Lin Muling, Naeem Muhammad, Onuorah Ifeoma, Patel Rahul
Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Division of Cardiothoracic Imaging, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
JACC Case Rep. 2024 Nov 20;29(22):102723. doi: 10.1016/j.jaccas.2024.102723.
Rheumatic heart disease (RHD) and endomyocardial fibrosis (EMF) are major causes of cardiac disease in low-income countries. We present a case of a patient with mitral stenosis and restrictive cardiomyopathy, initially attributed to severe RHD, but with disease progression despite valve replacement, likely secondary to previously undiagnosed EMF.
风湿性心脏病(RHD)和心内膜心肌纤维化(EMF)是低收入国家心脏病的主要病因。我们报告一例二尖瓣狭窄和限制性心肌病患者,最初认为是严重RHD所致,但尽管进行了瓣膜置换,病情仍进展,可能继发于先前未诊断出的EMF。