A Review of the Role of Imaging Modalities in the Evaluation of Viral Myocarditis with a Special Focus on COVID-19-Related Myocarditis

Diagnostics

Nadish Garg¹  Deya Alkhatib²  Neeraja Yedlapati²  Adedayo Adeboye²  Asra Butt³ 

[1] Department of Cardiology, Memorial Hermann Southeast Hospital, Houston, TX 77089, USA;Department of Cardiology, University of Tennessee Health Science Center, Memphis, TN 38163, USA;Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA;

关键词: viral myocarditis;    COVID-19-related myocarditis;    echocardiography;    cardiac magnetic resonance imaging (CMR);    cardiac CT;    PET-CT;   

DOI  :  10.3390/diagnostics12020549

来源: DOAJ

【 摘 要 】

Viral myocarditis is inflammation of the myocardium secondary to viral infection. The clinical presentation of viral myocarditis is very heterogeneous and can range from nonspecific symptoms of malaise and fatigue in subclinical disease to a more florid presentation, such as acute cardiogenic shock and sudden cardiac death in severe cases. The accurate and prompt diagnosis of viral myocarditis is very challenging. Endomyocardial biopsy is considered to be the gold standard test to confirm viral myocarditis; however, it is an invasive procedure, and the sensitivity is low when myocardial involvement is focal. Cardiac imaging hence plays an essential role in the noninvasive evaluation of viral myocarditis. The current coronavirus disease 2019 (COVID-19) pandemic has generated considerable interest in the use of imaging in the early detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-related myocarditis. This article reviews the role of various cardiac imaging modalities used in the diagnosis and assessment of viral myocarditis, including COVID-19-related myocarditis.

【 授权许可】

Unknown