Cardiac MRI in detecting myocarditis

The Journal of the American College of Cardiology has issued a White Paper outlining the indications for cardiac MRI in patients with suspected myocarditis. Indications include: symptoms (CP, SOB, palpitations, etc), signs of myocardial injury (ventricular dysfunction, ECG changes, or elevated biomarkers), and suspected viral etiology (recent viral illness, previous myocarditis, no evidence of CAD) (article). Cardiac MRI is rapidly becoming the imaging test of choice in patients with suspected myocarditis.

Dyspnea ororthopnea or palpitations or effort intolerance/malaise or chest pain   Ventricular dysfunction or new or persisting ECG abnormalities orelevated troponin   History of recent systemic viral disease or previous myocarditis or absence of risk factors for coronary artery disease or age <35 yrs orsymptoms not explained by coronary stenosis on coronary angiogram orrecent negative ischemic stress test
Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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