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Published on: November 5, 2021
Treatment of Chagas cardiomyopathy
Fernando A Botoni1, Antonio Luiz P Ribeiro2, Carolina Coimbra Marinho3
1Postgraduate Course of Infectious Diseases and Tropical Medicine, School of Medicine, Universidade Federal de Minas Gerais, 30130 100 Belo Horizonte, MG, Brazil ; Hospital das Clínicas, Universidade Federal de Minas Gerais, 30130 100 Belo Horizonte, MG, Brazil ; Fundação Hospitalar do Estado de Minas Gerais, 30150 260 Belo Horizonte, MG, Brazil.
Insights
Chagas
Area of Science:
- Tropical Medicine
- Cardiology
- Infectious Diseases
Background:
- Chagas' disease (ChD), caused by Trypanosoma cruzi, is a neglected tropical disease prevalent in South America.
- It poses a growing global health challenge due to endemic cases and migration.
- The pathophysiology of chronic chagas cardiomyopathy (CCC) remains poorly understood.
Purpose of the Study:
- To review the treatment of Chagas cardiomyopathy (CCC).
- To highlight the unique aspects of CCC treatment.
- To address the therapeutic gap in managing this condition.
Main Methods:
- Literature review focusing on Chagas' disease and cardiomyopathy.
- Analysis of existing therapeutic strategies for CCC.
- Emphasis on peculiarities in CCC management.
Main Results:
- Current CCC treatment often adapts approaches from other cardiomyopathies.
- Understanding CCC pathophysiology is crucial for targeted therapies.
- Specific treatment considerations for Chagas cardiomyopathy are identified.
Conclusions:
- Effective management of Chagas' disease requires specialized approaches.
- Further research into CCC pathophysiology is essential for improved treatment outcomes.
- This review aims to guide clinicians in treating Chagas cardiomyopathy.
Abstract:
Chagas' disease (ChD), caused by the protozoa Trypanosoma cruzi (T. cruzi), was discovered and described by the Brazilian physician Carlos Chagas in 1909. After a century of original description, trypanosomiasis still brings much misery to humanity and is classified as a neglected tropical disease prevalent in underdeveloped countries, particularly in South America. It is an increasing worldwide problem due to the number of cases in endemic areas and the migration of infected subjects to more developed regions, mainly North America and Europe. Despite its importance, chronic chagas cardiomyopathy (CCC) pathophysiology is yet poorly understood, and independently of its social, clinical, and epidemiological importance, the therapeutic approach of CCC is still transposed from the knowledge acquired from other cardiomyopathies. Therefore, the objective of this review is to describe the treatment of Chagas cardiomyopathy with emphasis on its peculiarities.
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