Fibrosis endomiocárdica crónica, reporte de caso en área no endémica

Endomyocardial fibrosis is a known and prevalent cause of restrictive cardiomyopathy in countries of Equatorial Africa, but very rare elsewhere. Although the diagnosis in endemic countries is established by the presence of certain echocardiographic criteria, the gold standard is the endomyocardial b...

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Autores principales: Tobar,Marco, Basante,Roberto, Guerrero,María
Lenguaje:Spanish / Castilian
Publicado: Sociedad Chilena de Cardiología y Cirugía Cardiovascular 2017
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602017000200006
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spelling oai:scielo:S0718-856020170002000062017-09-21Fibrosis endomiocárdica crónica, reporte de caso en área no endémicaTobar,MarcoBasante,RobertoGuerrero,María Endomyocardial fibrosis restrictive cardiomyopathy heart failure Endomyocardial fibrosis is a known and prevalent cause of restrictive cardiomyopathy in countries of Equatorial Africa, but very rare elsewhere. Although the diagnosis in endemic countries is established by the presence of certain echocardiographic criteria, the gold standard is the endomyocardial biopsy, which shows fibrous tissue in the endocardium. An acute and subacute phase can be distinguished, with associated mortality due to complications of heart failure. In contrast, the chronic phase presents less aggressive behavior, with progression of symptoms. In this phase, surgical treatment may improve survival. We present the case of a 44-year-old patient with good clinical control under pharmacological treatment after 14 months of follow-up.info:eu-repo/semantics/openAccessSociedad Chilena de Cardiología y Cirugía CardiovascularRevista chilena de cardiología v.36 n.2 20172017-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602017000200006es10.4067/S0718-85602017000200006
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Endomyocardial fibrosis
restrictive cardiomyopathy
heart failure
spellingShingle Endomyocardial fibrosis
restrictive cardiomyopathy
heart failure
Tobar,Marco
Basante,Roberto
Guerrero,María
Fibrosis endomiocárdica crónica, reporte de caso en área no endémica
description Endomyocardial fibrosis is a known and prevalent cause of restrictive cardiomyopathy in countries of Equatorial Africa, but very rare elsewhere. Although the diagnosis in endemic countries is established by the presence of certain echocardiographic criteria, the gold standard is the endomyocardial biopsy, which shows fibrous tissue in the endocardium. An acute and subacute phase can be distinguished, with associated mortality due to complications of heart failure. In contrast, the chronic phase presents less aggressive behavior, with progression of symptoms. In this phase, surgical treatment may improve survival. We present the case of a 44-year-old patient with good clinical control under pharmacological treatment after 14 months of follow-up.
author Tobar,Marco
Basante,Roberto
Guerrero,María
author_facet Tobar,Marco
Basante,Roberto
Guerrero,María
author_sort Tobar,Marco
title Fibrosis endomiocárdica crónica, reporte de caso en área no endémica
title_short Fibrosis endomiocárdica crónica, reporte de caso en área no endémica
title_full Fibrosis endomiocárdica crónica, reporte de caso en área no endémica
title_fullStr Fibrosis endomiocárdica crónica, reporte de caso en área no endémica
title_full_unstemmed Fibrosis endomiocárdica crónica, reporte de caso en área no endémica
title_sort fibrosis endomiocárdica crónica, reporte de caso en área no endémica
publisher Sociedad Chilena de Cardiología y Cirugía Cardiovascular
publishDate 2017
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602017000200006
work_keys_str_mv AT tobarmarco fibrosisendomiocardicacronicareportedecasoenareanoendemica
AT basanteroberto fibrosisendomiocardicacronicareportedecasoenareanoendemica
AT guerreromaria fibrosisendomiocardicacronicareportedecasoenareanoendemica
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