What question did this study set out to answer?

To identify and evaluate characteristic M-mode echocardiographic features of right ventricular endomyocardial fibrosis.

August 1, 1982Postgraduate Medical JournalOpen Access

Echocardiography in the diagnosis of right ventricular endomyocardial fibrosis

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Why the study?

Does M-mode echocardiography identify specific structural and functional abnormalities in patients with right ventricular endomyocardial fibrosis?

Population

21 patients with endomyocardial fibrosis and right ventricular involvement, and 4 control patients

Comparison

M-mode echocardiography vs Patients with constrictive pericarditis or…

Design

Case_series

Authors

FGFidelia Gaba ATA I Talabi DADamilola AdeniyiUniversity of Lagos

Discussion

Member takes

Implication

M-mode echocardiography may identify RV EMF features; leaves open diagnostic validation versus constrictive pericarditis in larger cohorts.

Key Points

To identify and evaluate characteristic M-mode echocardiographic features of right ventricular endomyocardial fibrosis.
Evaluated 21 patients with clinically diagnosed right ventricular endomyocardial fibrosis using M-mode echocardiography.
Corroborated clinical diagnoses with hemodynamic and angiographic evaluation (n=15) and post-mortem examination (n=1).
Assessed echocardiographic specificity against comparative controls presenting with constrictive pericarditis (n=2) and portal hypertension with massive ascites (n=2).
All 21 patients demonstrated increased right ventricular dimension, paradoxical septal motion, enlarged right ventricular outflow, right ventricular anterior wall thickening with hyperkinesia, and an easily recorded tricuspid valve.
A subset of patients exhibited secondary echocardiographic features, including posterior pericardial effusion and fine tricuspid valve fluttering.
None of the five hallmark echocardiographic features were observed in control patients with constrictive pericarditis or portal hypertension.

Structured PICO

Does M-mode echocardiography identify specific structural and functional abnormalities in patients with right ventricular endomyocardial fibrosis?

Population

21 patients with endomyocardial fibrosis (EMF) and right ventricular involvement, and 4 control patients (2 with constrictive pericarditis, 2 with massive ascites due to portal hypertension)

Intervention

M-mode echocardiography

Comparator

Patients with constrictive pericarditis or massive ascites due to portal hypertension

Outcome

Echocardiographic findings characteristic of right ventricular endomyocardial fibrosissurrogate

M-mode echocardiography reveals a consistent set of structural and functional abnormalities in patients with right ventricular endomyocardial fibrosis that can help distinguish it from other conditions like constrictive pericarditis.

Cite This Study

Gaba et al. (1982) studied this question.

synapsesocial.com/papers/6a7dc74b4776ec6335187579 https://doi.org/10.1136/pgmj.58.682.467

Topics

Echocardiography

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Implication

M-mode echocardiography may identify RV EMF features; leaves open diagnostic validation versus constrictive pericarditis in larger cohorts.

Echocardiography in the diagnosis of right ventricular endomyocardial fibrosis

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Echocardiography in the diagnosis of right ventricular endomyocardial fibrosis

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider