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Endocardial fibrosis

MedGen UID:
107513
Concept ID:
C0553980
Finding; Pathologic Function
Synonym: Endomyocardial fibrosis
SNOMED CT: Endomyocardial fibrosis (398716006); Endomyocardial sclerosis (398716006)
 
HPO: HP:0006685
Monarch Initiative: MONDO:0006746

Definition

The presence of excessive connective tissue in the endocardium. [from HPO]

Term Hierarchy

Conditions with this feature

Idiopathic hypereosinophilic syndrome
MedGen UID:
61525
Concept ID:
C0206141
Disease or Syndrome
PDGFRA-associated chronic eosinophilic leukemia is a form of blood cell cancer characterized by an elevated number of cells called eosinophils in the blood. These cells help fight infections by certain parasites and are involved in the inflammation associated with allergic reactions. However, these circumstances do not account for the increased number of eosinophils in PDGFRA-associated chronic eosinophilic leukemia.\n\nAnother characteristic feature of PDGFRA-associated chronic eosinophilic leukemia is organ damage caused by the excess eosinophils. Eosinophils release substances to aid in the immune response, but the release of excessive amounts of these substances causes damage to one or more organs, most commonly the heart, skin, lungs, or nervous system. Eosinophil-associated organ damage can lead to a heart condition known as eosinophilic endomyocardial disease, skin rashes, coughing, difficulty breathing, swelling (edema) in the lower limbs, confusion, changes in behavior, or impaired movement or sensations. People with PDGFRA-associated chronic eosinophilic leukemia can also have an enlarged spleen (splenomegaly) and elevated levels of certain chemicals called vitamin B12 and tryptase in the blood.\n\nSome people with PDGFRA-associated chronic eosinophilic leukemia have an increased number of other types of white blood cells, such as neutrophils or mast cells. Occasionally, people with PDGFRA-associated chronic eosinophilic leukemia develop other blood cell cancers, such as acute myeloid leukemia or B-cell or T-cell acute lymphoblastic leukemia or lymphoblastic lymphoma.\n\nPDGFRA-associated chronic eosinophilic leukemia is often grouped with a related condition called hypereosinophilic syndrome. These two conditions have very similar signs and symptoms; however, the cause of hypereosinophilic syndrome is unknown.
Dilated cardiomyopathy 1C
MedGen UID:
316944
Concept ID:
C1832244
Disease or Syndrome
An autosomal dominant subtype of dilated cardiomyopathy caused by mutation(s) in the LDB3 gene, encoding LIM domain-binding protein 3.
Hypertrophic cardiomyopathy 8
MedGen UID:
324806
Concept ID:
C1837471
Disease or Syndrome
Any hypertrophic cardiomyopathy in which the cause of the disease is a mutation in the MYL3 gene.
Hepatic veno-occlusive disease-immunodeficiency syndrome
MedGen UID:
344659
Concept ID:
C1856128
Disease or Syndrome
Hepatic veno-occlusive disease with immunodeficiency (VODI) is characterized by: (1) primary immunodeficiency; and (2) terminal hepatic lobular vascular occlusion and hepatic fibrosis manifest as hepatomegaly and/or hepatic failure. Onset is usually before age six months. The immunodeficiency comprises severe hypogammaglobulinemia, clinical evidence of T-cell immunodeficiency with normal numbers of circulating T cells, absent lymph node germinal centers, and absent tissue plasma cells. Bacterial and opportunistic infections including Pneumocystis jirovecii infection, mucocutaneous candidiasis, and enteroviral or cytomegalovirus infections occur. In the past the prognosis for affected individuals was poor, with 100% mortality in the first year of life if unrecognized and untreated with intravenous immunoglobulin (IVIG) and Pneumocystis jirovecii prophylaxis. However, with early recognition and treatment there is a marked improvement in prognosis.
Dilated cardiomyopathy 1AA
MedGen UID:
393713
Concept ID:
C2677338
Disease or Syndrome
Any familial isolated dilated cardiomyopathy in which the cause of the disease is a mutation in the ACTN2 gene.
Hypertrophic cardiomyopathy 15
MedGen UID:
413312
Concept ID:
C2750459
Disease or Syndrome
Any hypertrophic cardiomyopathy in which the cause of the disease is a mutation in the VCL gene.

