Post by Prof. Dr. med. Christoph Gräni

🚨 Happy to share our recent publication in JACC Cardiovascular Imaging 🚨 👉🏻Link: https://lnkd.in/ep32NGyN ‼️Key message: #Myocarditis is not only a ventricular disease - atrial dysfunction matters too. In a multicenter cohort of 787 patients with possible myocarditis undergoing CMR, we found that: 🔹 Left atrial (LA) and right atrial (RA) long axis shortening (LAS) independently predicted adverse cardiovascular outcomes (of note: LAS in CMR is a very simple and fast, vendor-independent method for evaluating longitudinal heart function). 🔹 Atrial dysfunction provided incremental prognostic value beyond traditional CMR markers such as LVEF and LGE 🔹 Combined bi-atrial dysfunction identified the highest-risk patients 🔹 LAS analysis was rapid, reproducible, and feasible in routine clinical CMR workflows 📊 Follow-up: median 3.5 years ⚠️ Endpoint: HF hospitalization, sustained VT, recurrent myocarditis, or death ✅ 𝐂𝐨𝐧𝐜𝐥𝐮𝐬𝐢𝐨𝐧: 𝐀𝐝𝐝𝐢𝐧𝐠 𝐚𝐭𝐫𝐢𝐚𝐥 𝐟𝐮𝐧𝐜𝐭𝐢𝐨𝐧 𝐢𝐧 𝐂𝐌𝐑 𝐢𝐦𝐩𝐫𝐨𝐯𝐞𝐝 𝐫𝐢𝐬𝐤 𝐬𝐭𝐫𝐚𝐭𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐛𝐞𝐲𝐨𝐧𝐝 𝐜𝐨𝐧𝐯𝐞𝐧𝐭𝐢𝐨𝐧𝐚𝐥 𝐢𝐦𝐚𝐠𝐢𝐧𝐠 𝐩𝐚𝐫𝐚𝐦𝐞𝐭𝐞𝐫𝐬 𝐢𝐧 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬 𝐰𝐢𝐭𝐡 𝐩𝐨𝐬𝐬𝐢𝐛𝐥𝐞 𝐦𝐲𝐨𝐜𝐚𝐫𝐝𝐢𝐭𝐢𝐬. A nice example of how advanced yet clinically practical imaging markers may further refine myocarditis assessment and follow-up strategies. Congratulations and thanks to all collaborators from Bern and Boston: Nicola Ciocca, Delia Brändle, Lars Riederer, Kady F., Jonathan Schütze, Andreas Wahl, Giulin Tanner, Prof. Dr. med. Dominik Guensch, Kiril Stoyanov, Chrysoula Garefa, Maryam Pavlicek-Bahlo, Moritz Hundertmark, MD, PhD, Isaac Shiri, Benedikt Bernhard, Raymond Kwong. #Cardiology #CMR #CardiacMRI #Myocarditis #Imaging #JACC #CardioTwitter #CardiovascularImaging #Research #MedTwitter #AIinMedicine JACC Journals Insel Gruppe Universität Bern Faculty of Medicine, University of Bern Department of Digital Medicine sitem-insel