Baseline features of patients with viral myocarditis and polymorphic vs. monomorphic ventricular arrhythmias
. | P-VA (n = 32) . | M-VA (n = 42) . | P . | Total VM (n = 74) . | Comparator VNM (n = 74) . | P . |
---|---|---|---|---|---|---|
Clinical profile | ||||||
Age (years) | 46 ± 16 | 47 ± 15 | 0.783 | 47 ± 16 | 47 ± 15 | 1.000 |
Male sex | 19 (59) | 30 (71) | 0.326 | 49 (66) | 48 (65) | 1.000 |
Caucasian | 27 (84) | 39 (93) | 0.280 | 66 (89) | 68 (92) | 0.780 |
Associated SR/HDs | 4 (13) | 5 (12) | 1.000 | 9 (12) | 11 (15) | 0.811 |
History of SCD/CMP | 1 (3) | 3 (7) | 1.000 | 4 (5) | 3 (4) | 1.000 |
Presentation | ||||||
Chest pain | 12 (38) | 15 (36) | 1.000 | 27 (36) | 26 (35) | 1.000 |
Dyspnoea | 12 (38) | 9 (21) | 0.193 | 21 (28) | 21 (28) | 1.000 |
Syncope/palpitation | 8 (25) | 18 (43) | 0.143 | 26 (35) | 27 (36) | 1.000 |
Complicateda | 16 (50) | 17 (40) | 0.483 | 33 (45) | 33 (45) | 1.000 |
Fever in the last 30 days | 16 (50) | 6 (14) | 0.002 | 22 (30) | 4 (5) | <0.001 |
VA documented by 24 h of admission | ||||||
VF | 6 (19) | 0 (0) | 0.005 | 6 (8) | 1 (1) | 0.116 |
Sustained VT | 5 (16) | 9 (21) | 0.566 | 14 (19) | 20 (27) | 0.329 |
NSVT | 10 (31) | 19 (45) | 0.241 | 29 (39) | 31 (42) | 0.867 |
Lown’s grade ≥ 2a VEBs | 11 (43) | 14 (33) | 1.000 | 25 (34) | 27 (36) | 0.863 |
VEB daily burden (103) | 1.2 (0.4–3.1) | 1.0 (0.3–3.6) | 0.695 | 1.1 (0.3–3.4) | 1.3 (0.4–3.8) | 0.761 |
Baseline ECG and other arrhythmias | ||||||
PQ (ms) | 173 ± 40 | 179 ± 38 | 0.513 | 175 ± 39 | 179 ± 41 | 0.544 |
QRS duration (ms) | 102 ± 22 | 104 ± 21 | 0.913 | 103 ± 21 | 105 ± 23 | 0.582 |
QTc (ms) | 416 ± 34 | 409 ± 32 | 0.425 | 411 ± 32 | 409 ± 33 | 0.709 |
LBBB | 2 (6) | 3 (7) | 1.000 | 5 (7) | 6 (8) | 1.000 |
AF | 1 (3) | 2 (5) | 1.000 | 3 (4) | 4 (5) | 1.000 |
Blood exams | ||||||
T-troponin (ng/L) | 46 (16–314) | 38 (9–255) | 0.734 | 41 (13–286) | 35 (10–268) | 0.813 |
NT-proBNP (pg/mL) | 429 (123–1812) | 348 (100–1399) | 0.624 | 399 (106–1545) | 313 (101–1499) | 0.792 |
C-reactive protein (mg/L) | 12 (6–23) | 5 (3–16) | 0.026 | 7 (4–19) | 5 (3–17) | 0.566 |
ESR (mm/h) | 13 (6–26) | 11 (5–24) | 0.711 | 12 (5–26) | 10 (5–24) | 0.723 |
Echocardiogram | ||||||
LVEDVi (mL/m2) | 64 ± 22 | 67 ± 20 | 0.542 | 66 ± 21 | 68 ± 22 | 0.573 |
LVEF (%) | 46 ± 14 | 55 ± 12 | 0.004 | 51 ± 13 | 51 ± 13 | 1.000 |
LVEF < 50% | 12 (38) | 10 (24) | 0.305 | 22 (30) | 22 (30) | 1.000 |
