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June 1, 1987CirculationOpen Access

Cardiac morbidity and mortality due to Chagas' disease: prospective electrocardiographic study of a Brazilian community.

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Why the study?

Does early electrocardiography predict mortality and progressive cardiac lesions in patients with asymptomatic Trypanosoma cruzi infection?

Population

1017 residents of a rural Brazilian community, 42% initially seropositive for Trypanosoma cruzi infection.

Design

Cohort

Follow-up

7 years

Key result

In a 7-year follow-up of 1,017 residents (42% seropositive), Trypanosoma cruzi infection led to progressive cardiac lesions and high mortality among adults with ventricular conduction defects.

Authors

JMJames H. MaguireRHRodney HoffÍSÍ. A. Sherlock

Discussion

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Overview

Suggests early cardiac evaluation post-infection in endemic areas; hypothesis-generating for preventive interventions.

Study Design

Type

Cohort (n=1,017)

Multicenter

No

Structured PICO

Does early electrocardiography predict mortality and progressive cardiac lesions in patients with asymptomatic Trypanosoma cruzi infection?

P
Population
1,017 residents of a rural Brazilian community (42% seropositive for Trypanosoma cruzi) followed for 7 years to examine the development of Chagas' cardiomyopathy.
O
Outcome
Development of cardiac lesions (electrocardiographic abnormalities including right bundle branch block and other ventricular conduction defects) and mortalityhard clinical

Early electrocardiography in asymptomatic Chagas' disease patients can identify those at high risk for progressive cardiac lesions and mortality.

Cite This Study

Maguire et al. (1987) conducted a cohort in Chagas' disease (n=1,017). Trypanosoma cruzi infection vs. Seronegative residents was evaluated on Development of cardiac lesions (ventricular conduction defects) and mortality. In a 7-year follow-up of 1,017 residents (42% seropositive), Trypanosoma cruzi infection led to progressive cardiac lesions and high mortality among adults with ventricular conduction defects.

synapsesocial.com/papers/6a5336b62d5daa5645fce3fdhttps://doi.org/10.1161/01.cir.75.6.1140
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