MedPath

CMR Features in Patients With Suspected Myocarditis

Completed
Conditions
Outcome, Fatal
Registration Number
NCT03470571
Lead Sponsor
Brigham and Women's Hospital
Brief Summary

Presentation of myocarditis is heterogeneous, often ranges from being asymptomatic, to chest pain, dyspnoea, palpitations, and even sudden cardiac death. Diagnosing myocarditis is challenging with no current uniform clinical gold-standard. CMR is a key investigative tool, however the predictive value of CMR features is unknown. In this study we assess 670 consecutive patients with suspected myocarditis who were referred for CMR between 2002 and 2015 at the BWH. CMR features such as late gadolinium sizing, T1 mapping, extracellular volume fraction assessment, strain analysis (feature tracking), clinical data, labortory tetsings and electrocardiogramm are linked to the outcome in order to assess its predictive value.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
670
Inclusion Criteria
  • patients referred by their treating physician to undergo CMR for "suspected myocarditis" as the primary clinical question

Exclusion criteria

  • evidence of coronary artery disease
  • hypertrophic cardiomyopathy
  • arrhythmogenic right ventricular cardiomyopathy
  • cardiac sarcoidosis
  • cardiac amyloidosis
  • takotsubo cardiomyopathy
  • constrictive pericarditis
  • Loeffler endocarditis
  • ventricular non-compaction
  • cardiac tumor
  • pulmonary embolism
  • severe valve disease
Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Major adverse cardiac eventsthrough study completion, an average of 2 years

Heart failure hospitalization; all cause death; sustained ventricular arrhythmia; recurrent myocarditis; transplantation

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Brigham and Women's Hospital, Shapiro Cardiovascular Center

🇺🇸

Boston, Massachusetts, United States

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