Revista da Sociedade Brasileira de Medicina Tropical (Mar 2021)

Implantable cardioverter-defibrillator prevents sudden death in patients with Chagas cardiomyopathy in the Brazilian Amazon

  • Katia do Nascimento Couceiro,
  • Jessica Vanina Ortiz,
  • Mônica Regina Hosannah da Silva e Silva,
  • Débora Raysa Teixeira de Sousa,
  • Kenny Rodrigues de Souza,
  • Gabriela Maciel Alencar,
  • Laylah Kelre Costa Magalhães,
  • Maria das Graças Vale Barbosa Guerra,
  • João Marcos Bemfica Barbosa Ferreira,
  • Jorge Augusto de Oliveira Guerra

DOI
https://doi.org/10.1590/0037-8682-0480-2020
Journal volume & issue
Vol. 54

Abstract

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Abstract Chagas disease (CD), with approximately 10,000 deaths annually, has become a worldwide health problem. Approximately 35% of cases may show cardiac manifestations such as arrhythmias and/or conduction disorders, heart failure, thromboembolic accidents, and sudden death. The Amazon region has long been considered a non-endemic area for CD; however, in the last decades, with an increase in the number of acute and chronic cases, disease evolution has received greater attention. Here, we report the successful implementation of a cardioverter-defibrillator for the prevention of sudden death in a patient with autochthonous Chagas cardiomyopathy in the Brazilian Amazon.

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