Keywords:
Inflammation, Complications, MR, Cardiovascular system, Cardiac
Authors:
E. Detorakis1, G. Antemisaris2, R. Illing3; 1Iraklion/GR, 2Heraklion/GR, 3Budapest/HU
Results
Five out of 48 patients (10%) showed a severely decreased LVEF and underwent endomyocardial biopsy. All were diagnosed with acute myocarditis by immunohistology. Viral genomes regarding Coxsackie virus were detected in 2 patients, Parvovirus B19 in 1, Ebstein-Barr virus in one patient and Cytomegalovirus in other one patient. In 23 cases (48%) were basal inferior and basal inferolateral segments were simultaneously involved, specific serum antibodies for PVB19 were detected (Figure 1). In three patients (6%) with more extended LGE areas, apart from lateral wall segments, also septal and anteroseptal segments were affected, and specific serum antibodies for HHV6 were isolated and all three were heavy smokers (Figure 2). In all cases, LGE distribution regarded subepicardium with or without mesocardium involvement.