Myopericarditis

Case contributed by Igor Yarmola

Presentation

Chest pain a month after treatment for Covid-19.

Patient Data

Age: 50 years
Gender: Male
mri

There is pathologic intramyocardial and pericardial late gadolinium enhancement (10-20 min) in the lateral and inferior wall of the left ventricle. It is associated with intramural edema in STIR images, wall thinning, and hypo/akinesis. No pericardial effusion.  

LV EF 48.9%    
RV EF 66.4%

Case Discussion

Suspected myocarditis is one of the most frequent indications for cardiac MRI (CMR), which is the only imaging modality that shows myocardial edema. CMR can be used to confirm several features of myocarditis and pericarditis, like inflammatory hyperemia and edema, scar, contractile dysfunction, and pericardium inflammation.

This case is presented together with my colleagues Anikin A. and Barskiy V.

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