Agreement between ST elevation and late enhancement evaluated by MRI in patients with acute myocarditis
Abstract Background ECG is widely used in the evaluation of patients with acute myocarditis. Magnetic resonance imaging (MRI) has emerged as the most important imaging tool in the diagnosis of myocarditis. The objective of this study is to determine the agreement between ECG and MRI findings in pati...
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| Veröffentlicht in: | Journal of electrocardiology 2014-03, Vol.47 (2), p.212-218 |
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| creator | Meléndez-Ramírez, Gabriela, MSc de Micheli, Alfredo, PhD Soto, Maria Elena, PhD Meave-González, Aloha, MD Kimura-Hayama, Eric, MD Alcántara, Mónica, MD González-Pacheco, Héctor, MD |
| description | Abstract Background ECG is widely used in the evaluation of patients with acute myocarditis. Magnetic resonance imaging (MRI) has emerged as the most important imaging tool in the diagnosis of myocarditis. The objective of this study is to determine the agreement between ECG and MRI findings in patients with acute myocarditis. Methods This is a retrospective cohort that includes 32 consecutive patients with acute myocarditis. ST elevation (STE) in mm was registered in every ECG lead. In every myocardial segment the presence of late enhancement (LE) was registered. Results STE was found in 75% of the patients, with the inferolateral region being the most frequently affected (46.9%). LE was found in most of the patients (87.5%); the inferolateral wall was also the most frequently affected (50%). There was a moderate agreement between the inferolateral localization of STE and LE in patients with acute myocarditis, k = 0.43, p = 0.01. There was no agreement for the other localizations. Conclusion There was a moderate agreement between the localization of STE and LE only in the inferolateral localization. LE localization based on the STE localization cannot be inferred, neither vice versa in another localization different from the inferolateral. |
| doi_str_mv | 10.1016/j.jelectrocard.2013.11.008 |
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Magnetic resonance imaging (MRI) has emerged as the most important imaging tool in the diagnosis of myocarditis. The objective of this study is to determine the agreement between ECG and MRI findings in patients with acute myocarditis. Methods This is a retrospective cohort that includes 32 consecutive patients with acute myocarditis. ST elevation (STE) in mm was registered in every ECG lead. In every myocardial segment the presence of late enhancement (LE) was registered. Results STE was found in 75% of the patients, with the inferolateral region being the most frequently affected (46.9%). LE was found in most of the patients (87.5%); the inferolateral wall was also the most frequently affected (50%). There was a moderate agreement between the inferolateral localization of STE and LE in patients with acute myocarditis, k = 0.43, p = 0.01. There was no agreement for the other localizations. Conclusion There was a moderate agreement between the localization of STE and LE only in the inferolateral localization. LE localization based on the STE localization cannot be inferred, neither vice versa in another localization different from the inferolateral.</description><identifier>ISSN: 0022-0736</identifier><identifier>EISSN: 1532-8430</identifier><identifier>DOI: 10.1016/j.jelectrocard.2013.11.008</identifier><identifier>PMID: 24485065</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute Disease ; Acute myocarditis ; Adult ; Cardiovascular ; Contrast Media ; Electrocardiography ; Female ; Gadolinium DTPA ; Humans ; Late enhancement ; Magnetic Resonance Imaging - methods ; Male ; Myocarditis - diagnosis ; Retrospective Studies ; ST elevation</subject><ispartof>Journal of electrocardiology, 2014-03, Vol.47 (2), p.212-218</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-4966d7b21a81d86337ea02e206ea112b0db57dcf094349c8a183a4e04637f1ab3</citedby><cites>FETCH-LOGICAL-c435t-4966d7b21a81d86337ea02e206ea112b0db57dcf094349c8a183a4e04637f1ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022073613006201$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24485065$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meléndez-Ramírez, Gabriela, MSc</creatorcontrib><creatorcontrib>de Micheli, Alfredo, PhD</creatorcontrib><creatorcontrib>Soto, Maria Elena, PhD</creatorcontrib><creatorcontrib>Meave-González, Aloha, MD</creatorcontrib><creatorcontrib>Kimura-Hayama, Eric, MD</creatorcontrib><creatorcontrib>Alcántara, Mónica, MD</creatorcontrib><creatorcontrib>González-Pacheco, Héctor, MD</creatorcontrib><title>Agreement between ST elevation and late enhancement evaluated by MRI in patients with acute myocarditis</title><title>Journal of electrocardiology</title><addtitle>J Electrocardiol</addtitle><description>Abstract Background ECG is widely used in the evaluation of patients with acute myocarditis. Magnetic resonance imaging (MRI) has emerged as the most important imaging tool in the diagnosis of myocarditis. The objective of this study is to determine the agreement between ECG and MRI findings in patients with acute myocarditis. Methods This is a retrospective cohort that includes 32 consecutive patients with acute myocarditis. ST elevation (STE) in mm was registered in every ECG lead. In every myocardial segment the presence of late enhancement (LE) was registered. Results STE was found in 75% of the patients, with the inferolateral region being the most frequently affected (46.9%). LE was found in most of the patients (87.5%); the inferolateral wall was also the most frequently affected (50%). There was a moderate agreement between the inferolateral localization of STE and LE in patients with acute myocarditis, k = 0.43, p = 0.01. There was no agreement for the other localizations. Conclusion There was a moderate agreement between the localization of STE and LE only in the inferolateral localization. LE localization based on the STE localization cannot be inferred, neither vice versa in another localization different from the inferolateral.