Endomyocardial fibrosis: electron-beam CT features.

Mousseaux, Élie; Hernigou, A.; Azencot, M.; Sapoval, M.; Auguste, Mario; Papo, Thomas; Chauvaud, Sylvain; Gaux, J C

doi:10.1148/radiology.198.3.8628866

Cited by 29 publications

(19 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The presence of a linear calcifi cation distal to the pericardium, along the inner border of the myocardium suggests EMF at conventional and spiral computed tomography. (64) Magnetic Resonance Imaging (MRI) confi rms the O existence of thrombus or calcifi cations, allows an exact delineation of hypoperfused areas that correspond to fi brosis (65) and provides functional information, (65,66) but is not readily available in most endemic areas. …”

Section: Diagnosismentioning

confidence: 99%

Neglected cardiomyopathies in Africa

Mocumbi

2017

SAHJ

View full text Add to dashboard Cite

Size of the problemCardiomyopathies constitute a huge burden to both communities and health systems in Africa. Together with rheumatic heart disease, tuberculous pericarditis, systemic hypertension and its complications, cardiomyopathies are the major causes of heart disease in black African populations, causing great morbidity and mortality in young and economically active people (6,7) and being responsible for more than 20% of all admissions for cardiovascular diseases in both children and adults.EMF, the most common cardiomyopathy in African children and adolescents, shows great geographic variation with areas of higher incidence being the tropical regions of East, Central and West of the continent, (9) where it accounts for up to 20% of cases of heart failure. (5,7,10)

show abstract

Section: Diagnosismentioning

confidence: 99%

Neglected cardiomyopathies in Africa

Mocumbi

2017

SAHJ

View full text Add to dashboard Cite

show abstract

“…The presence of a linear calcification distal to the pericardium (along the inner border of the myocardium) suggests EMF at conventional and spiral computed tomography. (39) Magnetic Resonance Imaging has many advantages for diagnosing LEMF as it confirms the existence of thrombus or calcifications, and allows an exact delineation of hypoperfused areas that correspond to fibrosis. Advanced imaging is not routinely recommended or useful in the evaluation of patients with RHD, though 3-dimentional echocardiography has some incremental benefit for surgical planning for mitral valve repair.…”

Section: Other Imaging Techniquesmentioning

confidence: 99%

Rheumatic heart disease and endomyocardial fibrosis: Distinguishing the etiology of mitral regurgitation in low-resourced areas

Mocumbi

Madeira

Beaton

2017

SAHJ

View full text Add to dashboard Cite

Despite these differences, it can be challenging to distinguish RHD from left-sided EMF in a clinical context, in particular when faced with mitral regurgitation in a low-resource setting. Making this distinction correctly is of high value, as the medical management, surgical and interventional options, and prognosis are considerably different. Acute EMF vs. acute RHDAcute mitral regurgitation can be viewed as part of the acute phase of both RHD (acute rheumatic fever, ARF) and EMF. As both are clinical diagnoses, lacking a confirmatory test, additional diagnostic work-up is needed. Of the 2, the clinical presentation of acute rheumatic fever is most clearly defined, and outlined in the Jones Criteria.(3) Indeed, in almost all cases, the diagnosis of ARF requires evidence of a recent streptococcal infection, as the link between untreated or undertreated group A streptococcus (GAS) and ARF is well established. Importantly, the

show abstract

“…It depicts morphologic features of EMF, by allowing direct visualization and mapping of fibrosis in the endocardium and within the myocardial wall. EMF is suggested by linear calcification distal to the pericardium, along the inner border of the myocardium [65]. …”

Section: Computed Tomographymentioning

confidence: 99%