E/E′ | 9 ± 4 | 8 ± 4 | 0.290 | 8 ± 4 | 8 ± 3 | 1.000 |
TAPSE (mm) | 21 ± 4 | 22 ± 3 | 0.223 | 22 ± 4 | 22 ± 4 | 1.000 |
Pericardial effusion | 3 (9) | 6 (14) | 0.723 | 9 (12) | 11 (15) | 0.811 |
Cardiac magnetic resonance | ||||||
Updated LLC+ | 31 (97) | 34 (81) | 0.069 | 65 (88) | 59 (79) | 0.265 |
T2-STIR+ | 23 (72) | 23 (55) | 0.154 | 46 (62) | 40 (54) | 0.405 |
LGE+ | 31 (97) | 42 (100) | 1.000 | 73 (99) | 74 (100) | 1.000 |
Septal LGE | 13 (41) | 19 (45) | 0.814 | 32 (43) | 34 (46) | 0.869 |
T2 > 50 ms | 18/20 (90) | 20/24 (83) | 0.673 | 38/44 (86) | 33/41 (80) | 0.564 |
Native T1 > 1045 ms | 19/20 (95) | 21/24 (88) | 0.614 | 40/44 (91) | 37/41 (90) | 1.000 |
ECV > 27% | 16/20 (80) | 20/24 (83) | 1.000 | 36/44 (82) | 35/41 (85) | 0.386 |
Endomyocardial biopsy | ||||||
Lymphocytic histotype | 32 (100) | 42 (100) | 1.000 | 74 (100) | 74 (100) | 1.000 |
CD3+ > 7/mm2 | 32 (100) | 42 (100) | 1.000 | 74 (100) | 74 (100) | 1.000 |
Necrosis | 24 (75) | 22 (52) | 0.056 | 46 (62) | 38 (51) | 0.245 |
Replacement fibrosis | 8 (25) | 30 (71) | <0.001 | 38 (51) | 56 (72) | 0.004 |
Myocyte hypertrophy | 5 (16) | 15 (36) | 0.067 | 20 (27) | 28 (38) | 0.219 |
Viral genomes | 32 (100) | 42 (100) | 1.000 | 74 (100) | 0 (0) | <0.001 |
. | P-VA (n = 32) . | M-VA (n = 42) . | P . | Total VM (n = 74) . | Comparator VNM (n = 74) . | P . |
---|---|---|---|---|---|---|
Clinical profile | ||||||
Age (years) | 46 ± 16 | 47 ± 15 | 0.783 | 47 ± 16 | 47 ± 15 | 1.000 |
Male sex | 19 (59) | 30 (71) | 0.326 | 49 (66) | 48 (65) | 1.000 |
Caucasian | 27 (84) | 39 (93) | 0.280 | 66 (89) | 68 (92) | 0.780 |
Associated SR/HDs | 4 (13) | 5 (12) | 1.000 | 9 (12) | 11 (15) | 0.811 |
History of SCD/CMP | 1 (3) | 3 (7) | 1.000 | 4 (5) | 3 (4) | 1.000 |
Presentation | ||||||
Chest pain | 12 (38) | 15 (36) | 1.000 | 27 (36) | 26 (35) | 1.000 |
Dyspnoea | 12 (38) | 9 (21) | 0.193 | 21 (28) | 21 (28) | 1.000 |
Syncope/palpitation | 8 (25) | 18 (43) | 0.143 | 26 (35) | 27 (36) | 1.000 |
Complicateda | 16 (50) | 17 (40) | 0.483 | 33 (45) | 33 (45) | 1.000 |
Fever in the last 30 days | 16 (50) | 6 (14) | 0.002 | 22 (30) | 4 (5) | <0.001 |
VA documented by 24 h of admission | ||||||
VF | 6 (19) | 0 (0) | 0.005 | 6 (8) | 1 (1) | 0.116 |
Sustained VT | 5 (16) | 9 (21) | 0.566 | 14 (19) | 20 (27) | 0.329 |
NSVT | 10 (31) | 19 (45) | 0.241 | 29 (39) | 31 (42) | 0.867 |
Lown’s grade ≥ 2a VEBs | 11 (43) | 14 (33) | 1.000 | 25 (34) | 27 (36) | 0.863 |
