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CASE REPORT: MALIGNANT VENTRICULAR ARRHYTHMIAS MIMICKING ACUTE CORONARY SYNDROME IN CHAGAS DISEASE
Moll-Bernardes, Renata Junqueira et al. | Date Issued: 2020
Author
Moll-Bernardes, Renata Junqueira
Saraiva, Roberto Magalhães
Oliveira, Renée Sarmento de
Pinheiro, Martha Valéria Tavares
Camargo, Gabriel Cordeiro
Brito, Adriana Soares Xavier de
Almeida, Sergio Altino de
Siqueira, Fabio Paiva Rossini de
Mendes, Fernanda de Souza Nogueira Sardinha
Barbosa, Rodrigo Minati
Xavier, Sergio Salles
Castro, Paulo Henrique Rosado de
Sousa, Andréa Silvestre de
Affilliation
Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.
Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.
Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.
Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.
Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.
Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.
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.
Keywords
Chagas disease
Chronic Chagas heart disease
Acute coronary syndrome
Ventricular tachycardia
 
Publisher
American Society of Tropical Medicine and Hygiene
Citation
MOLL-BERNARDES, Renata Junqueira et al. Case Report: Malignant Ventricular Arrhythmias Mimicking Acute Coronary Syndrome in Chagas Disease. The American journal of tropical medicine and hygiene, v. 102, n. 4, p. 797-799, 2020.
DOI
10.4269/ajtmh.19-0920
ISSN
0002-9637