Document Detail

Right ventricular endomyocardial fibrosis. Diagnosis and management.
MedLine Citation:
PMID:  2214135     Owner:  NLM     Status:  MEDLINE    
The clinical course, noninvasive and invasive diagnostic findings in 4 patients (pt) with endomyocardial fibrosis are reported. All patients (16-50 years) were in functional class III-IV (NYHA). Central venous pressure with large a- and v-waves was elevated in all; liver enlargement and peripheral edema were also noticed in all pts, and ascites in 3. An apical 2/6 systolic murmur was present in 2, and a right parasternal pansystolic murmur 2-4/6 with positive Carvallo's sign in all pts. ECG was non-specific and chest x ray showed right atrial enlargement in every case. A right-sided diastolic plateau which was higher than left ventricular end-diastolic pressure was present in all pts. Echo-, angiocardiography and computed tomography of the heart revealed obliteration of the right ventricular cavity, predominantly localized at the apex. Two pts who underwent endocardial resection and tricuspid valve replacement are alive and well after 9 and 8 years, respectively. One pt died early in the postoperative period and one died waiting for surgical therapy. In conclusion, echo-, angiocardiography and computed tomographic findings are diagnostic. A satisfactory differentiation from other cardiac disorders with restrictive hemodynamics and right-sided heart failure is possible.
U Stierle; S Tarbiat; I Nazarian; I Aryanpur; A Sheikhzadeh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese heart journal     Volume:  31     ISSN:  0021-4868     ISO Abbreviation:  Jpn Heart J     Publication Date:  1990 May 
Date Detail:
Created Date:  1990-11-02     Completed Date:  1990-11-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401175     Medline TA:  Jpn Heart J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  329-39     Citation Subset:  IM    
Medical University of Lübeck, Clinic of Cardiology, Federal Republic of Germany.
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MeSH Terms
Endomyocardial Fibrosis / diagnosis*,  pathology,  surgery
Heart Ventricles / pathology,  radiography
Middle Aged
Tomography, X-Ray Computed

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