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Image in Cardiology
Complete recovery of myocardial inflammation imaged by T2 mapping
Recuperação completa de miocardite avaliada por T2-mapping
Cátia Costaa, António M. Ferreirab,
Autor para correspondência
antonio.ferreira@hospitaldaluz.pt

Corresponding author.
, Pedro Morais Sarmentoc, Nuno Cardimb, Hugo Marquesb
a Cardiology Department, Hospital de Santarém, Santarém, Portugal
b Cardiovascular Imaging Department, Hospital da Luz, Lisbon, Portugal
c Internal Medicine Department, Hospital da Luz, Lisbon, Portugal
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the cardiovascular magnetic resonance &#40;CMR&#41; images of a 31-year-old woman with flu-like symptoms&#44; admitted for chest pain and elevated troponin I&#46; Cine imaging showed pericardial effusion and a non-dilated left ventricle with mildly increased wall thickness&#44; preserved systolic function&#44; and no wall motion abnormalities &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a> and Video 1&#41;&#46; T2-weighted short-tau inversion recovery &#40;STIR&#41; sequences showed diffuse myocardial hyperintensity&#44; while delayed enhancement imaging revealed extensive left ventricular subepicardial and midwall hyperenhancement&#46; In order to quantify and more clearly depict the myocardial edema&#44; a new CMR technique &#40;T2 mapping&#41; was also used&#46; Our patient&#39;s T2 maps showed diffusely increased myocardial T2 times &#40;74 ms in the interventricular septum&#59; reference &#8804;46 ms&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">A follow-up CMR performed four months later showed disappearance of the LV &#8220;pseudo-hypertrophy&#8221; and no myocardial delayed enhancement &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a> and Video 2&#41;&#46; There was also no myocardial hyperintensity on T2-STIR images&#46; T2 mapping now showed values within normal limits &#40;45 ms&#41;&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Until recently&#44; T2-weighted imaging relied essentially on black blood turbo spin echo sequences&#44; which were subject to several drawbacks that limited their usefulness&#46; Recently&#44; new mapping techniques have been introduced to overcome these limitations and to enable quantitative assessment of myocardial edema&#46; Myocardial maps can be acquired in any orientation and are independent of heart rate and coil proximity and less sensitive to arrhythmias or respiratory motion&#46; The quantification of T2 offers a distinct advantage in the detection of global changes&#44; in comparison with classic T2-weighted imaging&#46; This case illustrates the feasibility and potential usefulness of myocardial T2 mapping in the setting of myocarditis&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Informação do artigo
ISSN: 08702551
Idioma original: Inglês
DOI:10.1016/j.repc.2015.11.030
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