Kraef C, Ramharter M
Bernhard Nocht Institute for Tropical Medicine & I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Bernhard-Nocht-Straße 74, 20359, Hamburg, Deutschland.
Herz. 2019 Feb;44(1):83-91. doi: 10.1007/s00059-018-4780-5.
Due to an increase in global mobility, international travel and migration, tropical diseases are more frequently observed in Germany. Some tropical diseases can also affect the heart, cause cardiac symptoms and may require inclusion in differential diagnostic work-ups. The most important tropical diseases with cardiac involvement are Chagas' disease and echinococcosis. Other tropical diseases such as schistosomiasis, tropical endomyocardial fibrosis or sleeping sickness can affect the heart. The suspicion of a tropical disease as the cause of cardiac symptoms is based on the patient history of travel, migration and social setting. This CME article describes the diagnostic and therapeutic approach to tropical parasitic diseases with cardiac involvement.
由于全球流动性、国际旅行和移民的增加，德国越来越频繁地发现热带疾病。一些热带疾病也会影响心脏，引发心脏症状，可能需要纳入鉴别诊断检查。涉及心脏的最重要的热带疾病是恰加斯病和棘球蚴病。其他热带疾病，如血吸虫病、热带心内膜纤维化或昏睡病，也会影响心脏。怀疑热带疾病是心脏症状的病因，是基于患者的旅行史、移民史和社会背景。这篇继续医学教育文章描述了对涉及心脏的热带寄生虫病的诊断和治疗方法。
