Key result
CMR identifies myocarditis in unexplained chest pain via non-ischemic hyperenhancement and elevated T1/T2 values.
Why the study?
Diagnosis of myocarditis can be challenging due to atypical symptoms, but cardiac MRI provides quantitative measurements and discrimination from mimicking conditions.
Does cardiac MRI diagnose myocarditis in patients with unexplained chest pain?
Case Report (n=3)
Does cardiac MRI diagnose myocarditis in patients with unexplained chest pain?
Cardiac MRI with T1-T2 mapping is a valuable diagnostic modality for identifying myocarditis and differentiating it from other conditions in patients presenting with unexplained chest pain.
Answers are grounded in this paper and cite their sources.
May support CMR with T1/T2 mapping in unexplained chest pain; hypothesis-generating and leaves open need for prospective validation.
Myocarditis is the inflammation of the cardiac muscle. Diagnosis can be challenging as the symptoms are not typical. Cardiac magnetic resonance imaging (MRI) can be used to diagnose myocarditis, allows more reliable quantitative measurements, and a clear discrimination from other mimicking conditions. We include 3 patients with myocarditis.
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Andriono et al. (2025) conducted a case report in Myocarditis with unexplained chest pain (n=3). Cardiac Magnetic Resonance Imaging (MRI) was evaluated on Diagnostic findings of myocarditis. Cardiac magnetic resonance imaging successfully diagnosed myocarditis in three patients with unexplained chest pain by revealing non-ischemic patterns of hyperenhancement and increased T1/T2 values.
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