A case presentation of patient from northern China with endomyocardial fibrosis

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Abstract

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.

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Yuan, Y., Li, Y., & Xu, Z. (2019). A case presentation of patient from northern China with endomyocardial fibrosis. BMC Cardiovascular Disorders, 19(1). https://doi.org/10.1186/s12872-019-01305-2

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