</description><subject>Acute Disease</subject><subject>Acute myocarditis</subject><subject>Adult</subject><subject>Cardiovascular</subject><subject>Contrast Media</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Gadolinium DTPA</subject><subject>Humans</subject><subject>Late enhancement</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Myocarditis - diagnosis</subject><subject>Retrospective Studies</subject><subject>ST elevation</subject><issn>0022-0736</issn><issn>1532-8430</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9v1DAQxS0EokvhKyCLE5eEGdv5sxyQqhbaSkVItJwtx55tHbLOYiet9tvjsAUhTpwsed57M_Mbxt4glAhYv-vLngayUxytia4UgLJELAHaJ2yFlRRFqyQ8ZSsAIQpoZH3EXqTUA8BaNOI5OxJKtRXU1YrdntxGoi2FiXc0PRAFfn3Dc_y9mfwYuAmOD2YiTuHOBHtQ5uIw50_Huz3__PWS-8B3WZ9riT_46Y4bO2fPdv9rQj_59JI925gh0avH95h9-_Tx5vSiuPpyfnl6clVYJaupUOu6dk0n0LTo2lrKhgwIElCTQRQduK5qnN3AWkm1tq3BVhpFoGrZbNB08pi9PeTu4vhjpjTprU-WhsEEGuekMa-tMCOpsvT9QWrjmFKkjd5FvzVxrxH0Alr3-m_QegGtEXUGnc2vH_vM3ZbcH-tvsllwdhBQ3vbeU9TJZkCWnI85UrvR_1-fD__E2MEHb83wnfaU-nGOIfPUqJPQoK-Xky8XRwlQL0E_Ac6Iqv0</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Meléndez-Ramírez, Gabriela, MSc</creator><creator>de Micheli, Alfredo, PhD</creator><creator>Soto, Maria Elena, PhD</creator><creator>Meave-González, Aloha, MD</creator><creator>Kimura-Hayama, Eric, MD</creator><creator>Alcántara, Mónica, MD</creator><creator>González-Pacheco, Héctor, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Agreement between ST elevation and late enhancement evaluated by MRI in patients with acute myocarditis</title><author>Meléndez-Ramírez, Gabriela, MSc ; de Micheli, Alfredo, PhD ; Soto, Maria Elena, PhD ; Meave-González, Aloha, MD ; Kimura-Hayama, Eric, MD ; Alcántara, Mónica, MD ; González-Pacheco, Héctor, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-4966d7b21a81d86337ea02e206ea112b0db57dcf094349c8a183a4e04637f1ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acute Disease</topic><topic>Acute myocarditis</topic><topic>Adult</topic><topic>Cardiovascular</topic><topic>Contrast Media</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Gadolinium DTPA</topic><topic>Humans</topic><topic>Late enhancement</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Myocarditis - diagnosis</topic><topic>Retrospective Studies</topic><topic>ST elevation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meléndez-Ramírez, Gabriela, MSc</creatorcontrib><creatorcontrib>de Micheli, Alfredo, PhD</creatorcontrib><creatorcontrib>Soto, Maria Elena, PhD</creatorcontrib><creatorcontrib>Meave-González, Aloha, MD</creatorcontrib><creatorcontrib>Kimura-Hayama, Eric, MD</creatorcontrib><creatorcontrib>Alcántara, Mónica, MD</creatorcontrib><creatorcontrib>González-Pacheco, Héctor, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meléndez-Ramírez, Gabriela, MSc</au><au>de Micheli, Alfredo, PhD</au><au>Soto, Maria Elena, PhD</au><au>Meave-González, Aloha, MD</au><au>Kimura-Hayama, Eric, MD</au><au>Alcántara, Mónica, MD</au><au>González-Pacheco, Héctor, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Agreement between ST elevation and late enhancement evaluated by MRI in patients with acute myocarditis</atitle><jtitle>Journal of electrocardiology</jtitle><addtitle>J Electrocardiol</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>47</volume><issue>2</issue><spage>212</spage><epage>218</epage><pages>212-218</pages><issn>0022-0736</issn><eissn>1532-8430</eissn><abstract>Abstract Background ECG is widely used in the evaluation of patients with acute myocarditis. Magnetic resonance imaging (MRI) has emerged as the most important imaging tool in the diagnosis of myocarditis. The objective of this study is to determine the agreement between ECG and MRI findings in patients with acute myocarditis. Methods This is a retrospective cohort that includes 32 consecutive patients with acute myocarditis. ST elevation (STE) in mm was registered in every ECG lead. In every myocardial segment the presence of late enhancement (LE) was registered. Results STE was found in 75% of the patients, with the inferolateral region being the most frequently affected (46.9%). LE was found in most of the patients (87.5%); the inferolateral wall was also the most frequently affected (50%). There was a moderate agreement between the inferolateral localization of STE and LE in patients with acute myocarditis, k = 0.43, p = 0.01. There was no agreement for the other localizations. Conclusion There was a moderate agreement between the localization of STE and LE only in the inferolateral localization. LE localization based on the STE localization cannot be inferred, neither vice versa in another localization different from the inferolateral.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24485065</pmid><doi>10.1016/j.jelectrocard.2013.11.008</doi><tpages>7</tpages></addata></record> |
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| subjects | Acute Disease Acute myocarditis Adult Cardiovascular Contrast Media Electrocardiography Female Gadolinium DTPA Humans Late enhancement Magnetic Resonance Imaging - methods Male Myocarditis - diagnosis Retrospective Studies ST elevation |
| title | Agreement between ST elevation and late enhancement evaluated by MRI in patients with acute myocarditis |
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