Endomyocardial biopsy: safety and prognostic utility in paediatric and adult myocarditis in the European Society of Cardiology EURObservational Research Programme Cardiomyopathy and Myocarditis Long-Term Registry
| Title: | Endomyocardial biopsy: safety and prognostic utility in paediatric and adult myocarditis in the European Society of Cardiology EURObservational Research Programme Cardiomyopathy and Myocarditis Long-Term Registry |
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| Authors: | Caforio A. L. P.; Kaski J. P.; Gimeno J. R.; Elliott P. M.; Laroche C.; Tavazzi L.; Tendera M.; Fu M.; Sala S.; Seferovic P. M.; Helio T.; Calo L.; Blagova O.; Amin A.; Kindermann I.; Sinagra G.; Frustaci A.; Bonnet D.; Charron P.; Maggioni A. P.; Pihkala J.; Ojala T.; Hiippala A.; Jarvinen T.; Lommi J.; Sinisalo J.; Khraiche D.; Szezepanski I.; Mankikian S.; Maupain C.; Collet J. -P.; Gandjbakhch E.; Kerneis M.; Pruny J. -F.; Bauer A.; Pfeiffer B.; Felix S. B.; Beug D.; Dorr M.; Kaczmarek S.; Lehnert K.; Pedersen A. -L.; Bruder M.; Gorenflo M.; Arnold R.; Uhl S.; Ziesenitz V.; Jung A.; Roesch E.; Bohm M.; Linicus Y.; Werner C.; Neurath B.; Schild-Ungerbuehler M.; Kindermann M.; Norrish G.; Field E.; Elliott P.; Lorenzini M.; Watkinson O.; Wicks E.; Anastasakis A.; Ritsatos K.; Vlagkouli V.; Rammos S.; Kourelis G.; Giannakopoulou A.; Karanasios E.; Papachristou P.; Papadopoulos G.; Servos G.; Maleki M.; Bezanjani F. N.; Naderi N.; Parsaee M.; Taghavi S.; Ghadrdoost B.; Jafari S.; Khoshavi M.; Della Bella P.; Peretto G.; Calabro R.; Pacileo G.; Russo M. G.; Limongelli G.; Esposito A.; Gragnano F.; Gravino R.; Marrazzo T.; Masarone D.; Pazzanese V.; Rubino M.; Tramonte S.; Valente F.; Caiazza M.; Calabro P.; Cirillo A.; Trimarco B.; Losi M. -A.; Di Nardo C.; Giamundo A.; Pacelli F.; Canciello G.; Iliceto S.; Caforio A.; Calore C.; Leoni L.; Marra M. P.; Rigato I.; Tarantini G.; Schiavo A.; Testolina M.; Fedele F.; Alfarano M.; Chimenti C.; Drago F.; Baban A.; Lanzillo C.; Martino A.; Uguccioni M.; Zachara E.; Halasz G.; Re F.; Carriere C.; Merlo M.; Ramani F.; Kavoliuniene A.; Krivickiene A.; Tamuleviciute-Prasciene E.; Viezelis M.; Celutkiene J.; Balkeviciene L.; Laukyte M.; Paleviciute E.; Asselbergs F.; De Jonge N.; Kirkels J. H.; Van Der Heijden J.; Van Laake L.; Sammani A.; Mizia-Stec K.; Wybraniec M.; Czekaj A.; Sikora-Puz A.; Skoczynska A.; Rubis P.; Wisniowska-Smialek S.; Grzybowski J.; Ojrzynska N.; Bilinska Z.; Chmielewski P.; Foss-Nieradko B.; Michalak E.; Stepien-Wojno M.; Mazek B.; Brzezinska-Rajszys G.; Ziolkowska L.; Boruc A.; Plodzien E.; Lopes L. R.; Almeida A. R.; Cruz I.; Gomes A. C.; Pereira A. R.; Ginghina C.; Jurcut R.; Apetrei E.; Militaru S.; Coman I. M.; Mursa A.; Popescu B. A.; Frigy A.; Fehervari L.; Fogarasi Z.; Kocsis I.; Szabo I. A.; Nikitin I.; Resnik E.; Komissarova M.; Lazarev V.; Shebzukhova M.; Ustyuzhanin D.; Alieva I.; Kulikova V.; Lutokhina Y.; Pavlenko E.; Varionchik N.; Zaklyazminskaya E.; Dzemeshkevich S.; Kolbasova E.; Kotlukova N.; Rusinova V.; Ristic A. D.; Pavlovic A.; Radovanovic G.; Simeunovic D.; Zivkovic I.; Milinkovic I.; Ipina F. G.; Noguer F. R.; Brotons D. A.; Cequier A.; Salazar-Mendiguchia J.; Gonzalez J.; Manito N.; Garcia-Pavia P.; Briceno A.; Cobo-Marcos M.; Dominguez F.; Gimeno Blanes J. R.; Castro F. J.; Esparza C. M.; Sabater Molina M.; Garcia M. S.; Cuenca Lopez D.; Ripoll-Vera T.; Alvarez J.; Nunez J.; Gomez Y.; Sanchez Fernandez P. L.; Villacorta E.; Avila C.; Bravo L.; Diaz-Pelaez E.; Gallego-Delgado M.; Garcia-Cuenllas L.; Plata B.; Canpola U. |
