Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract We present the case of a 27-year-old man with a complex peripheal vascular disease who developed a progressive heart failure with systolic ventricular dysfunction and severe mitral regurgitation with a restrictive diastolic pattern. The complementary tests and a wide differential diagnosis will be the main points of the case, leading to an uncommon diagnosis. A global and multidisciplinary approach is a key factor when facing these kind of patients. Keywords: Endomyocardial fibrosis; Hypereosinophilic syndrome; Myocarditis; Heart failure; Magnetic resonance imaging Case Report We present the case of a 27-year-old man from Paraguay, without cardiovascular risk factors or previous cardiac disease, referred to our centre because of pain, paresthesias and ulcered lesions in both lower limbs. Four years ago, he had had a previous hospital admi...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Hypereosinophilic syndrome (HES) is a multisystem disorder diagnosed by the presence of hypereosinophilia (HE) defined as an absolute eosinophil count (AEC) >1.5x109/L (or >1500cells/microL) and multi organ involvement attributable to HE. Myocardial dysfunction is a frequent finding and is a major cause of morbidity and mortality in HES. The diagnosis of hypereosinophilic heart disease (EHD) is made in the setting of hypereosinophilia and characteristic clinical features and imaging findings of damage to the heart. We describe those clinical features in this case of HES with HHD with review of literature. Case Report A 63 year old male with no known past medical history was transferred to our hospital for hypotension, abnormal EKG and elevated troponin. The patient described nonspecific symptoms of cough, runny nose, malaise, muscle aches, nausea, diarrhea and l...