one case showed an increase in the pep : lvet ratio on the polycardiogram and 18 cases showed echocardiographic alterations ( 64.3 % ) , in particular : pericardial effusion in 6 cases ( 21.4 % ) , thickening of the epicardium and the pericardium in 4 cases ( 14.3 % ) , alterations in the mitral valve ( reduction in the protodiastolic closing velocity of the anterior edge of the large mitral valve ) in 10 cases ( 35.7 % ) and thickening of the interventricular septum in 5 cases ( 17.9 % ) .
C0225968
epicardium
C0031050
pericardium