WHF Recommendations for the Use of Echocardiography in Chagas Disease

Chagas disease (ChD) represents a significant health burden in endemic regions of Latin America and is increasingly being recognized as a global health issue. The cardiac involvement in ChD, known as Chagas cardiomyopathy (ChCM), is the most severe manifestation and a leading cause of heart failure...

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Main Authors: Kate Ralston, Ezequiel Zaidel, Harry Acquatella, Marcia Melo Barbosa, Jagat Narula, Yu Nakagama, Gustavo Restrepo Molina, Karen Sliwa, Jose Luis Zamorano, Fausto J. Pinto, Daniel Jose Piñeiro, Mariana Corneli
Format: Article
Language:English
Published: Ubiquity Press 2023-06-01
Series:Global Heart
Subjects:
Online Access:https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1207
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author Kate Ralston
Ezequiel Zaidel
Harry Acquatella
Marcia Melo Barbosa
Jagat Narula
Yu Nakagama
Gustavo Restrepo Molina
Karen Sliwa
Jose Luis Zamorano
Fausto J. Pinto
Daniel Jose Piñeiro
Mariana Corneli
author_facet Kate Ralston
Ezequiel Zaidel
Harry Acquatella
Marcia Melo Barbosa
Jagat Narula
Yu Nakagama
Gustavo Restrepo Molina
Karen Sliwa
Jose Luis Zamorano
Fausto J. Pinto
Daniel Jose Piñeiro
Mariana Corneli
author_sort Kate Ralston
collection DOAJ
description Chagas disease (ChD) represents a significant health burden in endemic regions of Latin America and is increasingly being recognized as a global health issue. The cardiac involvement in ChD, known as Chagas cardiomyopathy (ChCM), is the most severe manifestation and a leading cause of heart failure and mortality in affected individuals. Echocardiography, a non-invasive imaging modality, plays a crucial role in the diagnosis, monitoring, and risk stratification of ChCM. This consensus recommendation aims to provide guidance on the appropriate use of echocardiography in ChD. An international panel of experts, including cardiologists, infectious disease specialists, and echocardiography specialists, convened to review the available evidence and provide practical recommendations based on their collective expertise. The consensus addresses key aspects related to echocardiography in ChD, including its role in the initial evaluation, serial monitoring, and risk assessment of patients. It emphasizes the importance of standardized echocardiographic protocols, including the assessment of left ventricular function, chamber dimensions, wall motion abnormalities, valvular involvement, and the presence of ventricular aneurysm. Additionally, the consensus discusses the utility of advanced echocardiographic techniques, such as strain imaging and 3D echocardiography, in assessing myocardial mechanics and ventricular remodeling.
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spelling doaj.art-aaabe90fb5934fc0a5019063463966212023-07-18T08:15:40ZengUbiquity PressGlobal Heart2211-81792023-06-01181272710.5334/gh.12071188WHF Recommendations for the Use of Echocardiography in Chagas DiseaseKate Ralston0https://orcid.org/0000-0003-4653-5679Ezequiel Zaidel1https://orcid.org/0000-0001-8349-7507Harry Acquatella2https://orcid.org/0000-0002-5115-8495Marcia Melo Barbosa3https://orcid.org/0000-0001-9663-2966Jagat Narula4Yu Nakagama5https://orcid.org/0000-0001-9780-9719Gustavo Restrepo Molina6Karen Sliwa7https://orcid.org/0000-0002-8272-0911Jose Luis Zamorano8Fausto J. Pinto9https://orcid.org/0000-0002-8034-4529Daniel Jose Piñeiro10https://orcid.org/0000-0002-0126-8194Mariana Corneli11https://orcid.org/0000-0003-1725-5168World Heart FederationSanatorio Güemes, Buenos Aires; Pharmacology Department, School of Medicine, University of Buenos Aires, Buenos AiresFaculty of Medicine Universidad Central de Venezuela, Hospital Universitario and Centro Medico, CaracasSócor hospital, Department of EchocardiographyDivision of Cardiology, Mount Sinai St. Luke’s Hospital, New YorkDept of Parasitology, Osaka Metropolitan UniversitySchool of Medicine, CES University, MedellínCape Heart Institute, Faculty of Health Sciences, University of Cape TownCIBERCV, Ramón y Cajal University Hospital, MadridCardiology Department, Centro Hospitalar Universitário Lisboa Norte, CAML, CCUL, Faculdade de Medicina, Universidade de LisboaFaculty of Medicine, University of Buenos Aires, Buenos AiresInstituto Cardiovascular de Buenos AiresChagas disease (ChD) represents a significant health burden in endemic regions of Latin America and is increasingly being recognized as a global health issue. The cardiac involvement in ChD, known as Chagas cardiomyopathy (ChCM), is the most severe manifestation and a leading cause of heart failure and mortality in affected individuals. Echocardiography, a non-invasive imaging modality, plays a crucial role in the diagnosis, monitoring, and risk stratification of ChCM. This consensus recommendation aims to provide guidance on the appropriate use of echocardiography in ChD. An international panel of experts, including cardiologists, infectious disease specialists, and echocardiography specialists, convened to review the available evidence and provide practical recommendations based on their collective expertise. The consensus addresses key aspects related to echocardiography in ChD, including its role in the initial evaluation, serial monitoring, and risk assessment of patients. It emphasizes the importance of standardized echocardiographic protocols, including the assessment of left ventricular function, chamber dimensions, wall motion abnormalities, valvular involvement, and the presence of ventricular aneurysm. Additionally, the consensus discusses the utility of advanced echocardiographic techniques, such as strain imaging and 3D echocardiography, in assessing myocardial mechanics and ventricular remodeling.https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1207chagas diseaseechocardiographycardiomyopathyaneurysmheart failure
spellingShingle Kate Ralston
Ezequiel Zaidel
Harry Acquatella
Marcia Melo Barbosa
Jagat Narula
Yu Nakagama
Gustavo Restrepo Molina
Karen Sliwa
Jose Luis Zamorano
Fausto J. Pinto
Daniel Jose Piñeiro
Mariana Corneli
WHF Recommendations for the Use of Echocardiography in Chagas Disease
Global Heart
chagas disease
echocardiography
cardiomyopathy
aneurysm
heart failure
title WHF Recommendations for the Use of Echocardiography in Chagas Disease
title_full WHF Recommendations for the Use of Echocardiography in Chagas Disease
title_fullStr WHF Recommendations for the Use of Echocardiography in Chagas Disease
title_full_unstemmed WHF Recommendations for the Use of Echocardiography in Chagas Disease
title_short WHF Recommendations for the Use of Echocardiography in Chagas Disease
title_sort whf recommendations for the use of echocardiography in chagas disease
topic chagas disease
echocardiography
cardiomyopathy
aneurysm
heart failure
url https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1207
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