Document Detail

Angina-like chest pain and syncope as the clinical presentation of left ventricular endomyocardial fibrosis: a case report.
MedLine Citation:
PMID:  15889204     Owner:  NLM     Status:  MEDLINE    
A 47-year-old woman complained of angina-like chest pain, near-syncope, and syncopal episodes of 17 years' duration. Physical examination was unremarkable. A 12-lead resting ECG showed symmetrically inverted T waves in the inferior and anterolateral leads. A graded treadmill exercise stress test precipitated angina-like chest pain accompanied by a near-syncopal episode associated with a systemic arterial pressure of 60/40 mm Hg. Echocardiography disclosed left ventricular apical obliteration. Left ventriculogram showed a typical "ace of heart'' shadow as well as filling defects and apical obliteration. Endomyocardial biopsy of the left ventricle diagnosed left ventricular endomyocardial fibrosis. Thus, angina-like chest pain and near-syncopal episodes should be added to the list of clinical manifestations of pure left ventricular endomyocardial fibrosis.
Reinaldo B Bestetti; Helio A R Corbucci; Luis D Fornitano; Moacyr F Godoy; Patricia M Cury; Daniel Villafanha; Domingos A Santana; Marcelo J F Soares; Domingo M Braile
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  56     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-05-12     Completed Date:  2005-06-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  339-42     Citation Subset:  IM    
Cardiology Division, Faculty of Medicine of São José do Rio Preto, Brazil.
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MeSH Terms
Chest Pain / etiology*
Endomyocardial Fibrosis / complications,  diagnosis*
Middle Aged
Syncope / etiology*
Ventricular Dysfunction, Left / complications,  diagnosis*

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