Letter by Mewton and Bresson Regarding Article, “Good Prognosis for Pericarditis With and Without Myocardial Involvement: Results From a Multicenter, Prospective Cohort Study”
To the Editor:
We read with interest the article by Imazio et al1 on the prognosis of patients with myopericarditis, perimyocarditis, and pericarditis, excluding patients with pure myocarditis, in a prospective multicenter cohort.
This article attempts to answer the question of long-term outcomes in patients with pericardial inflammatory syndromes. After a median follow-up of 36 months, the authors find that “the outcome of myopericardial inflammatory syndromes (excluding pure myocarditis) is good.”
With the pioneer work of Mahrholdt, Sechtem, and their colleagues,2,3 we had significantly advanced in the assessment of myocarditis and pericarditis patients. In these reports, the systematic use of cardiac magnetic resonance improved the accuracy of the diagnosis of myocarditis and, to some extent, pericarditis and improved the diagnostic performance of endomyocardial biopsies. This …