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[Cardiac manifestations of tropical diseases]

C Kraef1, M Ramharter2

  • 1Bernhard Nocht Institute for Tropical Medicine & I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Bernhard-Nocht-Straße 74, 20359, Hamburg, Deutschland.

Herz
|January 19, 2019
PubMed

Insights

Tropical diseases like Chagas

Area of Science:

  • Tropical medicine
  • Cardiology
  • Infectious diseases

Background:

  • Global mobility increases the incidence of tropical diseases in non-endemic regions like Germany.
  • Certain tropical diseases can manifest with cardiac symptoms, necessitating their consideration in differential diagnoses.
  • Cardiac involvement is a significant concern for diseases such as Chagas' disease and echinococcosis.

Purpose of the Study:

  • To outline the diagnostic and therapeutic strategies for tropical parasitic diseases affecting the heart.
  • To raise awareness among clinicians regarding cardiac manifestations of tropical infections.
  • To provide a guide for managing patients with suspected tropical cardiac disease.

Main Methods:

  • Review of current literature on tropical diseases with cardiac involvement.
  • Analysis of diagnostic pathways based on patient history (travel, migration, social factors).
  • Description of therapeutic approaches for relevant parasitic infections.

Main Results:

  • Chagas' disease and echinococcosis are primary concerns for cardiac involvement.
  • Schistosomiasis, endomyocardial fibrosis, and sleeping sickness can also impact cardiac function.
  • Patient history is crucial for suspecting tropical diseases as a cause of cardiac symptoms.

Conclusions:

  • Prompt recognition of tropical parasitic diseases is vital for managing cardiac complications.
  • A comprehensive diagnostic approach, including travel history, is essential.
  • Effective therapeutic interventions can mitigate the cardiac impact of these diseases.

Keywords:
CardiomyopathiesChagasʼ diseaseEchinococcosisMyocardiumParasitic diseases

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