Abstract

VINDAS VILLAREAL, Manuel A. et al. Fibrosis Endomiocárdica: Presentación de Caso Clínico y Revisión de la literatura. Rev. costarric. cardiol [online]. 2022, vol.24, n.2, pp.21-33. ISSN 1409-4142.

Endomyocardial Fibrosis: Case Report and Literature Review.

Endomyocardial fibrosis (EMF) is a rare and potentially life-threatening cardiac disorder characterized by the infiltration of fibrotic tissue into the endocardium and myocardium of the heart. It is most seen in tropical and subtropical regions, and it is believed to be caused by a combination of environmental and genetic factors. The exact pathogenesis of EMF is not fully understood, but it is thought to be related to an abnormal immune response to various stimuli, including viral infections, parasites, and dietary deficiencies. This condition is one of the main manifestations of hypereosinophilic syndromes. Despite advances in treatment, the prognosis for patients with EMF remains poor, with a high risk of recurrence and progression to heart failure. We present a case of a young male patient with an episode of right heart failure in the context of a chronic hypereosinophilic syndrome in which the diagnosis of EMF is made with the aid of cardiovascular imaging.

Keywords : Endomyocardial fibrosis; eosinophilic endocarditis; restrictive heart disease; hypereosinophilic syndrome; echocardiography.

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