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Right ventricular endomyocardial fibrosis - A case report.
Deepak Madi1, Basavaprabhu Achappa, Narasimha Pai
1Kasturba Medical College Hospital, Mangalore, Affiliated to Manipal University.
The Australasian Medical Journal
|March 14, 2013
Summary
This case report details a rare instance of right ventricular endomyocardial fibrosis, a type of restrictive cardiomyopathy. Early diagnosis and treatment with diuretics and anticoagulants led to patient improvement.
Area of Science:
- Cardiology
- Tropical Medicine
- Cardiovascular Diseases
Background:
- Endomyocardial fibrosis (EMF) is a progressive restrictive cardiomyopathy affecting ventricular inflow and apex.
- It is recognized as a neglected tropical disease with significant morbidity.
Observation:
- A 70-year-old female presented with symptoms of right-sided heart failure.
- Clinical evaluation revealed cardiomegaly and echocardiographic findings of a dilated right atrium and obliterated right ventricular apex.
- Notably, the patient had no eosinophilia.
Findings:
- The diagnosis of right ventricular endomyocardial fibrosis was established.
- Treatment involved diuretics and anticoagulants.
Implications:
- This case highlights the importance of considering EMF in patients with unexplained right-sided heart failure, even without eosinophilia.
- Prompt diagnosis and management can improve outcomes for this rare condition.
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