Barretto et al evaluated patients with endomyocardial fibrosis (EMF) for predictors of survival. These can help to identify a patient who may benefit from more aggressive management. The authors are from Universidade de Sao Paulo in Brazil.
Patient selection: endomyocardial fibrosis
Factors associated with decreased survival:
(1) NYHA functional Class III or IV
(2) biventricular involvement
(3) moderate or severe right ventricular involvement
(4) atrioventricular valve regurgitation
A patient at risk for poor survival may benefit from surgical resection of the fibrous tissue and AV valve replacement if performed by an experienced surgeon.
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