VEB daily burden (103) | 1.2 (0.4–3.1) | 1.0 (0.3–3.6) | 0.695 | 1.1 (0.3–3.4) | 1.3 (0.4–3.8) | 0.761 |
Baseline ECG and other arrhythmias | ||||||
PQ (ms) | 173 ± 40 | 179 ± 38 | 0.513 | 175 ± 39 | 179 ± 41 | 0.544 |
QRS duration (ms) | 102 ± 22 | 104 ± 21 | 0.913 | 103 ± 21 | 105 ± 23 | 0.582 |
QTc (ms) | 416 ± 34 | 409 ± 32 | 0.425 | 411 ± 32 | 409 ± 33 | 0.709 |
LBBB | 2 (6) | 3 (7) | 1.000 | 5 (7) | 6 (8) | 1.000 |
AF | 1 (3) | 2 (5) | 1.000 | 3 (4) | 4 (5) | 1.000 |
Blood exams | ||||||
T-troponin (ng/L) | 46 (16–314) | 38 (9–255) | 0.734 | 41 (13–286) | 35 (10–268) | 0.813 |
NT-proBNP (pg/mL) | 429 (123–1812) | 348 (100–1399) | 0.624 | 399 (106–1545) | 313 (101–1499) | 0.792 |
C-reactive protein (mg/L) | 12 (6–23) | 5 (3–16) | 0.026 | 7 (4–19) | 5 (3–17) | 0.566 |
ESR (mm/h) | 13 (6–26) | 11 (5–24) | 0.711 | 12 (5–26) | 10 (5–24) | 0.723 |
Echocardiogram | ||||||
LVEDVi (mL/m2) | 64 ± 22 | 67 ± 20 | 0.542 | 66 ± 21 | 68 ± 22 | 0.573 |
LVEF (%) | 46 ± 14 | 55 ± 12 | 0.004 | 51 ± 13 | 51 ± 13 | 1.000 |
LVEF < 50% | 12 (38) | 10 (24) | 0.305 | 22 (30) | 22 (30) | 1.000 |
E/E′ | 9 ± 4 | 8 ± 4 | 0.290 | 8 ± 4 | 8 ± 3 | 1.000 |
TAPSE (mm) | 21 ± 4 | 22 ± 3 | 0.223 | 22 ± 4 | 22 ± 4 | 1.000 |
Pericardial effusion | 3 (9) | 6 (14) | 0.723 | 9 (12) | 11 (15) | 0.811 |
Cardiac magnetic resonance | ||||||
Updated LLC+ | 31 (97) | 34 (81) | 0.069 | 65 (88) | 59 (79) | 0.265 |
T2-STIR+ | 23 (72) | 23 (55) | 0.154 | 46 (62) | 40 (54) | 0.405 |
LGE+ | 31 (97) | 42 (100) | 1.000 | 73 (99) | 74 (100) | 1.000 |
Septal LGE | 13 (41) | 19 (45) | 0.814 | 32 (43) | 34 (46) | 0.869 |
T2 > 50 ms | 18/20 (90) | 20/24 (83) | 0.673 | 38/44 (86) | 33/41 (80) | 0.564 |
Native T1 > 1045 ms | 19/20 (95) | 21/24 (88) | 0.614 | 40/44 (91) | 37/41 (90) | 1.000 |
ECV > 27% | 16/20 (80) | 20/24 (83) | 1.000 | 36/44 (82) | 35/41 (85) | 0.386 |
Endomyocardial biopsy | ||||||
Lymphocytic histotype | 32 (100) | 42 (100) | 1.000 | 74 (100) | 74 (100) | 1.000 |
CD3+ > 7/mm2 | 32 (100) | 42 (100) | 1.000 | 74 (100) | 74 (100) | 1.000 |
Necrosis | 24 (75) | 22 (52) | 0.056 | 46 (62) | 38 (51) | 0.245 |
Replacement fibrosis | 8 (25) | 30 (71) | <0.001 | 38 (51) | 56 (72) | 0.004 |
Myocyte hypertrophy | 5 (16) | 15 (36) | 0.067 | 20 (27) | 28 (38) | 0.219 |
Viral genomes | 32 (100) | 42 (100) | 1.000 | 74 (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
