Table 1

Baseline features of patients with viral myocarditis and polymorphic vs. monomorphic ventricular arrhythmias

P-VA (n = 32)M-VA (n = 42)PTotal VM (n = 74)Comparator VNM (n = 74)P
Clinical profile
 Age (years)46 ± 1647 ± 150.78347 ± 1647 ± 151.000
 Male sex19 (59)30 (71)0.32649 (66)48 (65)1.000
 Caucasian27 (84)39 (93)0.28066 (89)68 (92)0.780
 Associated SR/HDs4 (13)5 (12)1.0009 (12)11 (15)0.811
 History of SCD/CMP1 (3)3 (7)1.0004 (5)3 (4)1.000
Presentation
 Chest pain12 (38)15 (36)1.00027 (36)26 (35)1.000
 Dyspnoea12 (38)9 (21)0.19321 (28)21 (28)1.000
 Syncope/palpitation8 (25)18 (43)0.14326 (35)27 (36)1.000
 Complicateda16 (50)17 (40)0.48333 (45)33 (45)1.000
 Fever in the last 30 days16 (50)6 (14)0.00222 (30)4 (5)<0.001
VA documented by 24 h of admission
 VF6 (19)0 (0)0.0056 (8)1 (1)0.116
 Sustained VT5 (16)9 (21)0.56614 (19)20 (27)0.329
 NSVT10 (31)19 (45)0.24129 (39)31 (42)0.867
 Lown’s grade ≥ 2a VEBs11 (43)14 (33)1.00025 (34)27 (36)0.863
 VEB daily burden (103)1.2 (0.4–3.1)1.0 (0.3–3.6)0.6951.1 (0.3–3.4)1.3 (0.4–3.8)0.761
Baseline ECG and other arrhythmias
 PQ (ms)173 ± 40179 ± 380.513175 ± 39179 ± 410.544
 QRS duration (ms)102 ± 22104 ± 210.913103 ± 21105 ± 230.582
 QTc (ms)416 ± 34409 ± 320.425411 ± 32409 ± 330.709
 LBBB2 (6)3 (7)1.0005 (7)6 (8)1.000
 AF1 (3)2 (5)1.0003 (4)4 (5)1.000
Blood exams
 T-troponin (ng/L)46 (16–314)38 (9–255)0.73441 (13–286)35 (10–268)0.813
 NT-proBNP (pg/mL)429 (123–1812)348 (100–1399)0.624399 (106–1545)313 (101–1499)0.792
 C-reactive protein (mg/L)12 (6–23)5 (3–16)0.0267 (4–19)5 (3–17)0.566
 ESR (mm/h)13 (6–26)11 (5–24)0.71112 (5–26)10 (5–24)0.723
Echocardiogram
 LVEDVi (mL/m2)64 ± 2267 ± 200.54266 ± 2168 ± 220.573
 LVEF (%)46 ± 1455 ± 120.00451 ± 1351 ± 131.000
 LVEF < 50%12 (38)10 (24)0.30522 (30)22 (30)1.000
 E/E′9 ± 48 ± 40.2908 ± 48 ± 31.000
 TAPSE (mm)21 ± 422 ± 30.22322 ± 422 ± 41.000
 Pericardial effusion3 (9)6 (14)0.7239 (12)11 (15)0.811
Cardiac magnetic resonance
 Updated LLC+31 (97)34 (81)0.06965 (88)59 (79)0.265
 T2-STIR+23 (72)23 (55)0.15446 (62)40 (54)0.405
 LGE+31 (97)42 (100)1.00073 (99)74 (100)1.000
 Septal LGE13 (41)19 (45)0.81432 (43)34 (46)0.869
 T2 > 50 ms18/20 (90)20/24 (83)0.67338/44 (86)33/41 (80)0.564
 Native T1 > 1045 ms19/20 (95)21/24 (88)0.61440/44 (91)37/41 (90)1.000
 ECV > 27%16/20 (80)20/24 (83)1.00036/44 (82)35/41 (85)0.386
Endomyocardial biopsy
 Lymphocytic histotype32 (100)42 (100)1.00074 (100)74 (100)1.000
 CD3+ > 7/mm232 (100)42 (100)1.00074 (100)74 (100)1.000
 Necrosis24 (75)22 (52)0.05646 (62)38 (51)0.245
 Replacement fibrosis8 (25)30 (71)<0.00138 (51)56 (72)0.004
 Myocyte hypertrophy5 (16)15 (36)0.06720 (27)28 (38)0.219
