Cargando…
Cardiac MRI findings of endomyocardial fibrosis (Loeffler’s endocarditis) in a patient with rheumatoid arthritis
Loeffler’s endocarditis and cardiac manifestations of the hypereosinophilic syndrome (HES) are rare and difficult to diagnose. We report a case of in a 36 year-old female with a history of rheumatoid arthritis with disabling dyspnea. The transthoracic echocardiogram demonstrated normal systolic card...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4392353/ https://www.ncbi.nlm.nih.gov/pubmed/25870507 http://dx.doi.org/10.1016/j.jsha.2014.11.002 |
_version_ | 1782365964957908992 |
---|---|
author | Kharabish, Ahmed Haroun, Dina |
author_facet | Kharabish, Ahmed Haroun, Dina |
author_sort | Kharabish, Ahmed |
collection | PubMed |
description | Loeffler’s endocarditis and cardiac manifestations of the hypereosinophilic syndrome (HES) are rare and difficult to diagnose. We report a case of in a 36 year-old female with a history of rheumatoid arthritis with disabling dyspnea. The transthoracic echocardiogram demonstrated normal systolic cardiac functions and a left ventricular apical thrombus. However, using cardiovascular magnetic resonance (CMR) with inversion-recovery (IR) delayed enhancement, and cine steady-state free precession (SSFP) sequences, we were able to clearly demonstrate endocardial fibrosis, tissue inflammation, apical ventricular hypertrophy, and LV thrombus that correlate with clinical findings. We believe cardiac MRI is more useful than transthoracic echocardiography in the diagnosis and management of HES and ultimately it obviated the need for biopsy to confirm the diagnosis. |
format | Online Article Text |
id | pubmed-4392353 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-43923532015-04-13 Cardiac MRI findings of endomyocardial fibrosis (Loeffler’s endocarditis) in a patient with rheumatoid arthritis Kharabish, Ahmed Haroun, Dina J Saudi Heart Assoc Case Report Loeffler’s endocarditis and cardiac manifestations of the hypereosinophilic syndrome (HES) are rare and difficult to diagnose. We report a case of in a 36 year-old female with a history of rheumatoid arthritis with disabling dyspnea. The transthoracic echocardiogram demonstrated normal systolic cardiac functions and a left ventricular apical thrombus. However, using cardiovascular magnetic resonance (CMR) with inversion-recovery (IR) delayed enhancement, and cine steady-state free precession (SSFP) sequences, we were able to clearly demonstrate endocardial fibrosis, tissue inflammation, apical ventricular hypertrophy, and LV thrombus that correlate with clinical findings. We believe cardiac MRI is more useful than transthoracic echocardiography in the diagnosis and management of HES and ultimately it obviated the need for biopsy to confirm the diagnosis. Elsevier 2015-04 2014-11-22 /pmc/articles/PMC4392353/ /pubmed/25870507 http://dx.doi.org/10.1016/j.jsha.2014.11.002 Text en © 2014 Production and hosting by Elsevier B.V. on behalf of King Saud University. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Case Report Kharabish, Ahmed Haroun, Dina Cardiac MRI findings of endomyocardial fibrosis (Loeffler’s endocarditis) in a patient with rheumatoid arthritis |
title | Cardiac MRI findings of endomyocardial fibrosis (Loeffler’s endocarditis) in a patient with rheumatoid arthritis |
title_full | Cardiac MRI findings of endomyocardial fibrosis (Loeffler’s endocarditis) in a patient with rheumatoid arthritis |
title_fullStr | Cardiac MRI findings of endomyocardial fibrosis (Loeffler’s endocarditis) in a patient with rheumatoid arthritis |
title_full_unstemmed | Cardiac MRI findings of endomyocardial fibrosis (Loeffler’s endocarditis) in a patient with rheumatoid arthritis |
title_short | Cardiac MRI findings of endomyocardial fibrosis (Loeffler’s endocarditis) in a patient with rheumatoid arthritis |
title_sort | cardiac mri findings of endomyocardial fibrosis (loeffler’s endocarditis) in a patient with rheumatoid arthritis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4392353/ https://www.ncbi.nlm.nih.gov/pubmed/25870507 http://dx.doi.org/10.1016/j.jsha.2014.11.002 |
work_keys_str_mv | AT kharabishahmed cardiacmrifindingsofendomyocardialfibrosisloefflersendocarditisinapatientwithrheumatoidarthritis AT haroundina cardiacmrifindingsofendomyocardialfibrosisloefflersendocarditisinapatientwithrheumatoidarthritis |