Book review
https://doi.org/10.20471/acc.2024.63.s1.14
Speckle Tracking Echocardiography Analysis of Global and Regional Myocardial Strain in Diagnosis and Follow-up of the Patient with Myopericarditis
Siniša Roginić
; General Hospital Zabok and Hospital of Croatian Veterans, Zabok, Croatia
Vito Mustapić
; Magdalena Clinic for Cardiovascular Diseases, Krapinske Toplice, Croatia
*
Tereza Knaflec
; General Hospital Zabok and Hospital of Croatian Veterans, Zabok, Croatia
Martina Roginić
; General Hospital Zabok and Hospital of Croatian Veterans, Zabok, Croatia
Andrija Škopljanac Mačina
; Magdalena Clinic for Cardiovascular Diseases, Krapinske Toplice, Croatia; Faculty of Medicine, J.J. Strossmayer University in Osijek, Croatia
Krešimir Štambuk
; Magdalena Clinic for Cardiovascular Diseases, Krapinske Toplice, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University in Osijek, Osijek, Croatia; Faculty of Medicine, J.J. Strossmayer University in Osijek, Croatia
* Corresponding author.
Abstract
Myopericarditis is inflammatory disease caused by various, often unidentified, factors.
Although considered the gold standard for diagnosis of myocarditis, endomyocardial biopsy in clinical
pactice is often substituted with clinical, biochemical and imaging parameters. Echocardiography
with speckle tracking strain analysis is a valuable tool for diagnosis of myocarditis, estimation of regional
and global systolic function showing good correlation with cardiac magnetic resonance imaging (cMRI).
We present the case of a 19-year-old male with chest pain, elevated troponin and ST segment elevation
who underwent urgent coronary angiography. Normal angiogram steered diagnosis toward myopericarditis,
considering information about recent enterocolitis and vaccination against SARS-CoV-2.
Transthoracal echocardiography with speckle tracking analysis showed longitudinal strain reduction in
several segments of the left ventricle. Small pericardial effusion alongside those segments was also found
supporting our diagnosis. After 3 months of treatment with antiinflammatory drugs, ACE inhibitor and
beta blocker, the patient recovered and a repeated echo showed complete recovery of systolic function
without pericardial effusion.
We conclude that echocardiography, including global and regional longitudinal strain analysis, is
a valuable diagnostic tool in patients with myopericarditis, complementary with not widely available
cMRI. It can detect subtle systolic dysfunction not visible with conventional echocardiography, thus
having implications on therapy and prognosis.
Keywords
Myopericarditis; Speckle tracking echocardiography; GLS
Hrčak ID:
321243
URI
Publication date:
1.3.2024.
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