 Viral genomes32 (100)42 (100)1.00074 (100)0 (0)<0.001
P-VA (n = 32)M-VA (n = 42)PTotal VM (n = 74)Comparator VNM (n = 74)P
Clinical profile
 Age (years)46 ± 1647 ± 150.78347 ± 1647 ± 151.000
 Male sex19 (59)30 (71)0.32649 (66)48 (65)1.000
 Caucasian27 (84)39 (93)0.28066 (89)68 (92)0.780
 Associated SR/HDs4 (13)5 (12)1.0009 (12)11 (15)0.811
 History of SCD/CMP1 (3)3 (7)1.0004 (5)3 (4)1.000
Presentation
 Chest pain12 (38)15 (36)1.00027 (36)26 (35)1.000
 Dyspnoea12 (38)9 (21)0.19321 (28)21 (28)1.000
 Syncope/palpitation8 (25)18 (43)0.14326 (35)27 (36)1.000
 Complicateda16 (50)17 (40)0.48333 (45)33 (45)1.000
 Fever in the last 30 days16 (50)6 (14)0.00222 (30)4 (5)<0.001
VA documented by 24 h of admission
 VF6 (19)0 (0)0.0056 (8)1 (1)0.116
 Sustained VT5 (16)9 (21)0.56614 (19)20 (27)0.329
 NSVT10 (31)19 (45)0.24129 (39)31 (42)0.867
 Lown’s grade ≥ 2a VEBs11 (43)14 (33)1.00025 (34)27 (36)0.863
 VEB daily burden (103)1.2 (0.4–3.1)1.0 (0.3–3.6)0.6951.1 (0.3–3.4)1.3 (0.4–3.8)0.761
Baseline ECG and other arrhythmias
 PQ (ms)173 ± 40179 ± 380.513175 ± 39179 ± 410.544
 QRS duration (ms)102 ± 22104 ± 210.913103 ± 21105 ± 230.582
 QTc (ms)416 ± 34409 ± 320.425411 ± 32409 ± 330.709
 LBBB2 (6)3 (7)1.0005 (7)6 (8)1.000
 AF1 (3)2 (5)1.0003 (4)4 (5)1.000
Blood exams
 T-troponin (ng/L)46 (16–314)38 (9–255)0.73441 (13–286)35 (10–268)0.813
 NT-proBNP (pg/mL)429 (123–1812)348 (100–1399)0.624399 (106–1545)313 (101–1499)0.792
 C-reactive protein (mg/L)12 (6–23)5 (3–16)0.0267 (4–19)5 (3–17)0.566
 ESR (mm/h)13 (6–26)11 (5–24)0.71112 (5–26)10 (5–24)0.723
Echocardiogram
 LVEDVi (mL/m2)64 ± 2267 ± 200.54266 ± 2168 ± 220.573
 LVEF (%)46 ± 1455 ± 120.00451 ± 1351 ± 131.000
 LVEF < 50%12 (38)10 (24)0.30522 (30)22 (30)1.000
 E/E′9 ± 48 ± 40.2908 ± 48 ± 31.000
 TAPSE (mm)21 ± 422 ± 30.22322 ± 422 ± 41.000
 Pericardial effusion3 (9)6 (14)0.7239 (12)11 (15)0.811
Cardiac magnetic resonance
 Updated LLC+31 (97)34 (81)0.06965 (88)59 (79)0.265
 T2-STIR+23 (72)23 (55)0.15446 (62)40 (54)0.405
 LGE+31 (97)42 (100)1.00073 (99)74 (100)1.000
 Septal LGE13 (41)19 (45)0.81432 (43)34 (46)0.869
 T2 > 50 ms18/20 (90)20/24 (83)0.67338/44 (86)33/41 (80)0.564
 Native T1 > 1045 ms19/20 (95)21/24 (88)0.61440/44 (91)37/41 (90)1.000
 ECV > 27%16/20 (80)20/24 (83)1.00036/44 (82)35/41 (85)0.386
Endomyocardial biopsy
 Lymphocytic histotype32 (100)42 (100)1.00074 (100)74 (100)1.000
 CD3+ > 7/mm232 (100)42 (100)1.00074 (100)74 (100)1.000
 Necrosis24 (75)22 (52)0.05646 (62)38 (51)0.245
 Replacement fibrosis8 (25)30 (71)<0.00138 (51)56 (72)0.004
 Myocyte hypertrophy5 (16)15 (36)0.06720 (27)28 (38)0.219
 Viral genomes32 (100)42 (100)1.00074 (100)0 (0)<0.001