Professional guidelines

PubMed

Edwards WD
Heart Vessels Suppl 1985;1:138-42. doi: 10.1007/BF02072381. PMID: 3843576
Seward JB, Tajik AJ
Cardiovasc Clin 1980;10(3):199-230. PMID: 6445779
Guiraudon G, Fontaine G, Frank R, Escande G, Etievent P, Cabrol C
Ann Thorac Surg 1978 Nov;26(5):438-44. doi: 10.1016/s0003-4975(10)62923-2. PMID: 753158

Recent clinical studies

Etiology

Chen R, Buchmann S, Kroth A, Arias-Loza AP, Kohlhaas M, Wagner N, Grüner G, Nickel A, Cirnu A, Williams T, Maack C, Ergün S, Frantz S, Gerull B
Circ Res 2023 Jan 20;132(2):e43-e58. Epub 2023 Jan 4 doi: 10.1161/CIRCRESAHA.122.321929. PMID: 36656972
Treibel TA, López B, González A, Menacho K, Schofield RS, Ravassa S, Fontana M, White SK, DiSalvo C, Roberts N, Ashworth MT, Díez J, Moon JC
Eur Heart J 2018 Feb 21;39(8):699-709. doi: 10.1093/eurheartj/ehx353. PMID: 29020257Free PMC Article
Rodríguez Laval V, Pavel M, Steffen IG, Baur AD, Dilz LM, Fischer C, Detjen K, Prasad V, Pascher A, Geisel D, Denecke T
Neuroendocrinology 2018;106(2):139-147. Epub 2017 Apr 7 doi: 10.1159/000474941. PMID: 28384635
Vaideeswar P, Chaudhari C, Rane S, Gondhalekar J, Dandekar S
J Postgrad Med 2014 Oct-Dec;60(4):372-6. doi: 10.4103/0022-3859.143958. PMID: 25370544
Seward JB, Tajik AJ
Cardiovasc Clin 1980;10(3):199-230. PMID: 6445779

Diagnosis

Treibel TA, López B, González A, Menacho K, Schofield RS, Ravassa S, Fontana M, White SK, DiSalvo C, Roberts N, Ashworth MT, Díez J, Moon JC
Eur Heart J 2018 Feb 21;39(8):699-709. doi: 10.1093/eurheartj/ehx353. PMID: 29020257Free PMC Article
Rodríguez Laval V, Pavel M, Steffen IG, Baur AD, Dilz LM, Fischer C, Detjen K, Prasad V, Pascher A, Geisel D, Denecke T
Neuroendocrinology 2018;106(2):139-147. Epub 2017 Apr 7 doi: 10.1159/000474941. PMID: 28384635
Kleinfeldt T, Nienaber CA, Kische S, Akin I, Turan RG, Körber T, Schneider H, Ince H
Clin Res Cardiol 2010 Jul;99(7):419-27. Epub 2010 Mar 24 doi: 10.1007/s00392-010-0144-8. PMID: 20333409
Mazur W, Nagueh SF
Curr Opin Cardiol 2001 Sep;16(5):277-81. doi: 10.1097/00001573-200109000-00004. PMID: 11584165
Seward JB, Tajik AJ
Cardiovasc Clin 1980;10(3):199-230. PMID: 6445779

