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An Uncommon Presentation of Unstable Ventricular Tachycardia: Raising Awareness for Early Recognition of Chagas

Saimanoj Guntaka1, Allan Lin1, Suhwoo Bae1

  • 1Internal Medicine, Northwell Health, Manhasset, USA.

Cureus
|June 28, 2024
PubMed

Insights

Chagas disease (CD) can cause severe heart problems like cardiomyopathy and sudden cardiac death. Early diagnosis and intervention are crucial for managing this parasitic infection and its cardiac complications.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • Chagas disease (CD), caused by *Trypanosoma cruzi*, is a significant cause of cardiomyopathy in Latin America.
  • It can lead to serious cardiac issues including heart failure, arrhythmias, and sudden cardiac death (SCD).
  • The prevalence of CD is increasing in non-endemic regions like the US.

Observation:

  • A case report of a 71-year-old female from El Salvador with symptomatic ventricular tachycardia (VT) due to CD.
  • The patient required emergent cardioversion and an implantable cardioverter-defibrillator (ICD).
  • Diagnostic evaluation for chronic Chagas disease can be challenging.

Findings:

  • Chagas disease presents a diagnostic challenge in chronic cases.
  • Management includes antiparasitic therapy, heart failure management, and arrhythmia prevention strategies.
  • Timely recognition and intervention are vital for reducing the burden of CD.

Implications:

  • Highlights the need for increased awareness and diagnostic capabilities for Chagas disease in the US.
  • Emphasizes the importance of integrated care for patients with Chagas disease-related cardiomyopathy.
  • Underscores the potential for improved patient outcomes with prompt medical and interventional approaches.

Keywords:
chagas cardiomyopathyimplantable-cardioverter defibrillatorsudden cardiac death (scd)trypanosoma cruziventricular tachycardia (vt)

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