ABSTRACT
La enfermedad de Chagas es un importante problema de salud en Latinoamérica y una de las causas secundarias de miocardiopatía dilatada. La miocardiopatía chagásica crónica es su consecuencia más devastadora y principal causa de mortalidad. Las migraciones de poblaciones rurales hacia las ciudades y al extranjero han modificado su epidemiología clásica, haciendo posible su presencia en Estados Unidos y Europa. Presentamos el caso de un paciente que ingresó en situación de insuficiencia cardiaca congestiva y que fue diagnosticado de miocardiopatía chagásica crónica. Hasta donde conocemos, es el primer caso en la bibliografía de una miocardiopatía dilatada de etiología chagásica en España
Chagas disease is an important public health problem in Latin America and one of the specific causes of dilated cardiomyopathy. Chronic chagasic cardiomyopathy is the worse result of this disease and its main cause of mortality. Rural migrations from endemic to nonendemic countries make possible observing affected patients in United States and Europe. We report the case of a patient with congestive heart failure who was diagnosed with chronic chagasic cardiomyopathy. This is the first case of chagasic dilated cardiomyopathy in Spain
Subject(s)
Male , Middle Aged , Humans , Chagas Cardiomyopathy/diagnosis , Bolivia/ethnology , Spain/epidemiology , Chagas Cardiomyopathy/epidemiologyABSTRACT
Chagas' disease is an important public health problem in Latin America and one of the specific causes of dilated cardiomyopathy. Chronic chagasic cardiomyopathy is the worse result of this disease and its main cause of mortality. Rural migrations from endemic to nonendemic countries make possible observing affected patients in United States and Europe. We report the case of a patient with congestive heart failure who was diagnosed with chronic chagasic cardiomyopathy. This is the first case of chagasic dilated cardiomyopathy in Spain.
Subject(s)
Chagas Cardiomyopathy/diagnosis , Bolivia/ethnology , Chagas Cardiomyopathy/epidemiology , Humans , Male , Middle Aged , Spain/epidemiologyABSTRACT
We report a case of an adult male in whom, one week after an anterior acute myocardial infarction, we documented nocturnal episodes of type II second degree atrio-ventricular heart block, including advanced heart block episodes (4:1). An electrophysiologic study did not show atrio-ventricular conduction abnormalities, so we suspected a possible sleep apnea syndrome, which was confirmed with a polysomnographic study. It was observed that advanced heart block episodes were preceded by significant decreases in arterial oxygen saturation. These episodes disappeared with continuous positive air pressure ventilation.
