Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Case Report A previously healthy 36-year-old-man presented with polyarthralgias, fever and asthenia and weight loss. He denied any muscular weakness or dyspnoea. On physical examination, the following were present: per orbital lilaceous skin rash (heliotrope), symmetric mauls and papules on the dorsal aspect of metacarpohalangeal joints (Gorton’s papules) and bilateral arthritis in proximal interphalangeal joints. No weakness on the proximal or distal upper and lower limbs. Laboratory studies showed elevated ESR and positive anti-glycol (EJ)- tRNA-synthetaseantibodie and anti-MDA5. However, creating kinas and idolise were normal. Chest high-resolution computed tomography revealed non-defined opacities in both lungs (mainly in posterior and basal segments) and interlobular sepal thickening. A suspicious of depressed right ventricular ejection fraction was found on the echocardiogram ar...

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...