Baseline features of patients with viral myocarditis and polymorphic vs. monomorphic ventricular arrhythmias
. | P-VA (n = 32) . | M-VA (n = 42) . | P . | Total VM (n = 74) . | Comparator VNM (n = 74) . | P . |
---|---|---|---|---|---|---|
Clinical profile | ||||||
Age (years) | 46 ± 16 | 47 ± 15 | 0.783 | 47 ± 16 | 47 ± 15 | 1.000 |
Male sex | 19 (59) | 30 (71) | 0.326 | 49 (66) | 48 (65) | 1.000 |
Caucasian | 27 (84) | 39 (93) | 0.280 | 66 (89) | 68 (92) | 0.780 |
Associated SR/HDs | 4 (13) | 5 (12) | 1.000 | 9 (12) | 11 (15) | 0.811 |
History of SCD/CMP | 1 (3) | 3 (7) | 1.000 | 4 (5) | 3 (4) | 1.000 |
Presentation | ||||||
Chest pain | 12 (38) | 15 (36) | 1.000 | 27 (36) | 26 (35) | 1.000 |
Dyspnoea | 12 (38) | 9 (21) | 0.193 | 21 (28) | 21 (28) | 1.000 |
Syncope/palpitation | 8 (25) | 18 (43) | 0.143 | 26 (35) | 27 (36) | 1.000 |
Complicateda | 16 (50) | 17 (40) | 0.483 | 33 (45) | 33 (45) | 1.000 |
Fever in the last 30 days | 16 (50) | 6 (14) | 0.002 | 22 (30) | 4 (5) | <0.001 |
VA documented by 24 h of admission | ||||||
VF | 6 (19) | 0 (0) | 0.005 | 6 (8) | 1 (1) | 0.116 |
Sustained VT | 5 (16) | 9 (21) | 0.566 | 14 (19) | 20 (27) | 0.329 |
NSVT | 10 (31) | 19 (45) | 0.241 | 29 (39) | 31 (42) | 0.867 |
Lown’s grade ≥ 2a VEBs | 11 (43) | 14 (33) | 1.000 | 25 (34) | 27 (36) | 0.863 |
VEB daily burden (103) | 1.2 (0.4–3.1) | 1.0 (0.3–3.6) | 0.695 | 1.1 (0.3–3.4) | 1.3 (0.4–3.8) | 0.761 |
Baseline ECG and other arrhythmias | ||||||
PQ (ms) | 173 ± 40 | 179 ± 38 | 0.513 | 175 ± 39 | 179 ± 41 | 0.544 |
QRS duration (ms) | 102 ± 22 | 104 ± 21 | 0.913 | 103 ± 21 | 105 ± 23 | 0.582 |
QTc (ms) | 416 ± 34 | 409 ± 32 | 0.425 | 411 ± 32 | 409 ± 33 | 0.709 |
LBBB | 2 (6) | 3 (7) | 1.000 | 5 (7) | 6 (8) | 1.000 |
AF | 1 (3) | 2 (5) | 1.000 | 3 (4) | 4 (5) | 1.000 |
Blood exams | ||||||
T-troponin (ng/L) | 46 (16–314) | 38 (9–255) | 0.734 | 41 (13–286) | 35 (10–268) | 0.813 |
NT-proBNP (pg/mL) | 429 (123–1812) | 348 (100–1399) | 0.624 | 399 (106–1545) | 313 (101–1499) | 0.792 |
C-reactive protein (mg/L) | 12 (6–23) | 5 (3–16) | 0.026 | 7 (4–19) | 5 (3–17) | 0.566 |
ESR (mm/h) | 13 (6–26) | 11 (5–24) | 0.711 | 12 (5–26) | 10 (5–24) | 0.723 |
Echocardiogram | ||||||
LVEDVi (mL/m2) | 64 ± 22 | 67 ± 20 | 0.542 | 66 ± 21 | 68 ± 22 | 0.573 |
LVEF (%) | 46 ± 14 | 55 ± 12 | 0.004 | 51 ± 13 | 51 ± 13 | 1.000 |
LVEF < 50% | 12 (38) | 10 (24) | 0.305 | 22 (30) | 22 (30) | 1.000 |
E/E′ | 9 ± 4 | 8 ± 4 | 0.290 | 8 ± 4 | 8 ± 3 | 1.000 |
