title: [Radiological findings in endomyocardial fibrosis].
abstract: OBJECTIVE
  To determine through conventional radiology the type of ventricular involvement in endomyocardial fibrosis (EMF).
  
  
  METHODS
  We analyzed 56 cases with EMF confirmed by angiocardiography and 9 by postmortem study, aged between 16 and 56 years (mean 32); there were 42 females. Only one radiologist analyzed X-rays without any knowledge of the cineangiography findings.
  
  
  RESULTS
  The right side of the heart was primarily involved in 9 patients and the cardiac silhouette was characteristically globular and had oligemic pulmonary fields (66.66%). The cardiothoracic ratio was 0.62 +/- 0.11. Out of 9 patients, 8 were female. The left side of the heart was established as being primarily involved in 11 cases and simulated rheumatic mitral disease. The cardiothoracic ratio was 0.51 +/- 0.09 and there were increased pulmonary fields in 63.6%. The biventricular disease occurred in 36 cases. There were radiologic findings of right and left side. The cardiothoracic ratio was 0.63 +/- 0.06 and there was oligemic pulmonary fields in 38.8%, increased pulmonary fields in 33.3% and was normal in 27.7%. There were 4:1 females.
  
  
  CONCLUSIONS
  The radiological study is fundamental in the initial diagnosis of EMF. The type of involvement could be done in 66.07% of all cases by chest X-ray.
authors.affiliation: Instituto do Coração, Hospital das Clínicas, FMUSP.
authors.forename: F
authors.initials: F
authors.lastname: Fernandes
authors.forename: C
authors.initials: C
authors.lastname: Mady
authors.forename: C de B
authors.initials: Cde B
authors.lastname: Vianna
authors.forename: A C
authors.initials: AC
authors.lastname: Barretto
authors.forename: E
authors.initials: E
authors.lastname: Arteaga
authors.forename: B M
authors.initials: BM
authors.lastname: Ianni
authors.forename: T
authors.initials: T
authors.lastname: Fujioka
authors.forename: D
authors.initials: D
authors.lastname: Ballas
authors.forename: G
authors.initials: G
authors.lastname: Bellotti
authors.forename: F
authors.initials: F
authors.lastname: Pileggi
mesh_terms: D000293:Adolescent; D000328:Adult; D002932:Cineangiography; D004719:Endomyocardial Fibrosis / Q000000981:diagnostic imaging*; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged
vernacular_title: Aspectos radiológicos da endomiocardiofibrose.