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Endomyocardial fibrosis with ischaemic stroke

Hugo Mays1, Rory Durand2, Habitha Sulaiman3

  • 1Cardiology, Tallaght University Hospital, Dublin, Ireland hugomays@outlook.com.

BMJ Case Reports
|December 28, 2023
PubMed

Insights

This case study highlights endomyocardial fibrosis (EMF) presenting as a left ventricular thrombus in a stroke patient. Early diagnosis via cardiac MRI is crucial for managing this rare cardiac condition.

Area of Science:

  • Cardiology
  • Neurology
  • Radiology

Background:

  • Ischemic stroke diagnosis and management.
  • Cardiac abnormalities as a cause of stroke.
  • Role of advanced cardiac imaging in stroke workup.

Observation:

  • A middle-aged male presented with acute ischemic stroke symptoms.
  • Initial investigations revealed left middle cerebral artery infarction and diffuse T-wave inversion.
  • Cardiac imaging identified endomyocardial fibrosis with a left ventricular thrombus.

Findings:

  • Endomyocardial fibrosis (EMF) was diagnosed via Cardiac MRI.
  • A left ventricular thrombus was found adherent to the EMF.
  • The patient successfully recovered from the stroke after thrombolysis and anticoagulation.

Implications:

  • Endomyocardial fibrosis should be considered in stroke patients with cardiac abnormalities.
  • Cardiac MRI is vital for diagnosing EMF and associated thrombi.
  • Integrated cardiological and neurological management is essential for favorable outcomes.

Keywords:
Cardiovascular medicineHeart failureStroke

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