TAPSE (mm) | 21 ± 4 | 22 ± 3 | 0.223 | 22 ± 4 | 22 ± 4 | 1.000 |
Pericardial effusion | 3 (9) | 6 (14) | 0.723 | 9 (12) | 11 (15) | 0.811 |
Cardiac magnetic resonance | ||||||
Updated LLC+ | 31 (97) | 34 (81) | 0.069 | 65 (88) | 59 (79) | 0.265 |
T2-STIR+ | 23 (72) | 23 (55) | 0.154 | 46 (62) | 40 (54) | 0.405 |
LGE+ | 31 (97) | 42 (100) | 1.000 | 73 (99) | 74 (100) | 1.000 |
Septal LGE | 13 (41) | 19 (45) | 0.814 | 32 (43) | 34 (46) | 0.869 |
T2 > 50 ms | 18/20 (90) | 20/24 (83) | 0.673 | 38/44 (86) | 33/41 (80) | 0.564 |
Native T1 > 1045 ms | 19/20 (95) | 21/24 (88) | 0.614 | 40/44 (91) | 37/41 (90) | 1.000 |
ECV > 27% | 16/20 (80) | 20/24 (83) | 1.000 | 36/44 (82) | 35/41 (85) | 0.386 |
Endomyocardial biopsy | ||||||
Lymphocytic histotype | 32 (100) | 42 (100) | 1.000 | 74 (100) | 74 (100) | 1.000 |
CD3+ > 7/mm2 | 32 (100) | 42 (100) | 1.000 | 74 (100) | 74 (100) | 1.000 |
Necrosis | 24 (75) | 22 (52) | 0.056 | 46 (62) | 38 (51) | 0.245 |
Replacement fibrosis | 8 (25) | 30 (71) | <0.001 | 38 (51) | 56 (72) | 0.004 |
Myocyte hypertrophy | 5 (16) | 15 (36) | 0.067 | 20 (27) | 28 (38) | 0.219 |
Viral genomes | 32 (100) | 42 (100) | 1.000 | 74 (100) | 0 (0) | <0.001 |
. | P-VA (n = 32) . | M-VA (n = 42) . | P . | Total VM (n = 74) . | Comparator VNM (n = 74) . | P . |
---|---|---|---|---|---|---|
Clinical profile | ||||||
Age (years) | 46 ± 16 | 47 ± 15 | 0.783 | 47 ± 16 | 47 ± 15 | 1.000 |
Male sex | 19 (59) | 30 (71) | 0.326 | 49 (66) | 48 (65) | 1.000 |
Caucasian | 27 (84) | 39 (93) | 0.280 | 66 (89) | 68 (92) | 0.780 |
Associated SR/HDs | 4 (13) | 5 (12) | 1.000 | 9 (12) | 11 (15) | 0.811 |
History of SCD/CMP | 1 (3) | 3 (7) | 1.000 | 4 (5) | 3 (4) | 1.000 |
Presentation | ||||||
Chest pain | 12 (38) | 15 (36) | 1.000 | 27 (36) | 26 (35) | 1.000 |
Dyspnoea | 12 (38) | 9 (21) | 0.193 | 21 (28) | 21 (28) | 1.000 |
Syncope/palpitation | 8 (25) | 18 (43) | 0.143 | 26 (35) | 27 (36) | 1.000 |
Complicateda | 16 (50) | 17 (40) | 0.483 | 33 (45) | 33 (45) | 1.000 |
Fever in the last 30 days | 16 (50) | 6 (14) | 0.002 | 22 (30) | 4 (5) | <0.001 |
VA documented by 24 h of admission | ||||||
VF | 6 (19) | 0 (0) | 0.005 | 6 (8) | 1 (1) | 0.116 |
Sustained VT | 5 (16) | 9 (21) | 0.566 | 14 (19) | 20 (27) | 0.329 |
NSVT | 10 (31) | 19 (45) | 0.241 | 29 (39) | 31 (42) | 0.867 |
Lown’s grade ≥ 2a VEBs | 11 (43) | 14 (33) | 1.000 | 25 (34) | 27 (36) | 0.863 |
