Echocardiographic profile of endomyocardial fibrosis in Tanzania, East Africa.
نویسندگان
چکیده
OBJECTIVES To demonstrate and evaluate the usefulness of two dimensional and Doppler echocardiography in the diagnosis of endomyocardial fibrosis (EMF) in countries with poor resources. Also to evaluate the clinical assessment as a predictor of echocardiographically proven EMF. DESIGN Descriptive hospital based study. SETTING Muhimbili National Hospital, Dar es Salaam, Tanzania. SUBJECTS 39 patients (27 male and 12 female, mean age 13.5 years) attending our Cardiac Clinic were investigated to determine the extent to which specific features could be diagnosed by transthoracic echocardiography. MAIN OUTCOME MEASURES Identifying and characterizing echocardiographic features specific for diagnosing EMF non-invasively. RESULTS Only eight (21%) patients had a correct clinical diagnosis, leaving 79% of the patients at risk of being misdiagnosed and hence wrongly receiving expensive treatment. The majority of the patients (69.2%) presented with signs of elevated systemic venous pressure due to right ventricular EMF. CONCLUSION We have demonstrated that echocardiography remains a fundamental investigation in the least developed countries in achieving the correct diagnosis.
منابع مشابه
Endomyocardial Fibrosis: Echocardiographic Profile
Evolution of two-dimensional and color Doppler echocardiography identified the typical features of Endomyocardial Fibrosis (EMF) such as dense ventricular apical fibrosis, dysfunction of atrioventricular valve and sub-valvular apparatus and cavity dimensions. This is the tool used most for the diagnosis of EMF in areas where the disease is endemic in Africa. Today echocardiography is used as a ...
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Endomyocardial fibrosis is a form of cardiomyopathy endemic in East, Central, and West Africa (Davies, I948; Connor et al., i967, I968). A similar disease has occasionally been described in other tropical regions, e.g. South America (Andrade and Guimaraes, I964), India (Gopi, i968), and Ceylon (Nagaratnam and Dissanayake, I959). Authenticated cases have been reported in Caucasian patients who h...
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cardiomyopathy characterized by endocardial fibrotic thickening that usually affects the apex of one or both ventricles. EMF has been reported in tropical and subtropical regions of Africa as well as in India, Brazil, Columbia, and Sri Lanka. EMF is uncommon in the United States; however, this cardiomyopathy has been reported in white patients, even in the absence of prior residence in tropical...
متن کاملEndomyocardial fibrosis in Sudan: clinical and echocardiographic features
OBJECTIVE Endomyocardial fibrosis (EMF) is a rare disease and is often an underdiagnosed and forgotten cardiomyopathy. The objective of this study was to document the current frequency of EMF in Sudan by defining and selecting cases from patients attending the echocardiography laboratory. Additionally we aimed to create an EMF registry for Sudan. METHODS The study started in January 2007 and ...
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ورودعنوان ژورنال:
- The Central African journal of medicine
دوره 50 9-10 شماره
صفحات -
تاریخ انتشار 2004