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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

YearMonthHistory
2010August• Holiday in Hurghada, Egypt
2011January• 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
2012June• 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