Case Report
Volume 9 Issue 1 - 2022
Biventricular Endomyocardial Fibrosis Due to Hypereosinophilia. About A Case

Reyes Martínez Edgar Samael1, Guerra Pelegrin Boris Manuel2*, Hechavarría Pouymiró Sheila3, Pérez Barreda Aylen4, Jerez Castro Ana Margarita5 and Valdés Martín Alexander2

1General Cardiology, Instituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba

2Cardiosurgery Department, Instituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba

3Echocardiography Department, Instituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba

4CMR Department, Instituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba

5Heart Failure Unit, Instituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba

*Corresponding Author: Guerra Pelegrin Boris Manuel, Cardiosurgery Department, Instituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba.
Received: February 07, 2022; Published: February 10, 2022




Abstract

Endomyocardial fibrosis is a restrictive cardiomyopathy and does not have well-defined accepted diagnostic criteria. In hypereosinophilic endomyocardial fibrosis, two variants of the disease are described: Löffler's and Davies's. The clinical diagnosis is difficult and in most patients it presents as heart failure of unclear origin. It manifests as insidious and progressive heart failure, sudden death, or thromboembolic events. Modern imaging tools, together with clinical and endomyocardial biopsy, allow an accurate diagnosis, but constitute a challenge for cardiovascular specialists. It currently has a poor prognosis and medical treatment is usually not effective. Heart transplantation is the best option in advanced stages. We present the case of a 58-year-old patient who was admitted with symptoms and signs of heart failure, being diagnosed with restrictive cardiomyopathy secondary to endomyocardial fibrosis in which the multidisciplinary approach was decisive for diagnosis and treatment.

 

Keywords: Restrictive Cardiomyopathy; Endomyocardial Fibrosis; Echocardiography; Cardiac Magnetic Resonance; Biopsy

References

  1. Mocumbi AO., et al. “A population study of endomyocardial fibrosis in a rural area of Mozambique”. The New England Journal of Medicine 1 (2008): 43-49.
  2. Rodríguez González MJ., et al. “Fibrosis endomiocárdica”. Revista Colombiana de Cardiología4 (2017): 407.e1-407.e5.
  3. Daneshvar DA., et al. “Familial restrictive cardiomyopathy with 12 affected family members”. American Journal of Cardiology 3 (2012): 445-447.
  4. Estornell J., et al. “Fibrosis endomiocárdica. Presentación como una tumoración ventricular derecha”. Revista Española de Cardiología5 (2001): 655-657.
  5. García Fernández FJ., et al. “Fibrosis endomiocárdica tropical o enfermedad de Davies. A propósito de un caso”. Revista Española de Cardiología2 (2001): 235-238.
  6. Friehs I., et al. “An animal model of endocardial fibroelastosis”. Journal of Surgical Research1 (2013): 94-100.
  7. Sivasankaran S., et al. “Restrictive cardiomyopathy in India: the story of a vanishing mystery”. Heart 1 (2008): 9-14.
  8. Mocumbi AO., et al. “Presence of circulating anti-myosin antibodies in endomyocardial fibrosis”. Plos Neglected Tropical Diseases4 (2010): e661.
  9. Barretto AC., et al. “Determinants of survival in endomyocardial fibrosis”. Circulation3-1 (1989): I1771-1182.
  10. Hoit DH. “Miocardiopatías restrictivas, obliterantes e infiltrantes”. En: Fuster V, Alexander RW, O’Rourke RA, editores. Hurst. El Corazón. edition. Madrid: WcGraw-Hill Interamericana 10 (2002): 2051-2064.
  11. Wynne J and Braunwald E. “Miocardiopatías y myocarditis”. En:Braunwald E, editor. Tratado de Cardiología..a edition. México: McGraw-Hill Interamericana 5 (1999): 1534-1598.
  12. Lopez Ramón M., et al. “Fibrosis endomiocárdica tropical en nuestro medio”. Medes Medicina en Español 5 (2013): 326-329.
  13. Olsen EG. “Restrictive cardiomyopathy”. Postgraduate Medical Journal728 (1986): 607-608.
  14. Mannelli L., et al. “Loeffler’s endocarditis in hypereosinophilic syndrome”. Current Problems in Diagnostic Radiology 41 (2012): 146-148.
  15. Dato I., et al. “How to recognize endomyocardial fibrosis?” Journal of Cardiovascular Medicine8 (2015): 547-551.
  16. Hassan WM., et al. “Pitfalls in diagnosis and clinical, echocardiographic, and hemodynamic findings in endomyocardial fibrosis: a 25-year experience”. Chest 6 (2005): 3985-3992.
  17. Mocumbi AO., et al. “A population study of endomyocardial fibrosis in a rural area of Moezambique”. The New England Journal of Medicine1 (2008): 43-49.
  18. Latona J., et al. “Restrictive cardiomyopathy as a result of endomyocardial fibrosis from hypereosinophilia”. Journal of Internal Medicine1 (2015): 115-117.
  19. Mahrholdt H., et al. “Delayed enhancement cardiovascular magnetic resonance assessment of non-ischaemic cardiomyopathies”. European Heart Journal 15 (2005): 1461-1474.
  20. Salemi V., et al. “Late Gadolinium Enhancement Magnetic Resonance Imaging in the Diagnosis and Prognosis of Endomyocardial Fibrosis Patients”. Circulation: Cardiovascular Imaging3 (2011): 304-311.
  21. Jariwala N., et al. “The ‘V’ sign of endomyocardial fibrosis”. QJM: An International Journal of Medicine 5 (2015): 423-424.
  22. Chaosuwannakit N., et al. “Cardiac magnetic resonance imaging for the diagnosis of endomyocardial fibrosis”. The Southeast Asian Journal of Tropical Medicine and Public Health5 (2014): 1142-1148.
  23. Abrahams DG., et al. “Chronic pericardial effusion complicating endomyocardial fibrosis”. Circulation 28 (1963): 221-231.
  24. Sato T., et al. “Restrictive myocardium with an unusual pattern of apical hypertrophic cardiomyopathy”. Cardiovascular Pathology4 (2015): 254-257.
  25. Vallejo JM., et al. “Tratamiento quirúrgico de la fibrosis endomiocárdica: a propósito de un caso”. An Cir Card Cir Vasc. 11.1 (2005): 51-54.
  26. Lombardi C., et al. “Successful reduction of endomyocardial fibrosis in a patient with idiopathic hypereosinophilic syndrome. A case report. Scientific IRCCS Network. 46.4 (1995): 345-351.
  27. Schneider U., et al. “Long term follow up of patients with endomyocardial fibrosis: effects of surgery”. Heart 4 (1998): 362-367.
  28. Moraes F., et al. “Surgery for endomyocardial fibrosis revisited”. European Journal of Cardio-Thoracic Surgery3 (1999): 312-313.
Citation: Guerra Pelegrin Boris Manuel., et al. “Biventricular Endomyocardial Fibrosis Due to Hypereosinophilia. About A Case”. EC Gynaecology 9.1 (2022): 33-42.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


December Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before December 21, 2022.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.