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A young male admitted for dengue fever and systemic involvement developed ECG abnormalities on third day, in the form of prolonged QT interval and deep and symmetrical inversion of T wave. Echocardiography revealed akinesia of mid and apical segments and well contracting basal segments, typical of
Restrictive cardiomyopathy (RCM) is an uncommon form of myocardial disorder characterized by diastolic dysfunction and increased myocardial stiffness. Endomyocardial fibrosis is one type of RCM hallmarked by formation of fibrous tissue on the endocardium. This report describes a case of RCM
Although the relationship between group A streptococcal upper respiratory tract infection and the development of acute rheumatic fever has been known for many years, the pathogenetic mechanism(s) have never been defined. Thus, the mechanism of damage to the valves and to the myocardium in patients
Rocky Mountain spotted fever is an acute febrile illness with a significant mortality rate. Cardiac involvement has been sporadically reported, but is more common than appreciated from pathologic studies. The lesion is one of vasculitis, with secondary thrombosis and tissue necrosis. Cardiac