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Archives of cardiovascular diseases
Volume 112, n° 10
pages 630-641 (octobre 2019)
Doi : 10.1016/j.acvd.2019.05.007
Received : 4 April 2019 ;  accepted : 27 May 2019
Reviews

Imaging of myocarditis and inflammatory cardiomyopathies
Imagerie de la myocardite et des cardiomyopathies inflammatoires
 

Loïc Bière a, Nicolas Piriou b, Laura Ernande c, François Rouzet d, e, f, Olivier Lairez g,
a Department of cardiology, Angers university hospital, 49100 Angers, France 
b Department of nuclear medicine and Institut du Thorax, Nantes university hospital, 44000 Nantes, France 
c DHU ageing-thorax-vessel-blood, Henri-Mondor university hospital, AP–HP, 94010 Créteil, France 
d Nuclear medicine department and DHU FIRE, Bichat-Claude Bernard hospital, AP–HP, 75877 Paris, France 
e Université de Paris, 75018 Paris, France 
f Inserm UMR 1148 and UMS 34, 75018 Paris, France 
g Cardiac Imaging Centre, Rangueil university hospital, 31059 Toulouse, France 

Corresponding author. Department of nuclear medicine, Rangueil university hospital, 1, avenue Jean-Poulhès, TSA 50032, 31059 Toulouse cedex 9, France.Department of nuclear medicine, Rangueil university hospital1, avenue Jean-Poulhès, TSA 50032Toulouse cedex 9,31059 France
Graphical abstract




The full text of this article is available in PDF format.
Summary

Myocarditis encompasses a wide range of myocardial inflammatory diseases, including acute myocarditis, chronic myocarditis and inflammatory cardiomyopathies, and myocardial inflammation associated with other cardiomyopathies. Because of this heterogeneity in clinical presentation, and the infrequent use of endomyocardial biopsy, cardiac imaging has gradually acquired a key role in the non-invasive detection of myocardial inflammation, the assessment of aetiology and the management of specific therapies. This article summarizes the issue of myocarditis and myocardial inflammation in clinical practice, and reviews the role of different non-invasive imaging techniques in the exploration of myocardial inflammation.

The full text of this article is available in PDF format.
Résumé

Les myocardites regroupent un vaste ensemble de maladies inflammatoires du myocarde comprenant la myocardite aiguë, la myocardite chronique et les cardiomyopathies inflammatoires, et l’inflammation du myocarde associée à d’autres cardiomyopathies. En raison de l’hétérogénéité des présentations cliniques et du faible recours à la biopsie endomyocardique, l’imagerie cardiaque a progressivement pris un rôle essentiel dans la détection non invasive de l’inflammation myocardique, l’évaluation des étiologies et la gestion des traitements spécifiques. Cet article résume la question de la myocardite et de l’inflammation du myocarde en pratique clinique et examine le rôle des différentes techniques d’imagerie non invasives dans l’exploration de l’inflammation du myocarde.

The full text of this article is available in PDF format.

Keywords : Myocarditis, Myocardial inflammation, Echocardiography, Cardiac magnetic resonance imaging, Positron emission tomography

Mots clés : Myocardite, Inflammation myocardique, Échocardiographie, Imagerie par résonance magnétique cardiaque, Tomographie par émission de positons

Abbreviations : 18F-FDG, CMR, CT, ECV, EGE, EMB, LGE, MRI, PET, TTE




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