Arterial Structure and Function Following Viral Myocarditis

Pediatr Cardiol. 2019 Jan;40(1):133-137. doi: 10.1007/s00246-018-1969-6. Epub 2018 Sep 3.

Abstract

Acute viral myocarditis is an uncommon inflammatory disease of the myocardium. Little is known about the long-term cardiovascular risk for individuals who have recovered from the acute illness. We compared intermediate vascular phenotypes relating to arterial structure (aortic and carotid intima-media thickness) and function (pulse wave velocity, carotid arterial distensibility and compliance) in 15 participants, a median of 9.1 years after an episode of acute viral myocarditis, and 45 control participants. Following adjustment for age, sex and triglycerides, there were no differences in mean and maximum carotid and aortic intima-media thickness, pulse wave velocity, carotid artery distensibility and compliance between viral myocarditis participants and controls. In conclusion, we found no evidence of changes in intermediate vascular phenotypes indicative of increased cardiovascular risk in individuals who had fully recovered from viral myocarditis.

Keywords: Aortic intima-media thickness; Cardiovascular risk; Carotid intima-media thickness; Pulse wave velocity; Viral myocarditis.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aorta / diagnostic imaging
  • Aorta / physiopathology
  • Cardiovascular Diseases / etiology
  • Carotid Arteries / diagnostic imaging
  • Carotid Arteries / physiopathology
  • Carotid Intima-Media Thickness
  • Case-Control Studies
  • Child
  • Female
  • Humans
  • Male
  • Myocarditis / complications
  • Myocarditis / physiopathology
  • Myocarditis / virology*
  • Pulse Wave Analysis
  • Risk Assessment
  • Young Adult