Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/61930
Type: Artigo de Periódico
Title: Prognosis of chronic chagas heart disease and other pending clinical challenges
Authors: Rosália Morais Torres
Cristiano Pisani
Maria da Consolacao Vieira Moreira
Dilma do Socorro Moraes de Souza
Wilson de Oliveira Junior
Silvia Marinho Martins
João Carlos Pinto Dias
Dalmo Correia Filho
Maria do Carmo Pereira Nunes
Walderez Dutra
Andre Talvani
Andrea Silvestre Sousa
Fernanda de Souza Nogueira
Sardinha Mendes
Maurício Ibrahim Scanavacca
Abstract: In this chapter, the main prognostic markers of Chagas heart disease are addressed, with an emphasis on the most recent findings and questions, establishing the basis for a broad discussion of recommendations and new approaches to managing Chagas cardiopathy. The main biological and genetic markers and the contribution of the electrocardiogram, echocardiogram and cardiac magnetic resonance are presented. We also discuss the most recent therapeutic proposals for heart failure, thromboembolism and arrhythmias, as well as current experience in heart transplantation in patients suffering from severe Chagas cardiomyopathy. The clinical and epidemiological challenges introduced by acute Chagas disease due to oral contamination are discussed. In addition, we highlight the importance of ageing and comorbidities in influencing the outcome of chronic Chagas heart disease. Finally, we discuss the importance of public policies, the vital role of funding agencies, universities, the scientific community and health professionals, and the application of new technologies in finding solutions for better management of Chagas heart disease.
Subject: Public health
Prognosis
Chagas Disease
Chagas Cardiomyopathy
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: MED - DEPARTAMENTO DE CLÍNICA MÉDICA
Rights: Acesso Aberto
metadata.dc.identifier.doi: 10.1590/0074-02760210172
URI: http://hdl.handle.net/1843/61930
Issue Date: 2021
metadata.dc.url.externa: https://doi.org/10.1590/0074-02760210172
metadata.dc.relation.ispartof: Memórias do Instituto Oswaldo Cruz
Appears in Collections:Artigo de Periódico

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