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Am J Trop Med Hyg ; 96(5): 1139-1142, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28500812

RESUMEN

AbstractChagas disease (CD), with associated conduction abnormalities, is a common indication for pacemaker implantation in Latin America. The prevalence of CD in Latin American immigrants with pacemakers residing in the United States has never been studied. This single-center cross-sectional study included pacemaker patients who were aged 18 years or more with a previous residence in Latin America for at least 6 months. Patients with an implantable cardioverter-defibrillator, cardiac resynchronization therapy, or iatrogenic and/or congenital heart block were excluded. Serological testing for Trypanosoma cruzi was performed at enrollment. A total of 80 patients were enrolled, and CD was diagnosed in six patients (7.5%). Patients with CD were more likely to be from El Salvador (P = 0.001). Other clinical, therapeutic, electrocardiographic, and echocardiographic variables were similar between the CD and non-CD groups. There is a high prevalence of CD among Latin American immigrants with pacemakers in Los Angeles.


Asunto(s)
Anticuerpos Antiprotozoarios/sangre , Cardiomiopatía Chagásica/diagnóstico por imagen , Cardiomiopatía Chagásica/etnología , Marcapaso Artificial , Trypanosoma cruzi/aislamiento & purificación , Anciano , Anciano de 80 o más Años , Cardiomiopatía Chagásica/parasitología , Cardiomiopatía Chagásica/cirugía , Estudios Transversales , El Salvador/etnología , Electrocardiografía , Emigrantes e Inmigrantes , Femenino , Hispánicos o Latinos , Humanos , Los Angeles/epidemiología , Masculino , Persona de Mediana Edad , Prevalencia , Trypanosoma cruzi/inmunología
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