Reviews: Cardiac functionHow to recognize endomyocardial fibrosis?Dato, IlariaAuthor Information Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy Correspondence to Ilaria Dato, MD, Institute of Cardiology, Catholic University of the Sacred Heart, Largo Agostino Gemelli 8, 00168 Rome, Italy Tel: +39 6 3051166; fax: +39 6 3055535; e-mail: [email protected] Received 17 November, 2013 Revised 8 May, 2014 Accepted 8 May, 2014 Journal of Cardiovascular Medicine: August 2015 - Volume 16 - Issue 8 - p 547-551 doi: 10.2459/JCM.0000000000000165 Buy Metrics Abstract Endomyocardial fibrosis is a disease of unknown cause, characterized by the development of restrictive cardiomyopathy. Although it is endemic in Africa, some cases have been described in Asia, South America and Europe, where a substantial unfamiliarity with this disease still exists. Moreover, differential diagnosis of endomyocardial fibrosis with other cardiomyopathies can be difficult, especially in asymptomatic patients and in initial stage of the disease. After initial echocardiographic analysis, the gold standard imaging technique is the cardiac magnetic resonance. Adjunctive diagnostic tools as endomyocardial biopsy can be considered in ambiguous cases and can help in patient management. © 2015 Italian Federation of Cardiology. All rights reserved.