| Value of two-dimensional echocardiography in endomyocardial disease with and without eosinophilia. A clinical and pathologic study. | |
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MedLine Citation:
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PMID: 6851016 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ten patients (six women and four men) with endomyocardial disease, four with and six without hypereosinophilia, were studied by two-dimensional echocardiography (2-D echo). Eight had biventricular congestive heart failure and two had atypical chest pain with ischemic electrocardiographic changes. The patients were 15-50 years old (mean 40 years) and duration of illness was 2-9 years (mean 4.4 years). Nine had cardiac catheterization and three pathologic examination. Characteristic 2-D echo findings included apical obliteration of one or both ventricles by echogenic material suggestive of fibrosis or thrombosis; bright, specular echoes at the cavity surface of the apical obliteration suggesting patchy calcification; preserved left apical systolic inward motion, which differed significantly from the dyskinetic motion of thrombotic apical obliteration of ischemic or Chagasic origin (p less than 0.001); involvement of the papillary muscles and posterior atrioventricular valve; preserved ventricular contractile function in most patients; and the combination of normal-to-small ventricles with large atria. None of 14 subjects with secondary hypereosinophilia followed for 15.4 months developed similar 2-D echo findings. We conclude that both forms of endomyocardial disease had a 2-D echo pattern useful for noninvasive recognition and differentiation from patients who have valvular heart disease, constrictive pericarditis and cardiomyopathies of other origins. |
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Authors:
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H Acquatella; N B Schiller; J J Puigbó; J R Gómez-Mancebo; C Suarez; G Acquatella |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Circulation Volume: 67 ISSN: 0009-7322 ISO Abbreviation: Circulation Publication Date: 1983 Jun |
Date Detail:
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Created Date: 1983-07-15 Completed Date: 1983-07-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0147763 Medline TA: Circulation Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1219-26 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Diagnosis, Differential Echocardiography* Endomyocardial Fibrosis / complications, diagnosis* Eosinophilia / etiology* Female Heart Catheterization Heart Valve Diseases / diagnosis Humans Male Middle Aged Pericarditis, Constrictive / diagnosis Time Factors |
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