IRM cardiaque: imagerie de référence dans le diagnostic de la myocardite aiguë [Cardiac magnetic resonance in acute myocarditis: a new non-invasive diagnostic gold standard?].

Détails

ID Serval
serval:BIB_7A00EE39243F
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
IRM cardiaque: imagerie de référence dans le diagnostic de la myocardite aiguë [Cardiac magnetic resonance in acute myocarditis: a new non-invasive diagnostic gold standard?].
Périodique
Revue Médicale Suisse
Auteur(s)
Monney P., Locca D., Muzzarelli S., Hullin R., Jeanrenaud X., Schwitter J.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
2012
Volume
8
Numéro
343
Pages
1177-1183
Langue
français
Notes
Publication types: English Abstract ; Evaluation Studies ; Journal Article ; ReviewPublication Status: ppublish
Résumé
Acute myocarditis was until recently one of the most difficult diagnoses in cardiology. The spectrum of signs and symptoms is very wide, the usual non-invasive tests lack specificity and the myocardial biopsy is only performed in a minority of cases to confirm the diagnosis. Due to its unique ability to directly image myocardial necrosis, fibrosis and oedema, cardiac magnetic resonance (CMR) is now considered the primary tool for noninvasive assessment of patients with suspected myocarditis. CMR is also useful for monitoring disease activity under treatment. Myocarditis has been associated with the development of dilated cardiomyopathy; CMR could play a role in the follow-up of such cases to detect the progression toward a dilatative phenotype. Precise mapping of myocardial lesions with cardiac MRI is invaluable to guide myocardial biopsy and increase its diagnostic yield by improving sensitivity.
Mots-clé
Acute Disease, Biopsy, Diagnostic Techniques, Cardiovascular/standards, Gold, Humans, Magnetic Resonance Imaging/methods, Myocarditis/etiology, Myocarditis/pathology, Prognosis, Reference Standards
Pubmed
Création de la notice
12/09/2012 18:13
Dernière modification de la notice
20/08/2019 15:36
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