Chagas disease in a patient with a trifascicular block referred for a pacemaker implant
DOI:
https://doi.org/10.51481/amc.v56i2.838Keywords:
Chagas disease, pacemaker, defibrillatorAbstract
We present the case of a patient from the Atlantic zone, initially diagnosed with hypertensive and ischaemic cardiopathy, referred for a pacemaker implant due to a trifascicular block (atrioventricular block, right bundle branch block and left anterior bundle branch block). After the implant, a positive serology for Chagas disease was reported. This was the only case, out of a total of 241 patients that received implants of cardiac devices and were screened for this disease during a period of 22 months; the majority of these patients came from some zones of the province of San José and from the provinces of Cartago and Limón. This low prevalence has already been reported in the country and contrasts with the high percentage in other countries where the disease is endemic.
Downloads
References
Tentori MA, Segura EL, Hayes D, Eds. Arrhythmia Management in Chagas´ Disease. Futura Publishing Co, Inc. NY, USA 2000,156.
Epstein AE, DiMarco JP, Ellenbogen KA, Estes NA 3rd, Freedman
RA, Gettes LS et al. ACC/AHA/HRS 2008 Guidelines for DeviceBased Therapy of Cardiac Rhythm Abnormalities. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices. Circulation. 2008; 117: e350-e408:
Costa R, Rassi A, Leão M. Estudo clínico e epidemiológico de pacientes submetidos a implante de marcapasso cardíaco artificial permanente: comparação dos portadores da doença de Chagas com os de doenças degenerativas do sistema de condução. Revista Brasileira de Cirurgia Cardiovascular 2004;19:107-114.
Calvo N, Zeledón R, Barboza MP, Sánchez G, Navas L. Encuesta serológica y entomológica para la enfermedad de Chagas en Costa Rica, 2001-2002. Boletín INCIENSA 2003;15:3 Set- Dic.
Gutiérrez O, Molina S, Calvo N, Romero L, Esquivel L, Campos E. Enfermedad de Chagas en pacientes con miocardiopatía dilatada idiopática en Costa Rica. Acta Méd Costarr 2007;49:97-101.
Starr MD, Rojas JC, Zeledón R, Hird DW, Carpenter TE. Chagas' disease: risk factors for house infestation by Triatoma dimidiata, the major vector of Trypanosoma cruzi in Costa Rica. Am J Epidemiol 1991;133:740-747.
Montenegro VM, Jiménez M, Pinto JC, Zeledón R. Chagas Disease in Dogs from Endemic Areas of Costa Rica. Mem. Inst. Oswaldo Cruz 2002;97:491-494.
Romero H, Michelson RM. Empleo de marcapasos en pacientes chagásicos. Publicación electrónica de la Federación Argentina de Cardiología, consultada el 24 de junio de 2013.
Dubner S, Valero E, Pesce R, Zuelgaray JG, Mateos JC, Filho SG, Reyes W, Garillo R. A Latin American registry of implantable cardioverter defibrillators: the ICD-LABOR study. Ann Noninvasive Electrocardiol 2005;10:420-8.
Arce M, Van Grieken J, Femenia F, Arrieta M, McIntyre WF, Baranchuk A. Permanent Pacing in Patients with Chagas' Disease. PACE 2012;35:1494-7.
Downloads
Published
Versions
- 2020-07-22 (2)
- 2014-04-03 (1)
Issue
Section
License
Copyright (c) 2014 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
