Mocumbi was the lead investigator assessed a random sample of 1,063 individuals of all ages selected by clustering in a rural area of Mozambique with about 76,000 inhabitants, and found an endomyocardial fibrosis
prevalence of 20%.
43) Such conditions include sarcoidosis, hypertrophic cardiomyopathy, connective tissue diseases, endomyocardial fibrosis
and amyloid infiltration (Figure 7).
Cardiac magnetic resonance imaging (MRI) showed biventricular systolic dysfunction; late gadolinium imaging revealed the presence of left ventricular thrombus and a non-ischaemic subendocardial enhancement with a classical 'zebra sign', compatible with a diagnosis of endomyocardial fibrosis
Transesophageal and transthoracic echocardiography imaging might suggest a differential diagnosis a large vegetation, an intracardiac tumor such as a myxoma, or endomyocardial fibrosis
but the clinical context helps to clarify the diagnosis (7).
along with the root wilt disease of coconut is endemic to Kerala with its radioactive actinide beach sands.