| Contributors: | Caforio, A. L. P.; Kaski, J. P.; Gimeno, J. R.; Elliott, P. M.; Laroche, C.; Tavazzi, L.; Tendera, M.; Fu, M.; Sala, S.; Seferovic, P. M.; Helio, T.; Calo, L.; Blagova, O.; Amin, A.; Kindermann, I.; Sinagra, G.; Frustaci, A.; Bonnet, D.; Charron, P.; Maggioni, A. P.; Pihkala, J.; Ojala, T.; Hiippala, A.; Jarvinen, T.; Lommi, J.; Sinisalo, J.; Khraiche, D.; Szezepanski, I.; Mankikian, S.; Maupain, C.; Collet, J. -P.; Gandjbakhch, E.; Kerneis, M.; Pruny, J. -F.; Bauer, A.; Pfeiffer, B.; Felix, S. B.; Beug, D.; Dorr, M.; Kaczmarek, S.; Lehnert, K.; Pedersen, A. -L.; Bruder, M.; Gorenflo, M.; Arnold, R.; Uhl, S.; Ziesenitz, V.; Jung, A.; Roesch, E.; Bohm, M.; Linicus, Y.; Werner, C.; Neurath, B.; Schild-Ungerbuehler, M.; Kindermann, M.; Norrish, G.; Field, E.; Elliott, P.; Lorenzini, M.; Watkinson, O.; Wicks, E.; Anastasakis, A.; Ritsatos, K.; Vlagkouli, V.; Rammos, S.; Kourelis, G.; Giannakopoulou, A.; Karanasios, E.; Papachristou, P.; Papadopoulos, G.; Servos, G.; Maleki, M.; Bezanjani, F. N.; Naderi, N.; Parsaee, M.; Taghavi, S.; Ghadrdoost, B.; Jafari, S.; Khoshavi, M.; Della Bella, P.; Peretto, G.; Calabro, R.; Pacileo, G.; Russo, M. G.; Limongelli, G.; Esposito, A.; Gragnano, F.; Gravino, R.; Marrazzo, T.; Masarone, D.; Pazzanese, V.; Rubino, M.; Tramonte, S. |
| Publication Year: | 2024 |
| Collection: | Università degli Studi della Campania "Luigi Vanvitelli": CINECA IRIS V: |
| Subject Terms: | Endomyocardial biopsy; Immunosuppression; Myocarditi; Registry |
| Description: | Background and Aims Contemporary multicentre data on clinical and diagnostic spectrum and outcome in myocarditis are limited. Study aims were to describe baseline features, 1-year follow-up, and baseline predictors of outcome in clinically suspected or biopsy-proven myocarditis (2013 European Society of Cardiology criteria) in adult and paediatric patients from the EURObservational Research Programme Cardiomyopathy and Myocarditis Long-Term Registry. Methods Five hundred eighty-one (68.0% male) patients, 493 adults, median age 38 (27-52) years, and 88 children, aged 8 (3-13) years, were divided into 3 groups: Group 1 (n = 233), clinically suspected myocarditis with abnormal cardiac magnetic resonance; Group 2 (n = 222), biopsy-proven myocarditis; and Group 3 (n = 126) clinically suspected myocarditis with normal or inconclusive or no cardiac magnetic resonance. Baseline features were analysed overall, in adults vs. children, and among groups. One-year outcome events included death/heart transplantation, ventricular assist device (VAD) or implantable cardioverter defibrillator (ICD) implantation, and hospitalization for cardiac causes. Results Endomyocardial biopsy, mainly right ventricular, had a similarly low complication rate in children and adults (4.7% vs. 4.9%, P = NS), with no procedure-related death. A classical myocarditis pattern on cardiac magnetic resonance was found in 31.3% of children and in 57.9% of adults with biopsy-proven myocarditis (P < .001). At 1-year follow-up, 11/410 patients (2.7%) died, 7 (1.7%) received a heart transplant, 3 underwent VAD (0.7%), and 16 (3.9%) underwent ICD implantation. Independent predictors at diagnosis of death or heart transplantation or hospitalization or VAD implantation or ICD implantation at 1-year follow-up were lower left ventricular ejection fraction and the need for immunosuppressants for new myocarditis diagnosis refractory to non-aetiology-driven therapy. Conclusions Endomyocardial biopsy was safe, and cardiac magnetic resonance using Lake Louise ... |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | volume:45; issue:28; firstpage:2548; lastpage:2569; numberofpages:22; journal:EUROPEAN HEART JOURNAL; https://hdl.handle.net/11591/556153 |
| DOI: | 10.1093/eurheartj/ehae169 |
| Availability: | https://hdl.handle.net/11591/556153; https://doi.org/10.1093/eurheartj/ehae169 |
| Accession Number: | edsbas.99C26B23 |
| Database: | BASE |