Usefulness of cardiac MRI in the early diagnosis of endomyocardial fibrosis.

Endomyocardial fibrosis (EF) is characterized by marked endocardial thickening of the apex and subvalvular apparatus of one or both ventricles. It is considered a primary and chronic form of restrictive cardiomyopathy (the acute form is Löffler’s disease) and is associated with inflammation and hypereosinophilia secondary to chronic processes such as parasite infection or autoimmune disease. We describe the case of a 38-year-old Guinean man who was admitted to the Internal Medicine department for left upper quadrant pain. He had a previous history of malaria. Physical exam revealed a 4-cm hepatomegaly