Manalo Rachel, Bourget Laura, Garg Ashish, Swaminathan Sethuraman
Division of Pediatric Cardiology, Holtz Children's Hospital, Jackson Memorial Medical Center, University of Miami Miller School of Medicine, Miami, Florida.
Echocardiography. 2019 Mar;36(3):609-612. doi: 10.1111/echo.14260. Epub 2019 Jan 24.
Myocarditis is a common cause for acute heart failure in the pediatric population. Various imaging modalities have evolved over the past 3 decades in order to noninvasively image the myocardium in this patient population. These include standard 2-dimensional echocardiographic imaging, tissue Doppler imaging, and magnetic resonance imaging of the heart. More recently, myocardial speckle tracking also known as strain imaging has been utilized to assess regional wall motion abnormalities with increasing accuracy. We report a case of acute myocarditis in a teenage female in whom progression of myocardial strain findings correlated with the rapidly evolving clinical course of the patient.
心肌炎是儿童急性心力衰竭的常见病因。在过去30年里，各种成像方式不断发展，以便对这一患者群体的心肌进行无创成像。这些成像方式包括标准二维超声心动图成像、组织多普勒成像和心脏磁共振成像。最近，心肌斑点追踪（也称为应变成像）已被用于评估局部室壁运动异常，且准确性不断提高。我们报告一例青少年女性急性心肌炎病例，该患者心肌应变结果的进展与病情的快速演变相关。
