Key result
Rapidly progressive eosinophilic endomyocardiopathy may require early surgical intervention despite medical therapy.
Why the study?
Severe eosinophilic endomyocardiopathy can progress rapidly despite medical treatment, highlighting uncertainty about optimal timing for surgical intervention.
Key points are not available for this paper at this time.
Population
A young patient with severely elevated eosinophil count and eosinophilic endomyocardiopathy
Design
Case report with echocardiographic and hemodynamic evaluation
Rapid progression despite therapy signals poor prognosis in eosinophilic endomyocardiopathy; leaves open whether earlier surgery improves survival.
A young patient with a severely elevated eosinophil count died from manifestations of severe eosinophilic endomyocardiopathy. Echocardiographic and hemodynamic evaluation were diagnostic of a rapidly progressive restrictive cardiomyopathy. Progression of cardiac disease in the face of medical treatment is an ominous sign and may argue for earlier surgical intervention in this syndrome.
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Kudenchuk et al. (1986) studied this question. Eosinophilic endomyocardiopathy can manifest as rapidly progressive restrictive cardiomyopathy, and disease progression despite medical therapy may necessitate earlier surgical intervention.
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