Hypereosinophilic syndrome (HES) is a rare disorder with unknown global prevalence, barely reported in Hispanic population, and characterized by persistent eosinophilia in association with organ dysfunctions directly attributable to eosinophilic infiltration. Cardiac involvement may be present in 50 to 60% of the patients. This is known as Löffler endocarditis. We present a case of a 36-year-old Hispanic man with signs of heart failure. Laboratory studies showed eosinophilia (23,100/μL). Thoracic computer tomography showed bilateral pleural effusion and a large left ventricular mass. Transthoracic echocardiography showed left ventricle apical obliteration and a restrictive pattern. Pulmonary angiography demonstrated a thrombus in the lingular and middle lobe. Despite treatment, the patient deceased seven days after admission. Autopsy confirmed the diagnosis of Löffler endocarditis.
Introducción: la enfermedad renal crónica representa un problema de salud pública con prevalencia mundial de 697 millones de casos y que condiciona un alto riesgo cardiovascular, incrementando la mortalidad. El trasplante renal mejora la función cardiaca con un aumento de la fracción de expulsión del ventrículo izquierdo (FEVI), reducción de la hipertrofia ventricular entre otros, lo que impacta en la supervivencia. La ecocardiografía es una herramienta práctica disponible para la detección de estos cambios cardiacos antes y después del trasplante renal. Objetivo: determinar el impacto a corto, mediano y largo plazo del trasplante renal sobre la función cardiaca a través de ecocardiograma y electrocardiograma en pacientes trasplantados
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