a 64-year-old female with history of previous aortoiliac occlusion and aortoiliac bypass operation four months ago presented with dyspnea, ascites and leg edema. she has been suffering from bloody diarrhea since two weeks earlier. laboratory data showed important eosinophilia and stool examination was positive for strongyloides stercoralis. patient had clinical signs of heart failure. a cardiac...

The clinical and angiographic findings in 5 consecutive patients with congestive cardiac failure are presented to illustrate the pitfalls in the clinical diagnosis of endomyocardial fibrosis. In one patient the clinical diagnosis was confirmed at angiography while another patient who had angiographic evidence of early right ventricular endomyocardial fibrosis was diagnosed clinically as mitral ...

Background Cardiac MR is helpful in the diagnosis and prognosis of endomyocardial fibrosis[EMF]. Among the two types of endomyocardial fibrosis, tropical endomyocardial fibrosis is geographically restricted to tropical parts of Africa, Latin America and in the southern districts of India, especially along the coastal region of Kerala. Various toxic and environmental factors were postulated as t...

OBJECTIVE To report on four patients with Behçet's disease associated with endomyocardial fibrosis involving the right or the left ventricle. METHODS Charts of more than 350 patients with Behçet's disease were reviewed. Endomyocardial fibrosis was confirmed because of cardiac failure in three patients and incidentally discovered by histological examination of an operative specimen in one pati...

Endomyocardial fibrosis is a variety of restrictive cardiomyopathy, in which endocardium of one or both ventricles is thickened markedly with involvement of underlying myocardium. Partial obliteration of ventricular cavities by fibrous tissue and thrombus causes diastolic dysfunction with increased resistance to ventricular filling. Systolic function is well preserved till late stages. Biventri...

Absolute eosinophil counts were assessed in 15 African patients with proven endomyocardial fibrosis. Though the mean eosinophil count in patients with endomyocardial fibrosis was higher compared with the normals reported from Kampala (1-13 vs 0.72X10(9)/1), the absolute range was comparable. A high percentage of patients with endomyocardial fibrosis had malarial parasites, high malarial antibod...

Endomyocardial fibrosis, first described from Uganda by Davies (1948), is a disease of the heart characterized by a fibrosis of the endocardium and subendocardial layers of either the left or right ventricle or both. The fibrosis affects mostly the inflow tracts and the apices of the ventricles, and involvement of the papillary muscles may lead to mitral or tricuspid incompetence. The ventricul...

The pathologist Jack N. P. Davies identified endomyocardial fibrosis in Uganda in 1947. Since that time, reports of this restrictive cardiomyopathy have come from other parts of tropical Africa, South Asia, and South America. In Kampala, the disease accounts for 20% of heart disease patients referred for echocardiography. We conducted a systematic review of research on the epidemiology and etio...

The morphological features of endomyocardial fibrosis and Löffler's endocarditis are described. Sixteen cases of the chronic stage of Löffler's endocarditis were compared with pathological material of thirty-two patients with endomyocardial fibrosis. No morphological differences were noted. It is suggested that endomyocardial fibrosis and LOffler's endocarditis are part of the same disease spec...