关键词: chagas cardiomyopathy implantable-cardioverter defibrillator sudden cardiac death (scd) trypanosoma cruzi ventricular tachycardia (vt)

来  源:   DOI:10.7759/cureus.61189   PDF(Pubmed)

Abstract:
Chagas disease (CD), caused by Trypanosoma cruzi, is a leading cause of cardiomyopathy in Latin America that can lead to heart failure, arrhythmias, and sudden cardiac death (SCD). We present a case of a 71-year-old female from El Salvador with symptomatic ventricular tachycardia (VT) requiring emergent cardioversion and implantable cardioverter-defibrillator (ICD) due to CD. Diagnostic evaluation is limited and unclear in cases of chronic disease. Treatment involves antiparasitic therapy, heart failure management, and arrhythmia prevention. With growing numbers of cases in the US and limited treatment options, we highlight the need for timely recognition and intervention to reduce the burden of CD.
摘要:
恰加斯病(CD),克氏锥虫引起的,是拉丁美洲心肌病的主要原因,可以导致心力衰竭,心律失常,和心源性猝死(SCD)。我们介绍了一名来自萨尔瓦多的71岁女性,患有有症状的室性心动过速(VT),由于CD需要紧急复律和植入式复律除颤器(ICD)。慢性疾病的诊断评估有限且不清楚。治疗包括抗寄生虫治疗,心力衰竭管理,和预防心律失常。随着美国病例数量的增加和治疗选择的有限,我们强调需要及时承认和干预,以减轻裁谈会的负担。
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