Artículos de revistas
Apresentação clínica da doença de Chagas crônica em indivíduos idosos
Clinical presentation of chronic Chagas disease in elderly individuals
Registro en:
Revista da Sociedade Brasileira de Medicina Tropical. Sociedade Brasileira de Medicina Tropical - SBMT, v. 40, n. 3, p. 311-315, 2007.
0037-8682
S0037-86822007000300012
10.1590/S0037-86822007000300012
Autor
Almeida, Eros Antonio de
Barbosa Neto, Ruy Madsen
Guariento, Maria Elena
Wanderley, Jamiro da Silva
Souza, Milton Lopes de
Institución
Resumen
This study had the aim of evaluating the clinical presentation of chronic Chagas disease among the elderly. It was a retrospective analysis of clinical records at an outpatient referral service. The sample was divided into two groups: elderly (> 60 years old) and non-elderly. Sex, comorbidities, clinical form, electrocardiogram and serological titers were evaluated. In the elderly group (61 cases), the mean age was 66.03 ± 5 years; 67.2% were female; 59% presented comorbidities (most frequently systemic arterial hypertension, in 39.3%); 1.6% had the indeterminate clinical form, 88.5% the cardiac form and 36% the digestive form; and abnormalities were frequently found on electrocardiograms: 41% presented anterosuperior left bundle branch block (AS-LBBB), 32.8% presented right bundle branch block (RBBB) and 22.9% presented ventricular ectopic beats (VEB). In the non-elderly group (61 cases), the mean age was 39.30 ± 8.36 years; 54.1% were female; 50.8% presented comorbidities (most frequently systemic arterial hypertension, in 26.2%); 18% had the indeterminate clinical form (p<0.05), 78.7% the cardiac form and 32.8% the digestive form; and abnormalities were frequently found on electrocardiogram: 24.6% presented AS-LBBB, 21.3% RBBB and 18% VEB. It was concluded that there were no clinical differences between elderly and non-elderly Chagas patients. The indeterminate clinical form predominated in patients less than 60 years old. Com o objetivo de avaliar a apresentação clínica da doença de Chagas em idosos foi realizado estudo retrospectivo utilizando-se os prontuários de doentes atendidos em ambulatório de referência. A casuística foi dividida em idosos (> 60 anos) e não idosos. Avaliou-se: sexo, co-morbidades, forma clínica, eletrocardiograma e títulos das sorologias. Idosos (61 casos): média de idade de 66,0 ± 5 anos, 67,2% do sexo feminino; comorbidades em 59%, mais freqüente a hipertensão arterial sistêmica (HAS)= 39,3%; forma indeterminada= 1,6%, forma cardíaca= 88,5%, forma digestiva= 36,1%; alterações freqüentes no eletrocardiograma: bloqueio divisional ântero-superior esquerdo (BDASE)= 41%, bloqueio completo de ramo direito (BCRD)= 32,8%, extra-sístole ventricular (EV)=22,9%. Não idosos (61 casos): média de idade: 39,30±8,36 anos, 54,1% do sexo feminino; comorbidades em 50,8%, mais freqüente a HAS (26,2%); forma indeterminada= 18% (p<0,05), forma cardíaca= 78,7%, forma digestiva= 32,8%; alterações freqüentes no eletrocardiograma: BDASE= 24,6%, BCRD= 21,3%, EV =18%. Concluindo, não houve diferenças clínicas entre indivíduos idosos e não idosos e a forma indeterminada predominou nos indivíduos abaixo dos 60 anos. 311 315