Pattern of cardiac calcification in tropical endomyocardial fibrosis

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题名	Pattern of cardiac calcification in tropical endomyocardial fibrosis
作者	Vijayaraghavan G, Balakrishnan M, Sadanandan S, Cherian G.
杂志	Heart Vessels Suppl
年|卷|期	1990;5
页码	4-7
链接	http://www.ncbi.nlm.nih.gov/pubmed/?term=2093711

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1Medical College and Hospital, Kerala, India.
Abstract
Over a two-year period we investigated 55 patients with endomyocardial fibrosis, using two-dimensional echocardiography, color-coded echocardiography, and image intensifier fluoroscopy, to delineate the regional distribution of cardiac calcification. Thirty five patients (64%) were found to have calcification of the ventricular walls. Calcific deposits were seen in the right ventricle in 26(59%) patients and in the left ventricle in 16(44%) patients. All patients who showed calcification were in severe cardiac failure indicating late stage of the disease. When image intensifier fluoroscopy was taken as the gold standard, echocardiography had a sensitivity of 100% and a specificity of 98% in detecting cardiac calcification. The high incidence of calcification in the ventricular walls in the present study is apparently due to the systematic use of two-dimensional echocardiography and image intensifier fluoroscopy.