Rationale and design of the French cohort of acute myocarditis diagnosed by cardiac magnetic resonance imaging (MyocarditIRM)

• Published in: Archives of cardiovascular diseases Vol. 117; no. 6-7; pp. 433 - 440
• Main Authors: Bouleti, Claire, Servoz, Clement, Alos, Benjamin, Carsten, Ehmer, Jacquier, Alexis, Ternacle, Julien, Deux, Jean-François, Tea, Victoria, Mousseaux, Elie, Garcia, Rodrigue, Bonnet, Guillaume, Huttin, Olivier, Akodad, Mariama, Bejan-Angoulvant, Theodora, Lattuca, Benoit, Redheuil, Alban, Glatt, Nicolas, Angoulvant, Denis, Ou, Phalla
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Masson SAS 01.06.2024
• Subjects: Acute Disease; Acute myocarditis; Adult; Cardiac magnetic resonance; Epidemiology; Female; France; Hospital Mortality; Humans; Magnetic Resonance Imaging; Magnetic Resonance Imaging, Cine; Male; Middle Aged; Myocarditis - diagnosis; Myocarditis - diagnostic imaging; Myocarditis - mortality; Myocarditis - therapy; Predictive Value of Tests; Prognosis; Prospective Studies; Research Design; Risk Factors; Time Factors; Treatment Outcome; Young Adult; France; Acute myocarditis; Prognosis; Epidemiology; Cardiac magnetic resonance
• ISSN: 1875-2136; 1875-2128; 1875-2128
• DOI: 10.1016/j.acvd.2024.04.002

[Display omitted] •The MyocarditIRM cohort is the largest prospective database on AM worldwide.•It includes 803 patients with CMR-proven AM in 49 participating centres (2016–2019).•CMR images will be analysed centrally by a certified core laboratory.•Accurate follow-up ensured by national database link (up to 10years per patient).•Linkage of this kind has never been performed in AM.•The MyocarditIRM cohort will provide robust data on AM.•It will also improve knowledge of AM epidemiology and prognostic determinants. Acute myocarditis usually presents as chest pain with rising troponin and normal coronary arteries. Despite frequent favourable evolution at the acute phase, it is associated with heart failure and ventricular rhythm disorders, and is considered the leading cause of sudden cardiac death in young, apparently healthy, adults. There are no specific recommendations for acute myocarditis diagnosis and management, only expert consensus, given the lack of large databases. The main objective is to describe the contemporary presentation of acute myocarditis, its management and in-hospital outcomes. Secondary objectives are to investigate survival and event-free survival for up to 10years of follow-up, the determinants of prognosis, the modalities of treatment and follow-up and the gaps between expert consensus and real-life management. MyocarditIRM is a prospective multicentre cohort that enrolled 803 consecutive patients with acute myocarditis in 49 participating centres in France between 01 May 2016 and 28 February 2019. The diagnosis of acute myocarditis was acknowledged by cardiac magnetic resonance, using the Lake Louise Criteria. Exclusion criteria were age<18years, lack of health coverage, contraindication to cardiac magnetic resonance and refusal to participate. Detailed information was collected prospectively, starting at admission. Cardiac magnetic resonance imaging (diagnosis and follow-up) is analysed centrally by the certified core laboratory IHU ICAN. Ten years of follow-up for each patient is ensured by linking with the French National Health Database, and includes information on death, hospital admissions, major clinical events and drug consumption. This prospective cohort with long-term follow-up represents the largest database on acute myocarditis worldwide, and will improve knowledge about its presentation, management and outcomes.