Acute Viral Myocarditis: The Role of Speckle Tracking Echocardiography
Journal Title: Advancements in Cardiovascular Research - Year 2018, Vol 1, Issue 3
Abstract
Although, an accurate initial diagnosis of acute myocarditis can be challenging to make, all patients with suspected acute myocarditis need a thorough diagnostic work-up and undergo a full imaging evaluation from the very outset to rule out other condition with a similar clinical picture. An acute myocarditis and acute myocardial infarction may musgarate each other, as a result a thorough evaluation is warranted to be certain of the diagnosis, and these patients should be managed in a high cardiac care setting. The diagnosis of an acute myocarditis is based on symptoms, elevated markers of myocardial necrosis, electrocardiographic and imaging modalities including echocardiographic changes. A broad range of diagnostic tools are warranted during the initial diagnostic work-up, however a full echocardiographic evaluation should form an integral imaging modality to rule out other cardiac and systemic disorders, to properly evaluate ventricular function and presence of pericardial collections; and to further guide managementAlthough, an accurate diagnosis of acute myocarditis could be challenging to make, all patients with suspected acute myocarditis should have a thorough diagnostic work-up and undergo a full imaging evaluation to rule out other causes with a similar clinical picture. An acute myocarditis and acute myocardial infarction may musgarate each other, as a result a thorough evaluation is warranted to be certain of the diagnosis, and these patients should be managed in a high cardiac care setting [1-5]. The diagnosis of acute myocarditis is based on symptoms, elevated cardiac biomarkers suggesting myocardial necrosis, electrocardiographic and echocardiographic changes [6]. In addition to the broad range of diagnostic tools warranted during the initial diagnostic work-up, a full echocardiographic evaluation should form an integral imaging modality to rule out other musgarating cardiac and systemic disorders, to properly evaluate ventricular function and presence of pericardial collections; and to further guide management. Although standard echocardiographic modalities form an integral part of a routine daily practice, speckle tracking echocardiography is a new advanced echocardiographic imaging modality useful for detection of subclinical myocardial and ventricular dysfunction [7]. The main aim of this paper is to review and highlight the role of speckle tracking echocardiographic modalities to facilitate a thorough evaluation of any patient suspected of an acute myocarditis
Authors and Affiliations
Mamotabo R Matshela
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