DILATED CARDIOMYOPATHY AND MYOCARDITIS IN KENYA - AN ENDOMYOCARDIAL BIOPSY STUDY
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AbstractWe have studied, by light and electron microscopy, left ventricular endomyocardial biopsy specimens from 18 African patients (14 men) with idiopathic dilated cardiomyopathy in Nairobi. Nine patients (50%) had evidence of healing myocarditis, that is the presence of a mild inflammatory cell infiltration within the myocardium. Interstitial fibrosis was prominent in five patients (28%) and in all 18 specimens there were hypertrophied muscle fibres. Therefore, half of the patients with idiopathic dilated cardiomyopathy had histological signs of a previous myocarditis. There was no serological evidence of a previous or recent coxsackie infection or any other common viral infections. It seems probable that the myocarditis was due to an inappropriate immunological reaction to myocardial muscle.
All Author(s) ListSANDERSON JE, OLSEN EGJ, GATEI D
Journal nameInternational Journal of Cardiology
Year1993
Month9
Day1
Volume Number41
Issue Number2
PublisherELSEVIER SCI IRELAND LTD
Pages157 - 163
ISSN0167-5273
eISSN1874-1754
LanguagesEnglish-United Kingdom
KeywordsAFRICA; DILATED CARDIOMYOPATHY; ENDOMYOCARDIAL BIOPSY; MYOCARDITIS
Web of Science Subject CategoriesCardiac & Cardiovascular Systems; CARDIAC & CARDIOVASCULAR SYSTEMS; Cardiovascular System & Cardiology

Last updated on 2020-11-08 at 02:33