Abstract 15783: Diagnostic and Prosnogtic Value of Late Contras-Enhanced Magnetic Resonance in Acute Myopericarditis

Cardiac magnetic resonance (CMR) has become the primary non invasive tool for assessment of myocardial inflammation in patients with suspected acute myocarditis (AM). However its role in the prognosis of myocarditis has not yet been investigated. The aim of this study was to evaluate the incremental diagnostic and prognostic value of cardiac magnetic resonance in patients with AM. Methods: Prospective and clinical observational cohort study of 75 consecutive patients (mean age 33±14 years, 84% male) with AM underwent contrast-enhanced CRM within first month after admission, enrolled between June 2006 and 31 December 2011 Results: Mean follow-up was 72±14 months. Areas of late gadolinium enhancement (LE) were observed in 51 patients (68%) with a subepicardial and focal LE pattern. Forty patients (53%) showed LE in the lateral segments of the left ventricular wall. The median troponin I level and median CK level were associated with LE and the percentage of myocardial mass with LE (R spearmen of 0,71; p<0,0...