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CASE REPORT
Year : 2014  |  Volume : 11  |  Issue : 2  |  Page : 145-148

Restrictive cardiomyopathy a missed cause of cardioembolic stroke in young patients


1 Department of Internal Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India
2 Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India
3 Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Manish Gutch
Department of Internal Medicine, KGMU, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-7969.142132

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Restrictive cardiomyopathy is characterized by restrictive filling and reduced diastolic volume of either or both ventricles with normal or near-normal systolic function and wall thickness. Here, author reports a case of 18-year-old boy who presented with cardioembolic stroke. On further workup, restrictive physiology was identified and possibility of constrictive pericarditis (CP) could not be ruled out on two-dimensional echocardiographic examination, which was subsequently ruled out by 64 slice cardiac computed tomography scan. The identification of the condition is important for the point of diagnosis and management; rheumatic valvular diseases are prevalent most commonly and are a source of embolism for ischemic stroke in young patients. CP is also common due to high prevalence of tuberculosis in India, which poses diagnostic difficulties.


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