389/fcvm.2023.1121083
dc.identifier.issn2297-055X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/56007
dc.language.isoeng
dc.publisherFRONTIERS MEDIA SAeng
dc.relation.ispartofFrontiers in Cardiovascular Medicine
dc.rightsopenAccesseng
dc.rights.holderCopyright FRONTIERS MEDIA SAeng
dc.subjectmagnetic resoance imagingeng
dc.subjectpericarditiseng
dc.subjectmyocarditiseng
dc.subjectmyocardial straineng
dc.subjectdiagnosiseng
dc.subject.otheresc guidelineseng
dc.subject.othermanagementeng
dc.subject.otherdiagnosiseng
dc.subject.wosCardiac & Cardiovascular Systemseng
dc.titleThe association of myocardial strain with cardiac magnetic resonance and clinical outcomes in patients with acute myocarditiseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countrySuíça
hcfmusp.affiliation.countryFrança
hcfmusp.affiliation.countryisoch
hcfmusp.affiliation.countryisofr
hcfmusp.author.externalBOSSA, Aline S.:Univ Sao Paulo, Heart Inst, InCor, Med Sch, Sao Paulo, Brazil
hcfmusp.author.externalCESAR, Maria C.:Univ Sao Paulo, Heart Inst, InCor, Med Sch, Sao Paulo, Brazil
hcfmusp.author.externalLEAL, Tatiana C. A. T.:Univ Sao Paulo, Heart Inst, InCor, Med Sch, Sao Paulo, Brazil
hcfmusp.author.externalNAKAMURA, Debora:Univ Sao Paulo, Heart Inst, InCor, Med Sch, Sao Paulo, Brazil
hcfmusp.author.externalMUELLER, Christian:Univ Basel, Univ Hosp Basel, Cardiovasc Res Inst Basel CRIB, Basel, Switzerland; Univ Basel, Univ Hosp Basel, Dept Cardiol, Basel, Switzerland
hcfmusp.author.externalMEBAZAA, Alexandre:Univ Paris Diderot, Paris, France; Univ Hosp St Louis Lariboisiere, Dept Anaesthesia & Crit Care, Paris, France
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcALEXANDRE DE MATOS SOEIRO
hcfmusp.contributor.author-fmusphcGUILHERME GARCIA
hcfmusp.contributor.author-fmusphcRAFAEL ALMEIDA FONSECA
hcfmusp.contributor.author-fmusphcPATRICIA OLIVEIRA GUIMARAES
hcfmusp.contributor.author-fmusphcMARIA CAROLINA FERES DE ALMEIDA SOEIRO
hcfmusp.contributor.author-fmusphcCARLOS VICENTE SERRANO JUNIOR
hcfmusp.contributor.author-fmusphcPAULO ROGERIO SOARES
hcfmusp.contributor.author-fmusphcFABIO FERNANDES
hcfmusp.contributor.author-fmusphcCESAR HIGA NOMURA
hcfmusp.contributor.author-fmusphcCARLOS EDUARDO ROCHITTE
hcfmusp.contributor.author-fmusphcMUCIO TAVARES DE OLIVEIRA JUNIOR
hcfmusp.description.articlenumber1121083
hcfmusp.description.volume10
hcfmusp.origemWOS
hcfmusp.origem.pubmed37588035
hcfmusp.origem.scopus2-s2.0-85168094496
hcfmusp.origem.wosWOS:001047882600001
hcfmusp.publisher.cityLAUSANNEeng
hcfmusp.publisher.countrySWITZERLANDeng
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hcfmusp.scopus.lastupdate2024-06-16
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