Table 2 Cardiovascular findings in the 47 patients with fulminant clinically suspected myocarditis on MCS
Variables | n = 47 |
|---|---|
Time from symptoms onset to hospital admission, days | 3 [0–14] |
Myocarditis syndrome | 47 (100) |
Acute chest pain | 19 (40) |
Flu-like illness | 35 (74) |
Cardiogenic shock | 47 (100) |
Cardiac arrest | 15 (32) |
Out-of-hospital | 1 (2) |
Shockable rhythm | 3/15 (20) |
No-flow duration, min | 0 [0–0] |
Low-flow duration, min | 10 [2–22] |
Elevated biomarkers | 46 (98) |
Troponin highest value, fold over ULN | 110 [39–325] |
Electrocardiographic anomalies | 40 (85) |
ST-segment depression | 5 (11) |
ST-segment elevation | 17 (36) |
Rhythm disorders | 22 (47) |
Supraventricular | 13/22 (59) |
Ventricular | 9/22 (41) |
Conduction disorders | 22 (47) |
Complete heart-block | 7/22 (32) |
Echocardiographic anomalies | 47 (100) |
LVEF lowest value, % | 5 [5–10] |
LVOT VTI lowest value, % | 5 [0–6] |
Left ventricle involvement | 47 (100) |
Right ventricle involvement | 28 (62) |
Pericardial effusion | 23 (49) |
LVEDD, mm | 55 [52–60] |
Coronary angiography | 31 (66) |
No coronary obstruction | 31 (100) |
CMR myocarditis pattern | 6/9 (67) |
Bonaca classificationa after noninvasive work-up | |
Definite myocarditis | 6 (13) |
Probable myocarditis | 41 (87) |