Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 13 de 13
Filter
1.
Rev. urug. cardiol ; 36(3): e703, 2021. ilus
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1367086

ABSTRACT

La miopericarditis aguda es una pericarditis aguda con compromiso miocárdico menor. En las primeras horas de evolución el cuadro clínico puede confundirse con un síndrome coronario agudo, en especial cuando el electrocardiograma presenta elevación del segmento ST y marcadores de necrosis miocárdica elevados. La resonancia magnética cardíaca tiene un papel importante para diferenciar las dos enfermedades. Presentamos el caso de un hombre de 36 años de edad ingresado por dolor de pecho, elevación del segmento ST y de marcadores de necrosis miocárdica. Se realiza angiografía coronaria, que no evidencia lesiones angiográficamente significativas, resonancia magnética cardíaca con contraste de gadolinio, en la que se observa leve derrame pericárdico, presencia de edema y realce tardío con patrón parcheado subepicárdico e intramiocárdico en pared lateral. Los hallazgos del estudio confirman el diagnóstico de miopericarditis.


Acute myopericarditis is an acute pericarditis with minor myocardial compromise. During the first hours from onset the clinical presentation can be confused with an acute coronary syndrome, especially when the electrocardiogram presents with ST segment elevation and increased markers of myocardial necrosis. Cardiac magnetic resonance imaging plays an important role to differentiate between these two diseases. We present the case of a 36-year-old male who was admitted with chest pain, ST segment elevation and increased markers of myocardial necrosis. Coronary angiography is performed reporting no significant angiographic findings. Cardiac magnetic resonance imaging with contrast medium (gadolinium) is performed, reporting mild pericardial effusion, presence of edema, and delayed uptake with a subepicardial and intramyocardial patchy pattern on the lateral wall. These test findings confirm the diagnosis of myopericarditis.


A miopericardite aguda é uma pericardite aguda com pequena deterioração miocárdica. Nas primeiras horas de evolução do quadro clínico podem ser confundidas com síndrome coronariana aguda, principalmente quando o eletrocardiograma mostra supradesnivelamento do segmento ST e marcadores elevados de necrose miocárdica. A ressonância magnética cardíaca desempenha um papel importante em distinguir as duas doenças. Apresentamos o caso de um homem de 36 anos admitido por dor torácica, supradesnivelamento do segmento ST e elevação dos marcadores de necrose miocárdica, foi realizada cineangiocoronariografia, onde não foram evidenciadas lesões angiograficamente significativas. Foi realizada a ressonância magnética cardíaca com contraste de gadolínio e foram observados derrame pericárdico leve, edema e realce tardio com um padrão irregular subepicárdico e intramiocárdico na face lateral. Os resultados do estudo confirmam o diagnóstico de miopericardite.


Subject(s)
Humans , Male , Adult , Pericarditis/diagnostic imaging , Acute Coronary Syndrome/diagnostic imaging , Myocarditis/diagnostic imaging , Magnetic Resonance Imaging , Acute Disease , Coronary Angiography , Diagnosis, Differential , Electrocardiography
5.
Einstein (Säo Paulo) ; 18: eRC5876, 2020. graf
Article in English | LILACS | ID: biblio-1133729

ABSTRACT

ABSTRACT A male patient with flu-like symptoms and tomography and laboratory diagnosis of severe acute respiratory syndrome. He developed acute cardiac dysfunction during admission and was submitted to a cardiac magnetic resonance imaging examination, which confirmed acute myocarditis, indicating cardiac involvement by coronavirus disease 2019. A review and discussion about coronavirus disease 2019-related cardiac manifestations are reported, focusing on the imaging findings to make diagnosis.


RESUMO Paciente do sexo masculino apresentando síndrome gripal aguda com diagnóstico tomográfico e laboratorial de infecção por síndrome respiratória aguda grave. Evoluiu com disfunção cardíaca aguda durante a internação, motivo pelo qual foi submetido à ressonância magnética cardíaca, que confirmou miocardite aguda, indicando acometimento cardíaco por COVID-19. Foram realizadas revisão e discussão sobre o acometimento cardíaco na COVID-19, com ênfase nos aspectos por imagem para o diagnóstico.


Subject(s)
Humans , Male , Pneumonia, Viral/complications , Coronavirus Infections/complications , Myocarditis/virology , Pneumonia, Viral/diagnosis , Magnetic Resonance Imaging , Coronavirus Infections/diagnosis , Pandemics , Betacoronavirus , SARS-CoV-2 , COVID-19 , Myocarditis/diagnostic imaging
9.
Article in English | IMSEAR | ID: sea-143629

ABSTRACT

Background: There is a great need forECHOcriteria for accurate diagnosis of carditis in acute rheumatic fever. Aim: To propose and test the efficacy of ECHO criteria for accurate diagnosis of carditis. Material and Methods: The 333 cases underwent detailed clinical examination, laboratory tests and meticulous Echocardiographic study.Vijay’s ECHO criteria for the diagnosis of carditis / subclinical valvulitis was used. 220 (66.06%) cases were both Jones’ positive and ECHO positive [True +ve], 52 cases (15.61%), probably had subclinical carditis as murmur was not heard (Jones’-ve) but ECHO was positive [False - ve]. Four cases, clinically diagnosed as carditis were Jones’+ve ,but ECHO showed congenital heart disease [False +ve]. 57 cases (17.11%) were clinically , echocardiographically and Jones’ negative were taken as control (True –ve). Sensitivity is81%and specificity is 93%. Conclusions: Precise diagnosis of both carditis /subclinical valvulitis is possible with Vijay’s ECHO criteria. ECHO should be included as a major criterion in Jones’criteria.


