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Case Reports
. 2009;36(6):628-9.

Cardiac involvement in hypereosinophilic syndrome

Affiliations
Case Reports

Cardiac involvement in hypereosinophilic syndrome

Taner Sen et al. Tex Heart Inst J. 2009.

Abstract

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Figures

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Fig. 1. Two-dimensional transthoracic echocardiography (modified apical 4-chamber view) shows the hyperechogenic thrombus (arrow) within the left ventricular apex and minimal pericardial effusion (arrowhead).
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Fig. 2. Two-dimensional transthoracic echocardiography (modified apical 4-chamber view) shows the hyperechogenic thrombus within the left ventricular apex (arrow). The right side of the heart is not affected. LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle Real-time motion image is available at www.texasheart.org/journal.
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Fig. 3. Transmitral flow pulsed-wave Doppler echocardiography shows high filling pressures consistent with a restrictive filling pattern. E, 1.1 m/sec; A, 0.5 m/sec; E/A ratio, >2.
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Fig. 4. Pulsed-wave tissue Doppler echocardiography at the septal mitral annulus shows that the E' velocity is less than 7 cm/sec. The E/E' ratio is higher than 15, indicating that the pulmonary capillary wedge pressure exceeds 20 mmHg. This finding is consistent with a restrictive filling pattern.

References

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    1. Chusid MJ, Dale DC, West BC, Wolff SM. The hypereosinophilic syndrome: analysis of fourteen cases with review of the literature. Medicine (Baltimore) 1975;54(1):1–27. - PubMed
    1. Boxer LA. Hypereosinophilic syndrome. In: Behrman RE, Kliegman RM, Jenson HB, editors. Nelson textbook of pediatrics. 17th ed. Philadelphia: Saunders; 2004. p. 710.
    1. Schooley RT, Flaum MA, Gralnick HR, Fauci AS. A clinicopathologic correlation of the idiopathic hypereosinophilic syndrome. II. Clinical manifestations. Blood 1981;58(5):1021–6. - PubMed
    1. Feigenbaum H, Armstrong WF, Ryan T. Feigenbaum's echocardiography. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2005. p. 752.

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