Abstract
A 47-year-old woman presented with progressive New York Heart Association class-IV dyspnea, elevated jugular venous pressure, rales, S3 and a pansystolic 3/6 murmur. The electrocardiogram showed sinus tachycardia, septal Q-waves, and left ventricular (LV) hypertrophy. The chest radiograph depicted interstitial edema and pleural effusions. Biochemistry, complete blood count, and troponin levels were normal, except for eosinophilia (1.31×109/L[normal<0.4×109/L]) and elevated N-terminal pro–brain natriuretic peptide (1460 pg/dl).
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