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Chagas heart disease (CD) and endomyocardial fibrosis (EMF) are distinct and uncommon cardiomyopathies that can lead to a very poor prognosis. Both diseases are mostly found in African and South- and Central American countries. The patient presented in this case was from an area in Brazil endemic for Chagas disease. CD results from infection by the protozoan Trypanossoma cruzi and is associated with typical electrocardiographic and echocardiographic findings, including posteroinferior wall motion abnormalities in the left ventricle, as well as apical aneurysm. On the other hand, the underlying cause and mechanisms of EMF remain unclear. Obliteration of one or both ventricular apices might be seen. …

Rare association of endomyocardial fibrosis and Chagas heart disease