An unusual cause of unstable angina: endomyocardial fibrosis

Consider endomyocardial fibrosis in patients with restrictive cardiomyopathy and a tropical origin or eosinophilia.Cardiac magnetic resonance imaging is essential for non-invasive diagnosis and assessment of fibrosis, calcification, and ventricular involvement.Microvascular angina may be an unusual initial presentation of endomyocardial fibrosis.