Epidemiological features, echocardiographic findings, and parasite load in patients with Chagas disease
Abstract INTRODUCTION Chagas disease is a major public health problem that is endemic in Brazil and Latin America. This study aimed to determine the socioeconomic, demographic, and clinical characteristics of 171 patients (mean age, 45 years; female, 65%) with Chagas disease at Hospital Universitá...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina Tropical (SBMT)
2019-12-01
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100344&tlng=en |
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| author | Hilda Maria Benevides da Silva de Arruda Marcelle Araújo Ribeiro Antonia Marilene da Silva Daniel Vasconcelos Maria Regina Fernandes de Oliveira Elza Ferreira Noronha |
| author_facet | Hilda Maria Benevides da Silva de Arruda Marcelle Araújo Ribeiro Antonia Marilene da Silva Daniel Vasconcelos Maria Regina Fernandes de Oliveira Elza Ferreira Noronha |
| author_sort | Hilda Maria Benevides da Silva de Arruda |
| collection | DOAJ |
| description | Abstract INTRODUCTION Chagas disease is a major public health problem that is endemic in Brazil and Latin America. This study aimed to determine the socioeconomic, demographic, and clinical characteristics of 171 patients (mean age, 45 years; female, 65%) with Chagas disease at Hospital Universitário de Brasília, Federal District, Brazil. METHODS We implemented this cross-sectional study using a clinical epidemiological questionnaire, electrocardiography, echocardiography, and quantitative detection of Trypanosoma cruzi DNA in blood using qRT-PCR. RESULTS Among the patients, 26.3% had a full elementary education, and 13.2% were illiterate. Most (63.6%) were economically classified as class C, and 51.5% were born in Bahia state. A total of 62.0% participants reported previous contact with the triatomine bug. The clinical forms of the disease were indeterminate (69.51%), cardiac (15.24%), digestive (10.37%), and mixed (4.88%). The most common electrocardiographic abnormality was complete right bundle branch block in association with a divisional anterosuperior block. Only 14.6% of the patients complied with benznidazole medication for at least 60 days, and 164 of them were assessed by echocardiography. The parasite load was positive in 56% of the patients. CONCLUSIONS: Chagas disease affected mostly women, with the indeterminate chronic form of the disease. |
| first_indexed | 2024-12-12T09:30:35Z |
| format | Article |
| id | doaj.art-04cb5d2b1f1a4a378abafc3e931e31d0 |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-12-12T09:30:35Z |
| publishDate | 2019-12-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-04cb5d2b1f1a4a378abafc3e931e31d02022-12-22T00:28:52ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492019-12-015210.1590/0037-8682-0541-2018Epidemiological features, echocardiographic findings, and parasite load in patients with Chagas diseaseHilda Maria Benevides da Silva de Arrudahttps://orcid.org/0000-0002-2338-4102Marcelle Araújo RibeiroAntonia Marilene da SilvaDaniel VasconcelosMaria Regina Fernandes de OliveiraElza Ferreira NoronhaAbstract INTRODUCTION Chagas disease is a major public health problem that is endemic in Brazil and Latin America. This study aimed to determine the socioeconomic, demographic, and clinical characteristics of 171 patients (mean age, 45 years; female, 65%) with Chagas disease at Hospital Universitário de Brasília, Federal District, Brazil. METHODS We implemented this cross-sectional study using a clinical epidemiological questionnaire, electrocardiography, echocardiography, and quantitative detection of Trypanosoma cruzi DNA in blood using qRT-PCR. RESULTS Among the patients, 26.3% had a full elementary education, and 13.2% were illiterate. Most (63.6%) were economically classified as class C, and 51.5% were born in Bahia state. A total of 62.0% participants reported previous contact with the triatomine bug. The clinical forms of the disease were indeterminate (69.51%), cardiac (15.24%), digestive (10.37%), and mixed (4.88%). The most common electrocardiographic abnormality was complete right bundle branch block in association with a divisional anterosuperior block. Only 14.6% of the patients complied with benznidazole medication for at least 60 days, and 164 of them were assessed by echocardiography. The parasite load was positive in 56% of the patients. CONCLUSIONS: Chagas disease affected mostly women, with the indeterminate chronic form of the disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100344&tlng=enEpidemiological profileUniversity hospitalChagas disease |
| spellingShingle | Hilda Maria Benevides da Silva de Arruda Marcelle Araújo Ribeiro Antonia Marilene da Silva Daniel Vasconcelos Maria Regina Fernandes de Oliveira Elza Ferreira Noronha Epidemiological features, echocardiographic findings, and parasite load in patients with Chagas disease Revista da Sociedade Brasileira de Medicina Tropical Epidemiological profile University hospital Chagas disease |
| title | Epidemiological features, echocardiographic findings, and parasite load in patients with Chagas disease |
| title_full | Epidemiological features, echocardiographic findings, and parasite load in patients with Chagas disease |
| title_fullStr | Epidemiological features, echocardiographic findings, and parasite load in patients with Chagas disease |
| title_full_unstemmed | Epidemiological features, echocardiographic findings, and parasite load in patients with Chagas disease |
| title_short | Epidemiological features, echocardiographic findings, and parasite load in patients with Chagas disease |
| title_sort | epidemiological features echocardiographic findings and parasite load in patients with chagas disease |
| topic | Epidemiological profile University hospital Chagas disease |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100344&tlng=en |
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