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PLoS Negl Trop Dis. 2008 Feb 27;2(2):e97. doi: 10.1371/journal.pntd.0000097.

Endomyocardial fibrosis: still a mystery after 60 years.

Author information

  • 1Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, Boston, Massachusetts, USA. gbukhman@partners.org

Abstract

The pathologist Jack N. P. Davies identified endomyocardial fibrosis in Uganda in 1947. Since that time, reports of this restrictive cardiomyopathy have come from other parts of tropical Africa, South Asia, and South America. In Kampala, the disease accounts for 20% of heart disease patients referred for echocardiography. We conducted a systematic review of research on the epidemiology and etiology of endomyocardial fibrosis. We relied primarily on articles in the MEDLINE database with either "endomyocardial fibrosis" or "endomyocardial sclerosis" in the title. The volume of publications on endomyocardial fibrosis has declined since the 1980s. Despite several hypotheses regarding cause, no account of the etiology of this disease has yet fully explained its unique geographical distribution.

PMID:
18301727
[PubMed - indexed for MEDLINE]
PMCID:
PMC2254164
Free PMC Article

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