Cardiovascular Magnetic Resonance for Evaluation of Heart Involvement in ANCA-Associated Vasculitis. A Luxury or a Valuable Diagnostic Tool?

Author(s): Sophie Mavrogeni, George Markousis-Mavrogenis, Genovefa Kolovou.

Journal Name: Inflammation & Allergy - Drug Targets (Discontinued)

Volume 13 , Issue 5 , 2014

Graphical Abstract:


Abstract:

Antineutrophil cytoplasmic antibody (ANCA)-related vasculitis is a systemic small-vessel vasculitis, including 3 clinical syndromes: granulomatosis with polyangiitis, known as Wegener's granulomatosis (WG), microscopic polyangiitis (MPA) and the Churg-Strauss syndrome (CSS). ANCA-related vasculitis usually presents with severe kidney or pulmonary disease, has a mortality of 28% at 5 years, and also contributes to increased morbidity in vasculitis patients.

Cardiac involvement in this entity may have different forms, including coronary vessels, pericarditis, myocarditis, endocarditis, myocardial infarction and subendocardial vasculitis that can contribute to reduced life expectancy.

Cardiovascular magnetic resonance using oedema and fibrosis imaging can early reveal, noninvasively and without radiation, heart involvement during vasculitis, undetected by other imaging techniques and guide further risk stratification and treatment of these patients.

Keywords: Cardiovascular magnetic resonance, coronary artery, myocardial fibrosis, myocardial inflammation, myocardial ischemia, systemic vasculitis.

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Article Details

VOLUME: 13
ISSUE: 5
Year: 2014
Page: [305 - 311]
Pages: 7
DOI: 10.2174/1871528113666140924123717
Price: $58

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