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Utility of cardiac MRI for diagnosis and post-treatment follow-up of lupus myocarditis

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Abstract

Clinical myocardial involvement in systemic lupus erythematosus is rare. Lupus myocarditis is usually not detected until significant decrease in myocardial function becomes clinically evident. This case report describes MR imaging of lupus myocarditis that was used for diagnosis and follow up in a patient who declined cardiac biopsy. We also review the literature related to myocardial imaging by MRI.

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References

  1. Singh JA, Woodard PK, Davila-Roman VG, Waggoner AD, Gutierrez FR, Zheng J, Eisen SA (2005) Cardiac magnetic resonance imaging abnormalities in systemic lupus erythematosus: a preliminary report. Lupus 14:137–144

    Article  PubMed  CAS  Google Scholar 

  2. Been M, Thomson BJ, Smith MA, Ridgway JP, Douglas RH, Been M, Best JJ, Muir AL (1988) Myocardial involvement in systemic lupus erythematosus detected by magnetic resonance imaging. Eur Heart J 9:1250–1256

    PubMed  CAS  Google Scholar 

  3. Panchal L, Divate S, Vaideeswar P, Pandit SP (2006) Cardiovascular involvement in systemic lupus erythematosus: an autopsy study of 27 patients in India. J Postgrad Med 52:5–10

    PubMed  CAS  Google Scholar 

  4. Doria A, Iaccarino L, Sarzi-Puttini P, Atzeni F, Turriel M, Petri M (2005) Cardiac involvement in systemic lupus erythematosus. Lupus 14:683–686

    Article  PubMed  CAS  Google Scholar 

  5. Bidani AK, Roberts JL, Schwartz MM et al (1980) Immunopathology of cardiac lesions in fatal systemic lupus erythematosus. Am J Med 69:849–858

    PubMed  CAS  Google Scholar 

  6. Aretz HT (1987) Myocarditis: the Dallas criteria. Hum Pathol 18:619–624

    Article  PubMed  CAS  Google Scholar 

  7. Feldman AM, McNamara D (2000) Myocarditis. N Engl J Med 343:1388–1398

    Article  PubMed  CAS  Google Scholar 

  8. Cacciapuoti F, Galzerano D, Capogrosso P, Arciello A, Liberti D, Cacciapuoti F, Lama D (2005) Impairment of left ventricular function in systemic lupus erythematosus evaluated by measuring myocardial performance index with tissue Doppler echocardiography. Echocardiography 22:315–319

    Article  PubMed  Google Scholar 

  9. Simonetti OP, Kim RJ, Fieno DS, Hillenbrand HB, Wu E, Bundy JM, Finn JP, Judd RM (2001) An improved MR imaging technique for the visualization of myocardial infarction. Radiology 218:215–223

    PubMed  CAS  Google Scholar 

  10. Kim RJ, Fieno DS, Parrish TB, Harris K, Chen EL, Simonetti O, Bundy J, Finn JP, Klocke FJ, Judd RM (1999) Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age, and contractile function. Circulation 100:1992–2002

    PubMed  CAS  Google Scholar 

  11. Mahrholdt H, Wagner A, Holly TA, Elliott MD, Bonow RO, Kim RJ, Judd RM (2002) Reproducibility of chronic infarct size measurement by contrast-enhanced magnetic resonance imaging. Circulation 106:2322–2327

    Article  PubMed  CAS  Google Scholar 

  12. Mahrholdt H, Wagner A, Judd RM, Sechtem U (2002) Assessment of myocardial viability by cardiovascular magnetic resonance imaging. Eur Heart J 23:602–619

    Article  PubMed  CAS  Google Scholar 

  13. Mahrholdt H, Goedecke C, Wagner A, Meinhardt G, Athanasiadis A, Vogelsberg H, Fritz P, Klingel K, Kandolf R, Sechtem U (2004) Cardiovascular magnetic resonance assessment of human myocarditis: a comparison to histology and molecular pathology. Circulation 109:1250–1258

    Article  PubMed  Google Scholar 

  14. De Cobelli F, Pieroni M, Esposito A, Chimenti C, Belloni E, Mellone R, Canu T, Perseghin G, Gaudio C, Maseri A, Frustaci A, Del Maschio A (2006) Delayed gadolinium-enhanced cardiac magnetic resonance in patients with chronic myocarditis presenting with heart failure or recurrent arrhythmias. J Am Coll Cardiol 47:1649–1654

    Article  PubMed  Google Scholar 

  15. Tepe SM, Glockner JF (2006) A case of acute myocarditis with evaluation of magnetic resonance imaging. Int J Cardiovasc Imaging (in press)

  16. Omdal R, Lunde P, Rasmussen K et al (2001) Transesophageal and trans thoracic echocardiography and Doppler-examination in systemic lupus erythematosus. Scand J Rheumatol 30:275–281

    Article  PubMed  CAS  Google Scholar 

  17. Doria A, Petri M (2004) Cardiac involvement in systemic lupus erythematosus. In: Doria A, Pauletto P (eds) The heart in systemic autoimmune disease. Elsevier, Amsterdam, pp 146–162

    Google Scholar 

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Authors and Affiliations

  1. Departments of Radiological Sciences and Cardiology, University of California, Irvine, CA, USA

    Farhood Saremi & Oganes Ashikyan

  2. Department of Pulmonary Critical Care, University of California, Irvine, CA, USA

    Rajeev Saggar

  3. Department of Cardiology, University of California, Irvine, CA, USA

    John Vu & Molly E. Nunez

  4. Department of Radiological Sciences, Division of Cardiothoracic Imaging, UCI Medical Center, 101 City Drive South, Route 140, Orange, CA, 92868, USA

    Farhood Saremi

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  1. Farhood Saremi
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  2. Oganes Ashikyan
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  3. Rajeev Saggar
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  4. John Vu
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  5. Molly E. Nunez
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Correspondence to Farhood Saremi.

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Saremi, F., Ashikyan, O., Saggar, R. et al. Utility of cardiac MRI for diagnosis and post-treatment follow-up of lupus myocarditis. Int J Cardiovasc Imaging 23, 347–352 (2007). https://doi.org/10.1007/s10554-006-9161-0

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  • DOI: https://doi.org/10.1007/s10554-006-9161-0

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