Assessment of mitral annular and velocity vector imaging in acute myopericarditis.
Assessment of mitral annular and velocity vector imaging in acute myopericarditis.
复制标题
急性心肌心包炎二尖瓣环和速度矢量成像的评估。
DOI：
10.1111/echo.12278
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
López-Candales,Angel
中科院分区：
文献类型：
--
作者：
Lynch,Matthew;O'Donnell,Robert;Weintraub,NealL;López-Candales,Angel
一名25岁的学生，表现为胸膜炎性胸痛、肌钙蛋白水平升高和轻微心电图异常，因推定心肌心包炎接受治疗。超声心动图显示二尖瓣环位移和收缩期速度低于预期，沿着左心室应变生成异常，与心脏磁共振成像显示的水肿和坏死区域相匹配。患者接受非甾体类抗抑郁药和秋水仙碱治疗，症状和超声心动图异常均迅速消退。这些新的发现表明，二尖瓣环位移和收缩期速度的变化发生在急性心肌心包炎，并可能是有用的，在以下的过程中的疾病
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