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Accordion sign in COVID 19 related acute myocarditis, an old sign for a novel context? A cardiac magnetic resonance case series report study

INTRODUCTION: The COVID-19 pandemic is related to a higher incidence of myocarditis; we present a case series of seven patients, admitted with COVID-19 related acute myocarditis, evaluated with cardiac magnetic resonance imaging, showing an altered profile of the free wall of the right ventricle, no...

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Autores principales: Mangini, Francesco, Bruno, Elvira, Biederman, Robert W.W., Villano, Roberto Del, Rosato, Roberto, Muscogiuri, Eluisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: UMF “Gr. T. Popa” Iasi Publishing House 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512132/
https://www.ncbi.nlm.nih.gov/pubmed/36176493
http://dx.doi.org/10.22551/2022.36.0903.10214
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author Mangini, Francesco
Bruno, Elvira
Biederman, Robert W.W.
Villano, Roberto Del
Rosato, Roberto
Muscogiuri, Eluisa
author_facet Mangini, Francesco
Bruno, Elvira
Biederman, Robert W.W.
Villano, Roberto Del
Rosato, Roberto
Muscogiuri, Eluisa
author_sort Mangini, Francesco
collection PubMed
description INTRODUCTION: The COVID-19 pandemic is related to a higher incidence of myocarditis; we present a case series of seven patients, admitted with COVID-19 related acute myocarditis, evaluated with cardiac magnetic resonance imaging, showing an altered profile of the free wall of the right ventricle, no longer present after six months follow-up. MATERIALS AND METHODS: Seven patients have been evaluated for COVID-19 related acute myocarditis, all patients have been evaluated with cardiac magnetic resonance imaging both in the acute setting and after six months follow-up. RESULTS: In the acute phase, myocarditis was confirmed in keeping with the current diagnostic criteria. In five out of seven cases, the presence of a crinkling profile of the free wall of the right ventricle was observed; at six months follow up, remission in four out of the five cases and a significant reduction in the remaining case, of the previously described findings, was observed. CONCLUSIONS: Crinkling appearance in the profile of the free wall of the right ventricle, detectable with cardiac magnetic resonance imaging, might represent a morphological feature present in the acute setting of COVID-19 related myocarditis; several underlying physiopathological mechanisms are conceivable. Further studies are needed to confirm this correlation, define the underlying mechanisms and the prognostic implication related to it. This is the first report in the literature that has considered such findings to the best of our knowledge.
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spelling pubmed-95121322022-09-28 Accordion sign in COVID 19 related acute myocarditis, an old sign for a novel context? A cardiac magnetic resonance case series report study Mangini, Francesco Bruno, Elvira Biederman, Robert W.W. Villano, Roberto Del Rosato, Roberto Muscogiuri, Eluisa Arch Clin Cases Case Series INTRODUCTION: The COVID-19 pandemic is related to a higher incidence of myocarditis; we present a case series of seven patients, admitted with COVID-19 related acute myocarditis, evaluated with cardiac magnetic resonance imaging, showing an altered profile of the free wall of the right ventricle, no longer present after six months follow-up. MATERIALS AND METHODS: Seven patients have been evaluated for COVID-19 related acute myocarditis, all patients have been evaluated with cardiac magnetic resonance imaging both in the acute setting and after six months follow-up. RESULTS: In the acute phase, myocarditis was confirmed in keeping with the current diagnostic criteria. In five out of seven cases, the presence of a crinkling profile of the free wall of the right ventricle was observed; at six months follow up, remission in four out of the five cases and a significant reduction in the remaining case, of the previously described findings, was observed. CONCLUSIONS: Crinkling appearance in the profile of the free wall of the right ventricle, detectable with cardiac magnetic resonance imaging, might represent a morphological feature present in the acute setting of COVID-19 related myocarditis; several underlying physiopathological mechanisms are conceivable. Further studies are needed to confirm this correlation, define the underlying mechanisms and the prognostic implication related to it. This is the first report in the literature that has considered such findings to the best of our knowledge. UMF “Gr. T. Popa” Iasi Publishing House 2022-09-26 /pmc/articles/PMC9512132/ /pubmed/36176493 http://dx.doi.org/10.22551/2022.36.0903.10214 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Mangini, Francesco
Bruno, Elvira
Biederman, Robert W.W.
Villano, Roberto Del
Rosato, Roberto
Muscogiuri, Eluisa
Accordion sign in COVID 19 related acute myocarditis, an old sign for a novel context? A cardiac magnetic resonance case series report study
title Accordion sign in COVID 19 related acute myocarditis, an old sign for a novel context? A cardiac magnetic resonance case series report study
title_full Accordion sign in COVID 19 related acute myocarditis, an old sign for a novel context? A cardiac magnetic resonance case series report study
title_fullStr Accordion sign in COVID 19 related acute myocarditis, an old sign for a novel context? A cardiac magnetic resonance case series report study
title_full_unstemmed Accordion sign in COVID 19 related acute myocarditis, an old sign for a novel context? A cardiac magnetic resonance case series report study
title_short Accordion sign in COVID 19 related acute myocarditis, an old sign for a novel context? A cardiac magnetic resonance case series report study
title_sort accordion sign in covid 19 related acute myocarditis, an old sign for a novel context? a cardiac magnetic resonance case series report study
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512132/
https://www.ncbi.nlm.nih.gov/pubmed/36176493
http://dx.doi.org/10.22551/2022.36.0903.10214
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