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(2020)
Diagnostic AccuracyDefinitions
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Circulation: Cardiovascular Imaging EDITORIAL Cardiovascular Magnetic Resonance for Myocardial Inflammation Lake Louise Versus Mapping? See Article by Pan et al Matthias G. Friedrich, MD yocardial inflammation is a nonspecific response to viruses, autoantibod- ies, toxic substances, catecholamine surge, radiation, or mechanical in- Mjury. It can be safely assumed that it is a fairly common event, luckily with a mostly benign course and outcome. Myocarditis, however, is a frequent cause for acute myocardial injury in patients with no explanatory coronary artery stenosis and has repeatedly been identified as an important cause of sudden death in the 2,3 young. The clinical diagnosis of myocarditis is challenging because of the wide spec- trum of often atypical symptoms. The 2013 European Society of Cardiology posi- tion statement suggests establishing a clinical diagnosis of myocarditis based on the clinical criteria of new-onset dyspnea, palpitations, or chest discomfort in the presence of myocardial damage that is not explained by coronary artery disease. These symptoms, however, are not specific to myocardial inflammation and may, for example, also occur in acutely exacerbated heart failure. Over the recent decades, cardiovascular magnetic resonance (CMR) with its abil- ity to identify inflammatory tissue characteristics has been more and more widely
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Jul 1, 2018
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