Myocardial Work: A Modern Tool to Detect Possible Compensation Mechanism of Deformation in Acute Myocarditis with Preserved Left Ventricular Function

Stephan Stöbe; Andreas Hagendorff; Matthias Gutberlet; Bhupendar Tayal

doi:10.4103/jcecho.jcecho_48_20

Myocardial Work: A Modern Tool to Detect Possible Compensation Mechanism of Deformation in Acute Myocarditis with Preserved Left Ventricular Function

J Cardiovasc Echogr. 2020 Oct-Dec;30(4):206-210. doi: 10.4103/jcecho.jcecho_48_20. Epub 2021 Jan 20.

Authors

Stephan Stöbe¹, Andreas Hagendorff¹, Matthias Gutberlet², Bhupendar Tayal³

Affiliations

¹ Department of Cardiology, University Hospital of Leipzig, Leipzig, Germany.
² Department of Radiology, Heart Center Leipzig, Leipzig, Germany.
³ Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark.

Abstract

The architecture of the myocardial fibers defines the different components of left ventricular (LV) contraction. Subendocardial layers are primarily responsible for longitudinal LV deformation and subepicardial layers for circumferential LV deformation. The specific analysis of the different components of LV deformation by echocardiography might offer new diagnostic options in patients with acute myocarditis (?IM). This case report focuses on specific pathological findings of regional LV deformation in a patient with IM and preserved LV systolic function.

Keywords: Cardiac magnetic resonance; echocardiography; layered-specific strain; myocardial work; myocarditis; rotation rate.

Publication types

Case Reports