Clinical and cardiac magnetic resonance profile of patients with COVID-19 vaccine-related myocarditis compared with other acute myocarditis
نویسندگان
چکیده
Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main source(s): Spanish Cardiology Society, Cardiac Imaging Association. Grant for short extern fellowship in national centers. Background Reports have suggested an association between the development myocarditis and mRNA vaccines against COVID-19 coronavirus disease. magnetic resonance (CMR) findings this setting not been widely explored. Purpose The present study explores clinical profile CMR imaging patients with a diagnosis during period 1 month after vaccination compared to non-related same period. Methods All who underwent suspected myocardial infarction non-obstructive coronary arteries (MINOCA) year from June 2021 2022 were retrospectively evaluated. Myocarditis was defined by modified Lake Louise criteria (mLLC) vaccine-related as episode vaccination. Electronic medical records analyzed collect data on baseline variables, features events. Results A total 118 consecutive undergoing MINOCA included whom 48 (40,7%) fulfilled mLLC myocarditis, those, 15 cases (31,25%) myocarditis. Both related non-vaccine more frequent among men there no differences cardiovascular risk factors or comorbidities groups. showed that had similar LVEF RVEF other native T1, T2 extracellular volume (ECV). (Table 1). Edema frequently observed inferolateral mid basal segments (segment 11) whilst edema inferoseptal segment 9). There localization late gadolinium enhancement (LGE). 2.) follow-up performed 30 6 8 months admission, showing LGE persistence without 70% 77,8% patients. only 2 recurrences. During follow up deaths ventricular arrhythmias, 3 hospital readmissions, them new due unrelated infarction. Conclusions Vaccine-related represented significant proportion 2022. characteristics, index both subtypes. Clinical important
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ژورنال
عنوان ژورنال: European Journal of Echocardiography
سال: 2023
ISSN: ['2047-2412', '2047-2404']
DOI: https://doi.org/10.1093/ehjci/jead119.368