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Case Report: Malignant Ventricular Arrhythmias Mimicking Acute Coronary Syndrome in Chagas Disease
Journal article   Open access   Peer reviewed

Case Report: Malignant Ventricular Arrhythmias Mimicking Acute Coronary Syndrome in Chagas Disease

Renata Junqueira Moll-Bernardes, Roberto Magalhaes Saraiva, Renee Sarmento de oliveira, Martha Valeria Tavares Pinheiro, Gabriel Cordeiro Camargo, Adriana Soares Xavier de Brito, Sergio Altino de Almeida, Fabio Paiva Rossini de Siqueira, Fernanda de Souza Nogueira Sardinha Mendes, Rodrigo Minati Barbosa, …
The American journal of tropical medicine and hygiene, Vol.102(4), pp.797-799
04/01/2020
DOI: 10.4269/ajtmh.19-0920
PMCID: PMC7124900
PMID: 32043461
url
https://doi.org/10.4269/ajtmh.19-0920View
Published (Version of record) Open Access

Abstract

Chronic Chagas heart disease has different clinical manifestations including arrhythmias, heart failure, and stroke. Chest pain is one of the most common symptoms and when associated with changes in the electrocardiogram, such as T-wave changes, electrically inactive areas, and segmental wall motion abnormalities, may lead to a misdiagnosis of acute coronary syndrome (ACS). Here, we describe two patients with Chagas heart disease and syncope due to sustained ventricular tachycardia who were misdiagnosed with ACS, and discuss the role of novel imaging modalities in the differential diagnosis and risk stratification.
Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology Tropical Medicine

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