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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
Summary
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.
