Document Detail


Early use of cardiac magnetic resonance reduces hospitalization time and costs in patients with acute myocarditis and preserved left ventricular function: a single center experience.
MedLine Citation:
PMID:  21532498     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: Cardiac MRI directly identifies the presence and exact location of myocardial damage caused by myocarditis. The aim of our study was to assess the clinical and economic impact of an early use of cardiac MRI in the management of patients with acute myocarditis. METHODS: Twenty-three consecutive white patients (38 ± 14 years, two women) discharged from our cardiac care unit with a diagnosis of acute myocarditis were evaluated retrospectively. On the basis of the execution of cardiac MRI, patients were subdivided into two groups: no-MRI group and MRI group. Days and costs of hospitalization (1486 €/day), number and costs of cardiac stress test (300 €), coronary angiography (1188 €), cardiac MRI (435 €) and total costs were calculated. RESULTS: Cardiac MRI examination was performed in 12 of 23 (52%) patients (MRI group) within 1.9 ± 1 days from admission, whereas 11 of 23 (48%) patients did not undergo cardiac MRI (no-MRI group). Epicardial areas of myocardial damage were found in each patient with suspected acute myocarditis. No difference regarding left ventricular volumes and function was found between the no-MRI group and the MRI group. The hospitalization time was significantly lower (P = 0.03) in the MRI group (4 ± 1.9 days) than in the no-MRI group (5.9 ± 2 days). Cost of hospitalization days and total costs were significantly higher (P = 0.03) in the no-MRI group (8792 ± 3068 and 9313 ± 3256 €, respectively) than in the MRI group (5809 ± 2931 and 6312 ± 3127 €, respectively). CONCLUSION: An early use of cardiac MRI reduces hospitalization time and costs in patients discharged from the cardiac care unit with a diagnosis of myocarditis.
Authors:
Gianluca Di Bella; Michele Gaeta; Maria C Todaro; Lilia Oreto; Rocco Donato; Roberto Caruso; Alfredo Blandino; Concetta Zito; Sebastiano Coglitore; Scipione Carerj; Giuseppe Oreto
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-29
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  -     ISSN:  1558-2035     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-5-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
aClinical and Experimental Department of Medicine and Pharmacology, Italy bDepartment of Radiological Science, University of Messina, Messina, Italy.
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