Endomyocardial Fibrosis in an HIV-Infected Patient
نویسنده
چکیده
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 areas.1 EMF has not been previously reported in HIV-infected patients. HIV commonly involves the heart and may cause dilated, but not restrictive, cardiomyopathy. A characteristic echocardiographic finding of EMF is obliteration of the ventricular apical region. This report presents a case of EMF with diagnostic echocardiographic findings in an HIV-infected patient. The etiology and pathophysiology of EMF, diagnostic considerations, and treatment are reviewed.
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