Subject(s)
Databases, Factual , Double-Blind Method , Echocardiography, Doppler/standards , Female , Heart Murmurs/epidemiology , Heart Murmurs/diagnostic imaging , Humans , Incidence , India/epidemiology , Male , Myocarditis/epidemiology , Myocarditis/physiopathology , Myocarditis/diagnostic imaging , Practice Guidelines as Topic , Rheumatic Heart Disease/epidemiology , Rheumatic Heart Disease/physiopathology , Rheumatic Heart Disease/diagnostic imaging , Sensitivity and Specificity
10.
Rev. Soc. Bras. Clín. Méd ; 9(3)maio-jun. 2011.
Article in Portuguese | LILACS | ID: lil-588523

ABSTRACT

JUSTIFICATIVA E OBJETIVOS: A cardiomiopatia dilatada(CMD) é a mais comum das cardiomiopatias, compreendendo mais de 90% de todos os casos. O seu diagnóstico é feito, sobretudo,com a utilização da ecocardiografia, a qual apresenta algumas limitações quanto à identificação da etiologia. A ressonância magnética cardíaca (RMC) tem se destacado como exame coadjuvante, permitindo melhor caracterização morfofuncional e tecidual do músculo cardíaco. O objetivo deste estudo foi descrevero papel da RMC no diagnóstico e avaliação das diversas causas de CMD.CONTEÚDO: A RMC apresentou bons resultados na aplicaçã oclínica em diversas causas de CMD, não possuindo capacidade de diferenciar todos os seus tipos, porém, contribuindo para a presunção diagnóstica.CONCLUSÃO: Com o avanço tecnológico da RMC, múltiplas indicações clínicas têm surgido em algumas ocasiões, com um aspecto complementar a determinados exames, em outras, como solução de dilemas diagnósticos. Tudo isso com acurácia superior aos demais métodos de imagem, poucas contraindicações e mínimos riscos de efeitos adversos.(AU)


BACKGROUND AND OBJECTIVES: Dilated cardiomyopathy (DCM) is the most common cause of cardiomyopathies,including more than 90% of all cases. Its diagnostic is done using, especially, echocardiography; which presents some limitations regarding the etiology's identification. Cardiac magnetic resonance (CMR) has been very useful as a more precise study, allowing better characterization of myocardium tissue and morphology. The objective of this article was to describe the role of the CMR in the diagnosis and evaluation of the diverse causes of DCM.CONTENTS : The CMR presented good results in the clinical applicationin diverse causes of DCM, not having capacity to differentiate all their types; however, better contributing to the diagnostic and patients follow up.CONCLUSION: With the technological development of CMR, several clinical indications have been created, in a few occasions with a complementing aspect to certain exams, in others with solutions of diagnostic dilemmas. All with higher accuracy in comparison to others image modalities, few contraindications and minimum adverse risks effects.(AU)


Subject(s)
Humans , Magnetic Resonance Spectroscopy/instrumentation , Cardiomyopathy, Dilated/diagnostic imaging , Cardiomegaly/etiology , Thiamine Deficiency/blood , Chagas Disease/diagnostic imaging , Arrhythmogenic Right Ventricular Dysplasia/diagnostic imaging , Isolated Noncompaction of the Ventricular Myocardium/diagnostic imaging , Myocarditis/diagnostic imaging
11.
New Egyptian Journal of Medicine [The]. 1999; 20 (Supp. 4): 43-51
in English | IMEMR | ID: emr-51998

ABSTRACT

This study was carried out on 70 patients: 15 patients with presumptive diagnosis of acute rheumatic fever [group one], 25 patients with no clinical evidence of carditis [group two] and 30 patients with a clinical evidence of carditis [group three] in addition to 20 healthy children as control group A and another 20 normal children [control group B] formed a comparison group for 14 patients of group two. The results revealed that mitral valve thickening was detected in group three [100%], but only in 28% of group two and 20% of group one. All patients had normal left ventricular systolic function. Congestive heart failure was invariably associated with the presence of hemodynamically significant valve lesions. The specificity of Doppler for detecting pathologic mitral regurgitation was 100% with a positive predictive value of 100%. A pathologic mitral regurgitation was identified in 100% of group three versus 48% in group two and 33.5% in group one and it was evident in seven patients with echocardiographically normal appearance of valve morphology


Subject(s)
Humans , Male , Female , Echocardiography, Doppler, Color , Child , Rheumatic Fever/complications , Myocarditis/diagnostic imaging , Acute Disease
12.
Article in English | IMSEAR | ID: sea-94380

ABSTRACT

Detailed echocardiographic analysis was performed in 10 children with first episode of acute rheumatic fever who presented with acute rheumatic polyarthritis or rheumatic chorea and had no clinically detectable evidence of active carditis. Significant changes were observed in the form of mitral valve prolapse with regurgitation in 3, aortic valve prolapse with regurgitation in 1 and mitral valve billowing without regurgitation in 1 patient each. A significant (p < 0.001) anterior mitral chordal elongation was observed in both the groups--rheumatic polyarthritis and chorea when compared with age and sex matched control subjects. Mitral annular diameter was found to be increased (p < 0.001) in patients presenting with polyarthritis alone. These observations of clinically silent but echocardiographically detectable element of carditis forms the basis of how patients of acute rheumatic fever develop permanent valvular deformities in their latter lives without revealing any cardiac affection earlier.


Subject(s)
Adolescent , Arthritis, Juvenile/diagnostic imaging , Child , Chorea/diagnostic imaging , Echocardiography , Female , Humans , Male , Mitral Valve/diagnostic imaging , Myocarditis/diagnostic imaging , Rheumatic Heart Disease/diagnostic imaging
SELECTION OF CITATIONS
SEARCH DETAIL