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Myocardial work - a modern tool to detect possible compensation mechanism of deformation in infective myocarditis with preserved left ventricular function
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  • Stephan Stöbe,
  • Andreas Hagendorff,
  • Adrienn Tünnemann-Tarr,
  • Daniel Lavall,
  • Matthias Gutberlet,
  • Ulrich Laufs,
  • Bhupendar Tayal
Stephan Stöbe
University Hospital Leipzig
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Andreas Hagendorff
University Hospital Leipzig
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Adrienn Tünnemann-Tarr
University Hospital Leipzig
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Daniel Lavall
University Hospital Leipzig
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Matthias Gutberlet
Leipzig Heart Centre University Hospital
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Ulrich Laufs
University Hospital Leipzig
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Bhupendar Tayal
Aalborg University Hospital
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Abstract

The main direction of left ventricular (LV) contraction is based on the different architecture of myocardial fibers. Thus, it can be assumed that the specific analysis of different compounds of LV deformation might be a crucial diagnostic tool in patients with infective myocarditis (IM). This case report focusses on conspicuous findings of regional LV deformation in a patient with IM and preserved LV systolic function. Despite unspecific clinical symptoms in IM, e.g. subfebrile temperatures, cough, palpitations, suspect findings of circumferential and rotational deformation can be helpful to initiate further diagnostic procedures to confirm the diagnosis, e.g. cMRI or myocardial biopsy.