Viral Myocarditis and Dilated Cardiomyopathy as a Consequence-Changing Insights from Advanced Imaging

Nicolas Kang; Matthias G Friedrich; Dmitry Abramov; Ana Martinez-Naharro; Marianna Fontana; Purvi Parwani

doi:10.1016/j.hfc.2023.03.009

Viral Myocarditis and Dilated Cardiomyopathy as a Consequence-Changing Insights from Advanced Imaging

Heart Fail Clin. 2023 Oct;19(4):445-459. doi: 10.1016/j.hfc.2023.03.009. Epub 2023 Jun 11.

Authors

Nicolas Kang¹, Matthias G Friedrich², Dmitry Abramov³, Ana Martinez-Naharro⁴, Marianna Fontana⁴, Purvi Parwani⁵

Affiliations

¹ Department of Medicine, Loma Linda University Medical Center, 11234 Anderson Street, Loma Linda, CA 92354, USA.
² Department of Medicine, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, Quebec H4A 3J1, Canada; Department of Diagnostic Radiology, McGill University Health Centre, Montreal, Quebec, Canada.
³ Division of Cardiology, Loma Linda University Medical Center, 11234 Anderson Street, Loma Linda, CA 92354, USA.
⁴ UCL CMR Department at the Royal Free Hospital and the National Amyloidosis Centre, University College, London.
⁵ Division of Cardiology, Loma Linda University Medical Center, 11234 Anderson Street, Loma Linda, CA 92354, USA. Electronic address: pparwani@llu.edu.

PMID: 37714586
DOI: 10.1016/j.hfc.2023.03.009

Abstract

Advancements in quantitative cardiac magnetic resonance (CMR) have revolutionized the diagnosis and management of viral myocarditis. With the addition of T1 and T2 mapping parameters in the updated Lake Louise Criteria, CMR can diagnose myocarditis with superior diagnostic accuracy compared with endomyocardial biopsy, especially in stable patients. Additionally, the unique value of CMR tissue characterization continues to improve the diagnosis and risk stratification of myocarditis. This review will discuss new and ongoing developments in cardiovascular imaging and its application to noninvasive diagnosis, prognostication, and management of viral myocarditis and its complications.

Keywords: Cardiac magnetic resonance; Dilated cardiomyopathy; Nonischemic cardiomyopathy; Viral myocarditis.

Publication types

Review

MeSH terms

Cardiac Catheterization
Cardiomyopathy, Dilated* / diagnostic imaging
Diagnostic Imaging
Heart
Humans
Myocarditis* / diagnostic imaging