Comparison is shown between VM with P-VA vs. M-VA, as well as between VM and comparator group of VNM. Measures are mean ± standard deviation, median (quartile 1–quartile 3), or count (%). Significant differences are enhanced in bold font.

AF, atrial fibrillation; CD, cluster of differentiation; ECV, extracellular volume; ESR, erythrocyte sedimentation rate; LBBB, left bundle branch abnormality; LGE, late gadolinium enhancement; LLC, Lake Louise criteria; LVEDVi, left ventricular end-diastolic volume indexed; LVEF, left ventricular ejection fraction; M-VA, monomorphic ventricular arrhythmias; NSVT, non-sustained ventricular tachycardia; P-VA, polymorphic ventricular arrhythmias; SCD/CMP, sudden cardiac death/cardiomyopathy; SR/HDs, systemic rheumatologic/hematologic diseases; STIR, short-tau inversion recovery; TAPSE, tricuspid annular plane systolic excursion; VEBs, ventricular ectopic beats; VF, ventricular fibrillation; VM, viral myocarditis; VNM, virus-negative myocarditis; VT, ventricular tachycardia.

aComplicated presentation included either acute heart failure, LVEF < 50%, or sustained VT/VF.8

Table 1

Baseline features of patients with viral myocarditis and polymorphic vs. monomorphic ventricular arrhythmias

