Publications by authors named "Emma Ferone"

Myocarditis is an inflammatory disease of the myocardium characterized by a great heterogeneity of presentation and evolution. Treatment of myocarditis is often supportive, and the evidence for immunosuppression is scarce and debated. Conventional treatment is based on clinical presentation, ranging from conservative to advanced mechanical assist devices.

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Myocarditis is a disease caused by cardiac inflammation that can progress to dilated cardiomyopathy, heart failure, and eventually death. Several etiologies, including autoimmune, drug-induced, and infectious, lead to inflammation, which causes damage to the myocardium, followed by remodeling and fibrosis. Although there has been an increasing understanding of pathophysiology, early and accurate diagnosis, and effective treatment remain challenging due to the high heterogeneity.

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Article Synopsis
  • The study examines the challenges in diagnosing acute myocarditis (AM) and compares the effectiveness of using ICD-10 codes and advanced imaging methods like cardiac magnetic resonance (CMR) for accurate diagnosis.
  • It found that ICD-10 codes have a low positive predictive value (36%) for correctly identifying AM when compared to CMR-confirmed cases, and patients with verified AM had better survival rates.
  • The research highlights the need for standardized diagnostic criteria in AM studies to avoid selection biases and improve clinical outcomes.
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Aim: Acute myocarditis (AM) is a heterogeneous condition with variable estimates of survival. Contemporary criteria for the diagnosis of clinically suspected AM enable non-invasive assessment, resulting in greater sensitivity and more representative cohorts. We aimed to describe the demographic characteristics and long-term outcomes of patients with AM diagnosed using non-invasive criteria.

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