Assessment of mitral annular and velocity vector imaging in acute myopericarditis

Matthew Lynch, Robert O'Donnell, Neal L. Weintraub, Angel Lõpez-Candales

Research output: Contribution to journalArticle

2 Scopus citations

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 Mini-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 NSAIDs 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.

Original languageEnglish (US)
Pages (from-to)E227-E230
JournalEchocardiography
Volume30
Issue number8
DOIs
StatePublished - Sep 1 2013
Externally publishedYes

Keywords

  • cardiac magnetic resonance imaging
  • echocardiography
  • mitral annular systolic displacement
  • mitral annular systolic velocity
  • myopericarditis
  • speckle tracking
  • velocity vector imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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