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Khanna S, Amarasekera AT, Li C, Bhat A, Chen HHL, Gan GCH, Tan TC. The role of echocardiography in the diagnosis of adult patients with myocarditis: a systematic review and meta-analysis. Eur Heart J Cardiovasc Imaging 2022. [DOI: 10.1093/ehjci/jeab289.263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Transthoracic echocardiography (TTE) plays a key diagnostic role in the initial work-up of patients presenting with myocarditis. Its utility in myocarditis is for identification of structural and functional changes, which may assist with diagnosis, surveillance and prognostication.
Purpose
The purpose of this systematic review and meta-analysis was to appraise the evidence associated with the use of echocardiography for the diagnosis of myocarditis in adults.
Methods
A systematic literature search of medical databases including Pubmed, Ovid Online, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, Scopus, ProQuest, Science Direct and grey literature was performed using PRISMA principles to identify all relevant TTE studies on myocarditis in adult patients (1995-2020; English only; PROSPERO registration CRD42021243598). Data for a range of TTE parameters were individually extracted and then meta-analysed using a random-effects model for overall effect size through standard mean difference (SMD).
Results
Of the 13 relevant studies, 6 were included and revealed that myocarditis can be reliably differentiated from healthy controls, both in the acute and sub-acute phase by left ventricular (LV) global longitudinal strain, and less so by LV ejection fraction and LV end-diastolic volume (p < 0.05 for all). See Table. LV-GLS demonstrated the strongest ability to discriminate myocarditis patients from healthy controls when compared to standard two-dimensional measures of LV size and function (p < 0.05).
Conclusions
LV-GLS demonstrated the best discriminatory ability for differentiation of myocarditis from adult healthy controls. Further research is required to characterize the utility of these quantitative parameters in the diagnostic work-up of these patients. Abstract Figure.
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Affiliation(s)
- S Khanna
- Blacktown Hospital, Sydney, Australia
| | | | - C Li
- Blacktown Hospital, Sydney, Australia
| | - A Bhat
- Blacktown Hospital, Sydney, Australia
| | - HHL Chen
- Blacktown Hospital, Sydney, Australia
| | - GCH Gan
- Blacktown Hospital, Sydney, Australia
| | - TC Tan
- Blacktown Hospital, Sydney, Australia
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Mahendran S, Sekhar P, Malaty M, Khanna S, Amarasekera A, MacIntyre R, Tan T. Association Between Troponin Elevation and Severity of COVID-19 Infection: A Systematic Review and Meta-Analysis. Heart Lung Circ 2022. [PMCID: PMC9345546 DOI: 10.1016/j.hlc.2022.06.315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Zaheen M, Ferdous F, Amarasekera A, Tan T. Mineralocorticoid Receptor Antagonists in Heart Failure With Preserved Ejection Fraction: A Systematic Review and Meta-Analysis. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ferdous F, Zaheen M, Amarasekera A, Tan T. Catheter Ablation Versus Medical Therapy for Atrial Fibrillation in Patients with Heart Failure with Reduced Ejection Fraction: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Kodsi M, Malaty M, Amarasekera A, Kayes T, Tan T. Global Constructive Work may be a Potential Predictor of CRT Responders: A Systematic Review and Meta-analysis. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Khanna S, Amarasekera A, Li C, Bhat A, Chen H, Gan G, Tan T. Characterisation of Myocardial Structure and Function by Cardiac Magnetic Resonance Imaging in Adult Patients With Acute-Phase Myocarditis: A Systematic Review and Meta-analysis. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Mahendran S, Amarasekera A, Li C, Padhi A, Vien A, Malaty M, Tan T. Major Adverse Cardiovascular Events (MACE) in COVID-19 Infection and the Role of Cardiac Biomarkers: A Systematic Literature Review. Heart Lung Circ 2021. [PMCID: PMC8324094 DOI: 10.1016/j.hlc.2021.06.304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Amarasekera A, Tan T, Schwarz P, Chang D. 760 Vascular Endothelial Dysfunction May be an Early Marker of Physical Frailty and Sarcopenia. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Chu M, Chua S, Assadi-Khansari B, Amarasekera A, Horowitz J, Sverdlov A, Ngo D. Circulating Secreted Frizzled-Related Protein 5 (Sfrp5) is Decreased in Patients with Diabetes and is Associated with Diabetic Control. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Ngo D, Chan W, Rajendran S, Heresztyn T, Amarasekera A, Sverdlov A, O’Loughlin P, Morris H, Chirkov Y, Norman R, Horowitz J. Determinants of insulin responsiveness in young women: Impact of polycystic ovarian syndrome, nitric oxide, and vitamin D. Nitric Oxide 2011; 25:326-30. [DOI: 10.1016/j.niox.2011.06.005] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2011] [Revised: 06/01/2011] [Accepted: 06/02/2011] [Indexed: 01/04/2023]
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