New Imaging Parameters to Predict Sudden Cardiac Death in Chagas Disease

Chronic Chagas’ cardiomyopathy is the most severe and frequent manifestation of Chagas disease, and has a high social and economic burden. New imaging modalities, such as strain echocardiography, nuclear medicine, computed tomography and cardiac magnetic resonance imaging, may detect the presence of...

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Main Authors: Renata J. Moll-Bernardes, Paulo Henrique Rosado-de-Castro, Gabriel Cordeiro Camargo, Fernanda Souza Nogueira Sardinha Mendes, Adriana S. X. Brito, Andréa Silvestre Sousa
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/5/2/74
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author Renata J. Moll-Bernardes
Paulo Henrique Rosado-de-Castro
Gabriel Cordeiro Camargo
Fernanda Souza Nogueira Sardinha Mendes
Adriana S. X. Brito
Andréa Silvestre Sousa
author_facet Renata J. Moll-Bernardes
Paulo Henrique Rosado-de-Castro
Gabriel Cordeiro Camargo
Fernanda Souza Nogueira Sardinha Mendes
Adriana S. X. Brito
Andréa Silvestre Sousa
author_sort Renata J. Moll-Bernardes
collection DOAJ
description Chronic Chagas’ cardiomyopathy is the most severe and frequent manifestation of Chagas disease, and has a high social and economic burden. New imaging modalities, such as strain echocardiography, nuclear medicine, computed tomography and cardiac magnetic resonance imaging, may detect the presence of myocardial fibrosis, inflammation or sympathetic denervation, three conditions associated with risk of sudden death, providing additional diagnostic and/or prognostic information. Unfortunately, despite its high mortality, there is no clear recommendation for early cardioverter-defibrillator implantation in patients with Chagas heart disease in the current guidelines. Ideally, the risk of sudden cardiac death may be evaluated in earlier stages of the disease using new image methods to allow the implementation of primary preventive strategies.
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spelling doaj.art-65a02e35c847475a85aab528f14984402023-11-19T23:48:49ZengMDPI AGTropical Medicine and Infectious Disease2414-63662020-05-01527410.3390/tropicalmed5020074New Imaging Parameters to Predict Sudden Cardiac Death in Chagas DiseaseRenata J. Moll-Bernardes0Paulo Henrique Rosado-de-Castro1Gabriel Cordeiro Camargo2Fernanda Souza Nogueira Sardinha Mendes3Adriana S. X. Brito4Andréa Silvestre Sousa5D’Or Institute for Research and Education (IDOR), Rio de Janeiro 22281-100, BrazilD’Or Institute for Research and Education (IDOR), Rio de Janeiro 22281-100, BrazilD’Or Institute for Research and Education (IDOR), Rio de Janeiro 22281-100, BrazilEvandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro 21040-900, BrazilD’Or Institute for Research and Education (IDOR), Rio de Janeiro 22281-100, BrazilD’Or Institute for Research and Education (IDOR), Rio de Janeiro 22281-100, BrazilChronic Chagas’ cardiomyopathy is the most severe and frequent manifestation of Chagas disease, and has a high social and economic burden. New imaging modalities, such as strain echocardiography, nuclear medicine, computed tomography and cardiac magnetic resonance imaging, may detect the presence of myocardial fibrosis, inflammation or sympathetic denervation, three conditions associated with risk of sudden death, providing additional diagnostic and/or prognostic information. Unfortunately, despite its high mortality, there is no clear recommendation for early cardioverter-defibrillator implantation in patients with Chagas heart disease in the current guidelines. Ideally, the risk of sudden cardiac death may be evaluated in earlier stages of the disease using new image methods to allow the implementation of primary preventive strategies.https://www.mdpi.com/2414-6366/5/2/74Chagas diseasecardiomyopathymyocardial fibrosismyocardial sympathetic denervationinflammationsudden death
spellingShingle Renata J. Moll-Bernardes
Paulo Henrique Rosado-de-Castro
Gabriel Cordeiro Camargo
Fernanda Souza Nogueira Sardinha Mendes
Adriana S. X. Brito
Andréa Silvestre Sousa
New Imaging Parameters to Predict Sudden Cardiac Death in Chagas Disease
Tropical Medicine and Infectious Disease
Chagas disease
cardiomyopathy
myocardial fibrosis
myocardial sympathetic denervation
inflammation
sudden death
title New Imaging Parameters to Predict Sudden Cardiac Death in Chagas Disease
title_full New Imaging Parameters to Predict Sudden Cardiac Death in Chagas Disease
title_fullStr New Imaging Parameters to Predict Sudden Cardiac Death in Chagas Disease
title_full_unstemmed New Imaging Parameters to Predict Sudden Cardiac Death in Chagas Disease
title_short New Imaging Parameters to Predict Sudden Cardiac Death in Chagas Disease
title_sort new imaging parameters to predict sudden cardiac death in chagas disease
topic Chagas disease
cardiomyopathy
myocardial fibrosis
myocardial sympathetic denervation
inflammation
sudden death
url https://www.mdpi.com/2414-6366/5/2/74
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