Inflammatory myopathies

Association of diastolic dysfunction with myocardial tissue characteristics assessed by multi-parameter cardiac magnetic resonance in patients with idiopathic inflammatory myopathy

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

LV diastolic dysfunction in IIM is closely linked to myocardial tissue characteristics, particularly in patients with concurrent active myocarditis and necrosis/fibrosis. Both active myocarditis and chronic myocardial fibrosis contribute to diastolic impairment.

Study context

Population
Idiopathic inflammatory myopathy (IIM) patients (56 late gadolinium enhancement (LGE)-negative, 26 LGE-positive) and controls82 IIM patients · 37 controls
Participants
24 / 35 / 12 / 37
Exposure
IIM patients stratified by myocardial tissue characteristics vs controls
  • Group 1n = 24
  • Group 2n = 35
  • Group 3n = 12
  • Controlsn = 37reference
Outcome
Associations between LV diastolic dysfunction and myocardial tissue characteristics
Methodological detailsmulti-parameter cardiac MRI, linear regression
  • Multi-parameter cardiac MRI
  • Linear regression

Main finding

As reported in the abstract

Multivariable: Peak filling rate (PFR) inversely correlated with T2 value, β

−0.245

P = 0.042

Multivariable: Left ventricular (LV) global circumferential and longitudinal peak strains positively correlated with T2 value, β

0.288 and 0.276

P < 0.05

Observational data: associations, not effects.

Original publication

Association of diastolic dysfunction with myocardial tissue characteristics assessed by multi-parameter cardiac magnetic resonance in patients with idiopathic inflammatory myopathy. Rheumatology (Oxford). Published 13 October 2025. doi:10.1093/rheumatology/keaf535

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