Article
Case Report: Malignant Ventricular Arrhythmias Mimicking Acute Coronary Syndrome in Chagas Disease
Registro en:
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.
0002-9637
10.4269/ajtmh.19-0920
Autor
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
Resumen
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.