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A case presentation of patient from northern China with endomyocardial fibrosis.
BMC Cardiovascular Disorders ( IF 2.0 ) Pub Date : 2019-12-26 , DOI: 10.1186/s12872-019-01305-2 Yonggang Yuan 1 , Yingkai Li 1 , Zesheng Xu 1
BMC Cardiovascular Disorders ( IF 2.0 ) Pub Date : 2019-12-26 , DOI: 10.1186/s12872-019-01305-2 Yonggang Yuan 1 , Yingkai Li 1 , Zesheng Xu 1
Affiliation
BACKGROUND
Endomyocardial fibrosis (EMF) is a rare condition and a major cause of death in tropical countries. The etiology of EMF remains elusive, and no specific treatment has been developed yet, therefore it carries poor prognosis.
CASE PRESENTATION
An 81-year-old male Chinese patient with a history of long-standing exertional breathlessness, presented with worsening symptoms rapidly evolving to orthopnea. A proper specific treatment was prescribed to the patient in the following days, including diuretics, angiotensin-converting-enzyme inhibitor and beta blockers. The patient died of progressive multiple organ failure.
CONCLUSION
Echocardiography is technically limited due to the acoustic shadowing as a result of the calcification. Chest computed tomography is a more accurate diagnostic tool to examine the anatomic distribution and extent of endomyocardial calcification in this rare case.
更新日期:2019-12-27