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Endomyocardial Fibrosis Still a Mystery after 60 Years 英文参考文献
Review
EndomyocardialFibrosis:StillaMysteryafter60Years
GeneBukhman1*,JohnZiegler2,EldrydParry3
1DivisionofSocialMedicineandHealthInequalities,BrighamandWomen’sHospital,Boston,Massachusetts,UnitedStatesofAmerica,2CancerRiskProgram,University
ofCaliforniaSanFrancisco,SanFrancisco,California,UnitedStatesofAmerica,3ClinicalResearchUnit,LondonSchoolofHygieneTropicalMedicine,London,United
Kingdom
and the endocarditis parietalis fibroplastica that Wilhelm Lo¨ffler and
othershaddescribedinEuropeinthesettingofhypereosinophilic
Abstract: The pathologist Jack N. P. Davies identified
endomyocardial fibrosis in Uganda in 1947. Since that
time, reports of this restrictive cardiomyopathy have
comefromotherpartsoftropicalAfrica,SouthAsia,and
syndromes[19,20].Theeosinophilhypothesis—dominantthough
still not well tested—has failed to convince critics who point to
other plausible alternatives [21,22,23,24]. In fact, none of the
SouthAmerica.InKampala,thediseaseaccountsfor20%
etiologiccategoriesfirstmentionedbyWilliams,Ball,andDavies
of heart disease patients referred for echocardiography.
in1954haveleftthetableofpossiblecauses(Table1)[25].
We conducted a systematic review of research on the
Despite uncertainty as to the cause of EMF, the volume of
epidemiologyandetiologyofendomyocardialfibrosis.We
reliedprimarilyonarticlesintheMEDLINEdatabasewith
either ‘‘endomyocardial fibrosis’’ or ‘‘endomyocardial
publications on the subject has declined during the past decade
(Figure2).Inanefforttorekindleinterestinthisneglecteddisease,
sclerosis’’ in the title. The volume of publications on
endomyocardial fibrosis has declined since the 1980s.
Despite several hypotheses regarding cause, no account
of the etiology of this disease has yet fully explained its
uniquegeographicaldistribution.
we have undertaken a systematic review of research on this
condition.Wehavebasedthisreviewprimarilyonarticlesinthe
MEDLINE database published between January 1, 1950 and
January 1, 2007 with either ‘‘endomy
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