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Cardiac hydatid disease; a systematic review
Erfan Banisefid1, Kosar Baghernezhad1, Rasa Beheshti1
1Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Infectious Diseases
|September 13, 2023
Summary
Cardiac cystic echinococcosis (CE) is rare but serious. This review found dyspnea and chest pain are common symptoms, with normal sinus rhythm on ECG being typical. Timely diagnosis and management reduce mortality.
Area of Science:
- Medical Parasitology
- Cardiology
- Infectious Diseases
Background:
- Human cystic echinococcosis (CE) is a significant public health issue in low- and middle-income countries.
- Cardiac involvement is a rare but severe manifestation of Echinococcus infection.
Purpose of the Study:
- To systematically review and summarize the clinical features of cardiac CE.
- To consolidate current evidence on the presentation and outcomes of cardiac echinococcosis.
Main Methods:
- Systematic literature search of PubMed and EMBASE databases.
- Inclusion of 37 case series studies on cardiac CE.
- Risk of bias assessment using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist.
Main Results:
- Cardiac CE presents with non-specific signs and symptoms, including dyspnea, chest pain, and palpitations.
- Normal sinus rhythm is the most common finding on electrocardiogram (ECG).
- The disease has a low mortality rate with prompt diagnosis and appropriate management.
Conclusions:
- Cardiac CE is an uncommon but serious condition requiring careful diagnosis.
- While symptoms are non-specific, ECG findings can be indicative.
- Effective management strategies are crucial for improving patient outcomes and reducing mortality.
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