Amin Devang R, Behan Sean, Pengshung Michelle, Khanna Amber, Tzou Wendy S, Mantini Nicholas, Henao-Martinez Andrés F, Tumolo Alexis, Groves Daniel W
Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Division of Cardiology, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Ther Adv Infect Dis. 2022 Dec 5;9:20499361221141772. doi: 10.1177/20499361221141772. eCollection 2022 Jan-Dec.
Approximately 300,000 people in the United States are estimated to have Chagas' disease, with cardiac manifestations including arrhythmias occurring in 20%-30% of patients. We report a patient diagnosed with Chagas' cardiomyopathy after presenting in ventricular tachycardia. This patient was asymptomatic before her presentation with recurrent episodes of ventricular tachycardia, which motivated us to screen her since she was an immigrant from an endemic Chagas region. This manuscript highlights some of the characteristic cardiac magnetic resonance imaging (MRI) and electrophysiology findings present in patients with Chagas' cardiomyopathy. We also detail the management of patients with Chagas' cardiomyopathy who have suffered from ventricular tachycardia.
据估计，美国约有30万人患有恰加斯病，其中20%-30%的患者会出现包括心律失常在内的心脏表现。我们报告了一名在出现室性心动过速后被诊断为恰加斯心肌病的患者。该患者在出现反复发作的室性心动过速之前没有症状，由于她是来自恰加斯病流行地区的移民，这促使我们对她进行筛查。本文重点介绍了恰加斯心肌病患者一些典型的心脏磁共振成像（MRI）和电生理检查结果。我们还详细阐述了患有室性心动过速的恰加斯心肌病患者的治疗方法。
