Geographical variation in the clinical presentation of endomyocardial fibrosis in India?

Abstract

These differences may have been due to the better nutrition of the Alleppey patients due to a higher exposure to fish compared to the Trivandrum population. Better nutrition would protect against Magnesium deficiency and prevent the absorption of Cerium in the patients from Alleppey, compared to those from Trivandrum.

Where is the right ventricle? Accurate diagnosis with cardiovascular multimodality imaging

“…Cardiac transplantation was used only occasionally. Although Moraes and colleagues previously reported a 55% chance of survival, a more recent study, Gupta et al have been reported that EMF's survival is 37% at 10 years . Longer survival and arrest in disease progression may occur in patients with early‐diagnosed mild disease and improved socioeconomic status, biventricular involvement (moderate‐severe), and right ventricular fibrosis, and the presence of tricuspid and mitral regurgitation are associated with greater mortality rates.…”

Fibrosis endomiocárdica: una revisión actualizada a propósito de unos casos en un programa de falla cardiaca

“…No se conoce cuál de estos agentes tiene una relación causa-efecto o si funcionan como un disparador de un proceso latente. Un hecho interesante que apoya las anormalidades nutricionales es el dato presentado por Gupta, et al 9 , demostrando que una dieta enriquecida para prevenir anormalidades del magnesio y del cerio reduce la ocurrencia de la enfermedad. El marcador patológico de la enfermedad es el engrosamiento endocárdico difuso o focal, involucrando ambos ventrículos el 50% de los casos, y en el 40% solo se afecta el ventrículo izquierdo.…”

Multimodality Imaging in Endomyocardial Fibrosis: An Unusual Etiology of Heart Failure

“…The 10-year survival rate of EMF in most recent publications is 37%. 13 Longer survival can occur in patients with mild disease and early diagnosis; however, biventricular involvement (moderate-severe), right ventricular fibrosis, and the presence of mitral and tricuspid regurgitation are associated with higher mortality rates 14 of up to 75% at 2 years in advanced stages despite pharmacological treatment. 15 …”

“…3 The 10-year survival rate of EMF in most recent publications is 37%. 13 Longer survival can occur in patients with mild disease and early diagnosis; however, biventricular involvement (moderate-severe), right ventricular fibrosis, and the presence of mitral and tricuspid The score is assigned according to the severity of atrioventricular regurgitation. ‡ M movement of the interventricular septum refers to a pattern of movement observed on M-mode echocardiography that is thought to be due to obliteration or restriction of the left ventricular apex combined with mitral regurgitation.…”