Therapy

Kaiser B, Huber C, Pirozzolo G, Maier P, Bekeredjian R, Theis C
J Interv Card Electrophysiol 2024 Jan;67(1):83-90. Epub 2023 May 25 doi: 10.1007/s10840-023-01564-2. PMID: 37227535
Vaideeswar P, Chaudhari C, Rane S, Gondhalekar J, Dandekar S
J Postgrad Med 2014 Oct-Dec;60(4):372-6. doi: 10.4103/0022-3859.143958. PMID: 25370544
Kleinfeldt T, Nienaber CA, Kische S, Akin I, Turan RG, Körber T, Schneider H, Ince H
Clin Res Cardiol 2010 Jul;99(7):419-27. Epub 2010 Mar 24 doi: 10.1007/s00392-010-0144-8. PMID: 20333409
Epstein AE, Kay GN, Plumb VJ, Dailey SM, Anderson PG
Circulation 1998 Oct 13;98(15):1517-24. doi: 10.1161/01.cir.98.15.1517. PMID: 9769305
Bana DS, MacNeal PS, LeCompte PM, Shah Y, Graham JR
Am Heart J 1974 Nov;88(5):640-55. doi: 10.1016/0002-8703(74)90251-8. PMID: 4420941

Prognosis

Rodríguez Laval V, Pavel M, Steffen IG, Baur AD, Dilz LM, Fischer C, Detjen K, Prasad V, Pascher A, Geisel D, Denecke T
Neuroendocrinology 2018;106(2):139-147. Epub 2017 Apr 7 doi: 10.1159/000474941. PMID: 28384635
Mocumbi AO, Yacoub MH, Yokohama H, Ferreira MB
Cardiovasc Pathol 2009 Jan-Feb;18(1):64-5. Epub 2008 Mar 4 doi: 10.1016/j.carpath.2007.12.009. PMID: 18402830
Mazur W, Nagueh SF
Curr Opin Cardiol 2001 Sep;16(5):277-81. doi: 10.1097/00001573-200109000-00004. PMID: 11584165
Fauci AS, Harley JB, Roberts WC, Ferrans VJ, Gralnick HR, Bjornson BH
Ann Intern Med 1982 Jul;97(1):78-92. doi: 10.7326/0003-4819-97-1-78. PMID: 7046556
Seward JB, Tajik AJ
Cardiovasc Clin 1980;10(3):199-230. PMID: 6445779

Clinical prediction guides

Chen R, Buchmann S, Kroth A, Arias-Loza AP, Kohlhaas M, Wagner N, Grüner G, Nickel A, Cirnu A, Williams T, Maack C, Ergün S, Frantz S, Gerull B
Circ Res 2023 Jan 20;132(2):e43-e58. Epub 2023 Jan 4 doi: 10.1161/CIRCRESAHA.122.321929. PMID: 36656972
Rossetti C, Belli G, Franceschetti L, Restori M, Braga P, Garberi C, Picozzi M, Birkhoff JM, Verzeletti A
J Forensic Leg Med 2023 Jan;93:102462. Epub 2022 Dec 6 doi: 10.1016/j.jflm.2022.102462. PMID: 36516716
Rodríguez Laval V, Pavel M, Steffen IG, Baur AD, Dilz LM, Fischer C, Detjen K, Prasad V, Pascher A, Geisel D, Denecke T
Neuroendocrinology 2018;106(2):139-147. Epub 2017 Apr 7 doi: 10.1159/000474941. PMID: 28384635
Gerloni R, Abate E, Pinamonti B, Milo M, Benussi B, Poletti A, Pappalardo A, Bussani R, Sinagra G
J Cardiovasc Med (Hagerstown) 2014 Feb;15(2):164-6. doi: 10.2459/JCM.0b013e3283609428. PMID: 23756407
Kawaguchi AT, Ishibashi-Ueda H, Bergsland J, Karamanoukian HL, Koide S, Batista RJ
J Card Surg 2001 Jan-Feb;16(1):56-63. doi: 10.1111/j.1540-8191.2001.tb00484.x. PMID: 11713859

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