Falase A O, Kolawole T M, Lagundoye S B
Br Heart J. 1976 Apr;38(4):369-74. doi: 10.1136/hrt.38.4.369.
The clinical and angiographic findings in 5 consecutive patients with congestive cardiac failure are presented to illustrate the pitfalls in the clinical diagnosis of endomyocardial fibrosis. In one patient the clinical diagnosis was confirmed at angiography while another patient who had angiographic evidence of early right ventricular endomyocardial fibrosis was diagnosed clinically as mitral stenosis. In 2 patients the clinical diagnosis was erroneous, there being no evidence of endomyocardial fibrosis on angiography. The fifth patient, who had angiographic evidence of idiopathic cardiomegaly, was diagnosed clinically as either idiopathic cardiomegaly or advanced left ventricular endomyocardial fibrosis. In tropical countries, where endomyocardial fibrosis, rheumatic heart disease, and idiopathic cardiomegaly are common, accurate clinical diagnosis of endomyocardial fibrosis is often difficult and angiographic studies are essential for confirmation.
本文介绍了连续5例充血性心力衰竭患者的临床和血管造影结果，以说明心内膜心肌纤维化临床诊断中的陷阱。1例患者的临床诊断在血管造影时得到证实，而另1例有早期右心室心内膜心肌纤维化血管造影证据的患者，临床诊断为二尖瓣狭窄。2例患者的临床诊断有误，血管造影未显示心内膜心肌纤维化证据。第5例患者有特发性心脏肥大的血管造影证据，临床诊断为特发性心脏肥大或晚期左心室心内膜心肌纤维化。在热带国家，心内膜心肌纤维化、风湿性心脏病和特发性心脏肥大很常见，心内膜心肌纤维化的准确临床诊断往往很困难，血管造影研究对于确诊至关重要。
