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Table 2 Timeline of patient’s history from first presentation until end of follow-up

From: A case report of a 40-year-old woman with endomyocardial fibrosis in a non-tropical area: from initial presentation to high urgent heart transplantation

Year

Month

History

2010

August

• Holiday in Hurghada, Egypt

2011

January

• First presentation at emergency department with fever and exertional retrosternal chest pain

• Discharge after 3 days without complaints

• Suspected (Peri-)myocarditis

September

• Re-hospitalization with chest pain for 1 week, dyspnea on minimal exertion (NYHA IV)

• Comprehensive diagnostic work-up

• Medical treatment for heart failure and anticoagulation for apical thrombus were started

• Discharge in stable condition

• Suspected EMF

November

• Referred to a university heart failure unit with a focus on rare cardiomyopathies for second opinion

• Unsuccessful endomyocardial biopsy

• Diagnosis of EMF without another attempt for histological confirmation

2012

June

• Continuous progression of heart failure

August

• High urgency heart transplantation

2018

 

• Excellent outcome after heart transplantation

  1. Abbreviations: EMF Endomyocardial fibrosis, NYHA New York Heart Association functional class