A Man in His 50s With Dyspnea and Eosinophilia (2024)

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    Cardiovascular Images

    June5, 2024

    Kai ChristianJakobs,MD1,2; UrsulaRauch,MD1,2; BettinaHeidecker,MD1,2,3

    Author Affiliations Article Information

    • 1Deutsches Herzzentrum der Charité (DHZC), Department of Cardiology, Angiology and Intensive Care Medicine, Berlin, Germany

    • 2DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany

    • 3Berlin Institute of Health, Berlin, Germany

    JAMA Cardiol. Published online June 5, 2024. doi:10.1001/jamacardio.2024.1211

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    Video (0:35) Four-Chamber Cardiac Magnetic Resonance Imaging of Endomyocarditis With Ebstein Anomaly

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    A man in his 50s presented with progressive dyspnea, eosinophilia (eosinophils, 3.27 × 109/L; to convert to /μL, divide by 0.001), thrombocytopenia (platelet count, 53 × 109/L; to convert to × 103/μL, divide by 1), and elevated troponin T level (530 ng/L; to convert to micrograms per liter, divide by 1000 and multiply by 1). Relevant exposure to allergens was ruled out.

    Transthoracic echocardiography (TTE) demonstrated biventricular thrombus formation, apical translocation of the tricuspid valve (TV) insertion point, and subendocardial hyperechogenicity, confirmed by cardiac magnetic resonance imaging (Figure and Video). No prior echocardiographic studies were available for comparison.

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    Jakobs KC, Rauch U, Heidecker B. A Man in His 50s With Dyspnea and Eosinophilia. JAMA Cardiol. Published online June 05, 2024. doi:10.1001/jamacardio.2024.1211

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