P-VA (n = 32)M-VA (n = 42)PTotal VM (n = 74)Comparator VNM (n = 74)P
Clinical profile
 Age (years)46 ± 1647 ± 150.78347 ± 1647 ± 151.000
 Male sex19 (59)30 (71)0.32649 (66)48 (65)1.000
 Caucasian27 (84)39 (93)0.28066 (89)68 (92)0.780
 Associated SR/HDs4 (13)5 (12)1.0009 (12)11 (15)0.811
 History of SCD/CMP1 (3)3 (7)1.0004 (5)3 (4)1.000
Presentation
 Chest pain12 (38)15 (36)1.00027 (36)26 (35)1.000
 Dyspnoea12 (38)9 (21)0.19321 (28)21 (28)1.000
 Syncope/palpitation8 (25)18 (43)0.14326 (35)27 (36)1.000
 Complicateda16 (50)17 (40)0.48333 (45)33 (45)1.000
 Fever in the last 30 days16 (50)6 (14)0.00222 (30)4 (5)<0.001
VA documented by 24 h of admission
 VF6 (19)0 (0)0.0056 (8)1 (1)0.116
 Sustained VT5 (16)9 (21)0.56614 (19)20 (27)0.329
 NSVT10 (31)19 (45)0.24129 (39)31 (42)0.867
 Lown’s grade ≥ 2a VEBs11 (43)14 (33)1.00025 (34)27 (36)0.863
 VEB daily burden (103)1.2 (0.4–3.1)1.0 (0.3–3.6)0.6951.1 (0.3–3.4)1.3 (0.4–3.8)0.761
Baseline ECG and other arrhythmias
 PQ (ms)173 ± 40179 ± 380.513175 ± 39179 ± 410.544
 QRS duration (ms)102 ± 22104 ± 210.913103 ± 21105 ± 230.582
 QTc (ms)416 ± 34409 ± 320.425411 ± 32409 ± 330.709
 LBBB2 (6)3 (7)1.0005 (7)6 (8)1.000
 AF1 (3)2 (5)1.0003 (4)4 (5)1.000
Blood exams
 T-troponin (ng/L)46 (16–314)38 (9–255)0.73441 (13–286)35 (10–268)0.813
 NT-proBNP (pg/mL)429 (123–1812)348 (100–1399)0.624399 (106–1545)313 (101–1499)0.792
 C-reactive protein (mg/L)12 (6–23)5 (3–16)0.0267 (4–19)5 (3–17)0.566
 ESR (mm/h)13 (6–26)11 (5–24)0.71112 (5–26)10 (5–24)0.723
Echocardiogram
 LVEDVi (mL/m2)64 ± 2267 ± 200.54266 ± 2168 ± 220.573
 LVEF (%)46 ± 1455 ± 120.00451 ± 1351 ± 131.000
 LVEF < 50%12 (38)10 (24)0.30522 (30)22 (30)1.000
 E/E′9 ± 48 ± 40.2908 ± 48 ± 31.000
 TAPSE (mm)21 ± 422 ± 30.22322 ± 422 ± 41.000
 Pericardial effusion3 (9)6 (14)0.7239 (12)11 (15)0.811
Cardiac magnetic resonance
 Updated LLC+31 (97)34 (81)0.06965 (88)59 (79)0.265
 T2-STIR+23 (72)23 (55)0.15446 (62)40 (54)0.405
 LGE+31 (97)42 (100)1.00073 (99)74 (100)1.000
 Septal LGE13 (41)19 (45)0.81432 (43)34 (46)0.869
 T2 > 50 ms18/20 (90)20/24 (83)0.67338/44 (86)33/41 (80)0.564
 Native T1 > 1045 ms19/20 (95)21/24 (88)0.61440/44 (91)37/41 (90)1.000
 ECV > 27%16/20 (80)20/24 (83)1.00036/44 (82)35/41 (85)0.386
Endomyocardial biopsy
 Lymphocytic histotype32 (100)42 (100)1.00074 (100)74 (100)1.000
 CD3+ > 7/mm232 (100)42 (100)1.00074 (100)74 (100)1.000
 Necrosis24 (75)22 (52)0.05646 (62)38 (51)0.245
 Replacement fibrosis8 (25)30 (71)<0.00138 (51)56 (72)0.004
 Myocyte hypertrophy5 (16)15 (36)0.06720 (27)28 (38)0.219
 Viral genomes32 (100)42 (100)1.00074 (100)0 (0)<0.001
P-VA (n = 32)M-VA (n = 42)PTotal VM (n = 74)Comparator VNM (n = 74)P
Clinical profile
 Age (years)46 ± 1647 ± 150.78347 ± 1647 ± 151.000
 Male sex19 (59)30 (71)0.32649 (66)48 (65)1.000
 Caucasian27 (84)39 (93)0.28066 (89)68 (92)0.780
 Associated SR/HDs4 (13)5 (12)1.0009 (12)11 (15)0.811
 History of SCD/CMP1 (3)3 (7)1.0004 (5)3 (4)1.000
Presentation
 Chest pain12 (38)15 (36)1.00027 (36)26 (35)1.000
 Dyspnoea12 (38)9 (21)0.19321 (28)21 (28)1.000
 Syncope/palpitation8 (25)18 (43)0.14326 (35)27 (36)1.000
 Complicateda16 (50)17 (40)0.48333 (45)33 (45)1.000