VEB daily burden (103) | 1.2 (0.4–3.1) | 1.0 (0.3–3.6) | 0.695 | 1.1 (0.3–3.4) | 1.3 (0.4–3.8) | 0.761 |
Baseline ECG and other arrhythmias | ||||||
PQ (ms) | 173 ± 40 | 179 ± 38 | 0.513 | 175 ± 39 | 179 ± 41 | 0.544 |
QRS duration (ms) | 102 ± 22 | 104 ± 21 | 0.913 | 103 ± 21 | 105 ± 23 | 0.582 |
QTc (ms) | 416 ± 34 | 409 ± 32 | 0.425 | 411 ± 32 | 409 ± 33 | 0.709 |
LBBB | 2 (6) | 3 (7) | 1.000 | 5 (7) | 6 (8) | 1.000 |
AF | 1 (3) | 2 (5) | 1.000 | 3 (4) | 4 (5) | 1.000 |
Blood exams | ||||||
T-troponin (ng/L) | 46 (16–314) | 38 (9–255) | 0.734 | 41 (13–286) | 35 (10–268) | 0.813 |
NT-proBNP (pg/mL) | 429 (123–1812) | 348 (100–1399) | 0.624 | 399 (106–1545) | 313 (101–1499) | 0.792 |
C-reactive protein (mg/L) | 12 (6–23) | 5 (3–16) | 0.026 | 7 (4–19) | 5 (3–17) | 0.566 |
ESR (mm/h) | 13 (6–26) | 11 (5–24) | 0.711 | 12 (5–26) | 10 (5–24) | 0.723 |
Echocardiogram | ||||||
LVEDVi (mL/m2) | 64 ± 22 | 67 ± 20 | 0.542 | 66 ± 21 | 68 ± 22 | 0.573 |
LVEF (%) | 46 ± 14 | 55 ± 12 | 0.004 | 51 ± 13 | 51 ± 13 | 1.000 |
LVEF < 50% | 12 (38) | 10 (24) | 0.305 | 22 (30) | 22 (30) | 1.000 |
E/E′ | 9 ± 4 | 8 ± 4 | 0.290 | 8 ± 4 | 8 ± 3 | 1.000 |
TAPSE (mm) | 21 ± 4 | 22 ± 3 | 0.223 | 22 ± 4 | 22 ± 4 | 1.000 |
Pericardial effusion | 3 (9) | 6 (14) | 0.723 | 9 (12) | 11 (15) | 0.811 |
Cardiac magnetic resonance | ||||||
Updated LLC+ | 31 (97) | 34 (81) | 0.069 | 65 (88) | 59 (79) | 0.265 |
T2-STIR+ | 23 (72) | 23 (55) | 0.154 | 46 (62) | 40 (54) | 0.405 |
LGE+ | 31 (97) | 42 (100) | 1.000 | 73 (99) | 74 (100) | 1.000 |
Septal LGE | 13 (41) | 19 (45) | 0.814 | 32 (43) | 34 (46) | 0.869 |
T2 > 50 ms | 18/20 (90) | 20/24 (83) | 0.673 | 38/44 (86) | 33/41 (80) | 0.564 |
Native T1 > 1045 ms | 19/20 (95) | 21/24 (88) | 0.614 | 40/44 (91) | 37/41 (90) | 1.000 |
ECV > 27% | 16/20 (80) | 20/24 (83) | 1.000 | 36/44 (82) | 35/41 (85) | 0.386 |
Endomyocardial biopsy | ||||||
Lymphocytic histotype | 32 (100) | 42 (100) | 1.000 | 74 (100) | 74 (100) | 1.000 |
CD3+ > 7/mm2 | 32 (100) | 42 (100) | 1.000 | 74 (100) | 74 (100) | 1.000 |
Necrosis | 24 (75) | 22 (52) | 0.056 | 46 (62) | 38 (51) | 0.245 |
Replacement fibrosis | 8 (25) | 30 (71) | <0.001 | 38 (51) | 56 (72) | 0.004 |
Myocyte hypertrophy | 5 (16) | 15 (36) | 0.067 | 20 (27) | 28 (38) | 0.219 |
Viral genomes | 32 (100) | 42 (100) | 1.000 | 74 (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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