Acute eosinophilic endomyocarditis: early diagnosis and localisation of the lesion by cardiac magnetic resonance imaging.
Cardiac involvement is the main cause of morbidity and mortality in hypereosinophilic syndrome. In a patient with hypereosinophilia and a normal echocardiography, cardiac magnetic resonance imaging (CMR) helped confirm early cardiac involvement by demonstrating a typical pattern of left ventricular subendocardial and papillary muscle involvement. The use of CMR facilitated prompt institution of aggressive therapy and was useful in monitoring response to treatment.
Looi
Jen Li
JL
Department of Cardiology, Middlemore Hospital, Private Bag 933111, Otahuhu, Auckland, New Zealand. looijenli@hotmail.com
Ruygrok
Peter
P
Royle
Gordon
G
Raos
Zoe
Z
Hood
Chris
C
Kerr
Andrew J
AJ
D000208:Acute Disease; D001706:Biopsy; D042241:Early Diagnosis; D004696:Endocarditis / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000188:drug therapy / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009205:Myocarditis / Q000188:drug therapy / Q000473:pathology*; D010210:Papillary Muscles / Q000473:pathology*; D011237:Predictive Value of Tests; D016896:Treatment Outcome