J 2020

Myocarditis in Relation to Angiographic Findings in Patients With Provisional Diagnoses of MINOCA

HAUSVATER, A., N. R. SMILOWITZ, B. Y. Z. LI, G. REDEL-TRAUB, M. QUIEN et. al.

Základní údaje

Originální název

Myocarditis in Relation to Angiographic Findings in Patients With Provisional Diagnoses of MINOCA

Autoři

HAUSVATER, A. (840 Spojené státy), N. R. SMILOWITZ (840 Spojené státy), B. Y. Z. LI (840 Spojené státy), G. REDEL-TRAUB (840 Spojené státy), M. QUIEN (840 Spojené státy), Y. Z. QIAN (840 Spojené státy), J. ZHONG (840 Spojené státy), J. M. NICHOLSON (840 Spojené státy), G. CAMASTRA (380 Itálie), L. BIERE (250 Francie), Roman PANOVSKÝ (203 Česká republika, domácí), M. SA (620 Portugalsko), E. GERBAUD (250 Francie), J. B. SELVANAYAGAM (36 Austrálie), M. H. AL-MALLAH (840 Spojené státy), T. EMRICH (276 Německo) a H. R. REYNOLDS (840 Spojené státy, garant)

Vydání

JACC-CARDIOVASCULAR IMAGING, NEW YORK, ELSEVIER SCIENCE INC, 2020, 1936-878X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 14.805

Kód RIV

RIV/00216224:14110/20:00116548

Organizační jednotka

Lékařská fakulta

UT WoS

000569134000009

Klíčová slova anglicky

cardiac magnetic resonance; myocardial infarction; myocarditis

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 1. 10. 2020 14:21, Mgr. Tereza Miškechová

Anotace

V originále

OBJECTIVES The aim of this study was to determine the prevalence of myocarditis among patients presenting with myocardial infarction with nonobstructive coronary arteries (MINOCA) in relation to the angiographic severity of non-obstructive coronary artery disease (CAD). BACKGROUND MINOCA represents about 6% of all cases of acute myocardial infarction. Myocarditis is a diagnosis that may be identified by cardiac magnetic resonance (CMR) imaging in patients with a provisional diagnosis of MINOCA. METHODS A systematic review was performed to identify studies reporting the results of CMR findings in MINOCA patients with nonobstructive CAD or normal coronary arteries. Study-level and individual patient data meta-analyses were performed using fixed- and random-effects methods. RESULTS Twenty-seven papers were included, with 2,921 patients with MINOCA; CMR findings were reported in 2,866 (98.1%). Myocarditis prevalence was 34.5% (95% confidence interval [CI]: 27.2% to 42.2%) overall and was numerically higher in studies that defined MINOCA as myocardial infarction with angiographicalty normal coronary arteries compared with a definition that permitted nonobstructive CAD (45.9% vs. 32.3%; p = 0.16). In a meta-analysis of individual patient data from 9 of the 27 studies, the pooled prevalence of CMR-confirmed myocarditis was greater in patients with angiographically normal coronary arteries than in those with nonobstructive CAD (51% [95% CI: 47% to 56%] vs. 23% [95% CI: 18% to 27%]; p < 0.001). Men and younger patients with MINOCA were more likely to have myocarditis. Angiographicatly normal coronary arteries were associated with increased odds of myocarditis after adjustment for age and sex (adjusted odds ratio: 2.30; 95% CI: 1.12 to 4.71; p = 0.023). CONCLUSIONS Patients with a provisional diagnosis of MINOCA are more likely to have CMR findings consistent with myocarditis if they have angiographically normal coronary arteries. (C) 2020 by the American College of Cardiology Foundation.