Premium
Assessment of Mitral Annular and Velocity Vector Imaging in Acute Myopericarditis
Author(s) -
Lynch Matthew,
O'Donnell Robert,
Weintraub Neal L.,
LópezCandales Angel
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12278
Subject(s) - myopericarditis , medicine , cardiology , chest pain , velocity vector , troponin , mitral annulus , radiology , myocardial infarction , pericarditis , diastole , blood pressure , engineering , aerospace engineering
A 25‐year‐old student presenting with pleuritic chest pain, elevated troponin levels and subtle electrocardiogram abnormalities was treated for presumptive myopericarditis. On echocardiography, a lower than expected mitral annular displacement and systolic velocity were identified along with abnormalities in left ventricular strain generation that matched areas of edema and necrosis by cardiac magnetic resonance imaging. The patient was treated with nonsteroidal antiinflammatory drugs and colchicine, and both the symptoms and echocardiographic abnormalities rapidly resolved. These novel findings suggest that changes in mitral annular displacement and systolic velocity occur in acute myopericarditis and may be useful in following the course of the disease