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Clinical and echocardiographic dissociation in a patient with right ventricular endomyocardial fibrosis
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A 51 year old male patient had been followed for endomyocardial fibrosis (EMF) in another hospital for 19 years. He had been oligosymptomatic, with clinical manifestations of right side cardiac failure, and was taking diuretics and an angiotensin receptor blocker. At admission to our institution, the echocardiogram (panel A) showed severe right ventricular …