 Fever in the last 30 days16 (50)6 (14)0.00222 (30)4 (5)<0.001
VA documented by 24 h of admission
 VF6 (19)0 (0)0.0056 (8)1 (1)0.116
 Sustained VT5 (16)9 (21)0.56614 (19)20 (27)0.329
 NSVT10 (31)19 (45)0.24129 (39)31 (42)0.867
 Lown’s grade ≥ 2a VEBs11 (43)14 (33)1.00025 (34)27 (36)0.863
 VEB daily burden (103)1.2 (0.4–3.1)1.0 (0.3–3.6)0.6951.1 (0.3–3.4)1.3 (0.4–3.8)0.761
Baseline ECG and other arrhythmias
 PQ (ms)173 ± 40179 ± 380.513175 ± 39179 ± 410.544
 QRS duration (ms)102 ± 22104 ± 210.913103 ± 21105 ± 230.582
 QTc (ms)416 ± 34409 ± 320.425411 ± 32409 ± 330.709
 LBBB2 (6)3 (7)1.0005 (7)6 (8)1.000
 AF1 (3)2 (5)1.0003 (4)4 (5)1.000
Blood exams
 T-troponin (ng/L)46 (16–314)38 (9–255)0.73441 (13–286)35 (10–268)0.813
 NT-proBNP (pg/mL)429 (123–1812)348 (100–1399)0.624399 (106–1545)313 (101–1499)0.792
 C-reactive protein (mg/L)12 (6–23)5 (3–16)0.0267 (4–19)5 (3–17)0.566
 ESR (mm/h)13 (6–26)11 (5–24)0.71112 (5–26)10 (5–24)0.723
Echocardiogram
 LVEDVi (mL/m2)64 ± 2267 ± 200.54266 ± 2168 ± 220.573
 LVEF (%)46 ± 1455 ± 120.00451 ± 1351 ± 131.000
 LVEF < 50%12 (38)10 (24)0.30522 (30)22 (30)1.000
 E/E′9 ± 48 ± 40.2908 ± 48 ± 31.000
 TAPSE (mm)21 ± 422 ± 30.22322 ± 422 ± 41.000
 Pericardial effusion3 (9)6 (14)0.7239 (12)11 (15)0.811
Cardiac magnetic resonance
 Updated LLC+31 (97)34 (81)0.06965 (88)59 (79)0.265
 T2-STIR+23 (72)23 (55)0.15446 (62)40 (54)0.405
 LGE+31 (97)42 (100)1.00073 (99)74 (100)1.000
 Septal LGE13 (41)19 (45)0.81432 (43)34 (46)0.869
 T2 > 50 ms18/20 (90)20/24 (83)0.67338/44 (86)33/41 (80)0.564
 Native T1 > 1045 ms19/20 (95)21/24 (88)0.61440/44 (91)37/41 (90)1.000
 ECV > 27%16/20 (80)20/24 (83)1.00036/44 (82)35/41 (85)0.386
Endomyocardial biopsy
 Lymphocytic histotype32 (100)42 (100)1.00074 (100)74 (100)1.000
 CD3+ > 7/mm232 (100)42 (100)1.00074 (100)74 (100)1.000
 Necrosis24 (75)22 (52)0.05646 (62)38 (51)0.245
 Replacement fibrosis8 (25)30 (71)<0.00138 (51)56 (72)0.004
 Myocyte hypertrophy5 (16)15 (36)0.06720 (27)28 (38)0.219
 Viral genomes32 (100)42 (100)1.00074 (100)0 (0)<0.001

Comparison is shown between VM with P-VA vs. M-VA, as well as between VM and comparator group of VNM. Measures are mean ± standard deviation, median (quartile 1–quartile 3), or count (%). Significant differences are enhanced in bold font.

AF, atrial fibrillation; CD, cluster of differentiation; ECV, extracellular volume; ESR, erythrocyte sedimentation rate; LBBB, left bundle branch abnormality; LGE, late gadolinium enhancement; LLC, Lake Louise criteria; LVEDVi, left ventricular end-diastolic volume indexed; LVEF, left ventricular ejection fraction; M-VA, monomorphic ventricular arrhythmias; NSVT, non-sustained ventricular tachycardia; P-VA, polymorphic ventricular arrhythmias; SCD/CMP, sudden cardiac death/cardiomyopathy; SR/HDs, systemic rheumatologic/hematologic diseases; STIR, short-tau inversion recovery; TAPSE, tricuspid annular plane systolic excursion; VEBs, ventricular ectopic beats; VF, ventricular fibrillation; VM, viral myocarditis; VNM, virus-negative myocarditis; VT, ventricular tachycardia.

aComplicated presentation included either acute heart failure, LVEF < 50%, or sustained VT/VF.8

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