Pre- and postoperative findings in patients with endomyocardial fibrosis.

Endomyocardial Fibrosis: Clinical, Echocardiographic and Hemodynamic Findings

“…It has been recognized in other areas [7][8][9][10][11][12]. We recognized this disease in the Middle East for the first time in 1980 [4,5].…”

“…Left ventricular involvement was characterized by obliteration of the apex in all patients with biventricular or left ventricle EMF (Figure 3). Mitral regurgitation was severe in six patients (Cases 7,8,11,(15)(16)(17), mild in four (Cases 9,12,13,18), or absent in two (Cases 10 and 14). Obliteration of both ventricular apices was observed in biventricular EMF.…”

“…The initial diagnosis was constrictive pericarditis in five patients (Cases 1,2,6,13,14), rheumatic mitral or tricuspid regurgitation in six patients (Cases 7,8,(15)(16)(17)(18), dilated cardiomyopathy in three ( Cases 9,11,12), and Ebstein's malformation of the tricuspid valve in one patient (Case 3) (Table 1).…”

M-mode echocardiographic features of endomyocardial fibrosis.

“…There may be hydropericardium. Angio-graphic studies9 10 have shown vigorous pulsation of the infundibulum of the right ventricle, tricuspid regurgitation, and a grossly dilated right atrium.…”

Endomyocardial fibrosis in Africa

“…It is also common among the people from Ankole in South-West Uganda, but less common among the Ganda people who are indigenous to the Kampala region of Uganda. Malaria transmission is common at all seasons in areas where Ganda Finally, EMF has been described in Europeans previously resident in Africa (Brockington, Olsen and Goodwin, 1967), as well as in other Caucasians and Asiatics who have never lived in Africa (Libanoff and McMahon, 1976;Chew et al, 1977;Hess et al, 1978).…”