November 23, 2010Heart
Acute myocarditis presenting as acute coronary syndrome: role of early cardiac magnetic resonance in its diagnosis
Why the study?
Does early cardiac magnetic resonance (CMR) improve the detection of acute myocarditis in patients presenting with presumed ACS and unobstructed coronaries?
Population
79 patients referred for CMR following an admission with presumed ACS and raised serum troponin in whom no…
Comparison
Cardiac magnetic resonance (CMR) imaging vs Timing of CMR (<2 weeks vs >2 weeks/convalescent)
Design
Cohort
Authors
Discussion
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Member takes
Implication
Early CMR was associated with higher myocarditis detection; leaves open whether timing alters management or outcomes.
Structured PICO
Does early cardiac magnetic resonance (CMR) improve the detection of acute myocarditis in patients presenting with presumed ACS and unobstructed coronaries?
P
Population
79 patients referred for CMR following an admission with presumed ACS and raised serum troponin in whom no culprit lesion was detected
I
Intervention
Cardiac magnetic resonance (CMR) imaging
C
Comparator
Timing of CMR (<2 weeks vs >2 weeks/convalescent)
O
Outcome
Detection of myocardial oedema and late gadolinium enhancement (LGE)surrogate
Early CMR (within 14 days) significantly increases the diagnostic yield for acute myocarditis in patients presenting with presumed ACS and unobstructed coronary arteries.
Cite This Study
Monney et al. (2010) studied this question.