Pathology of complete atrioventricular block in chronic Chagas’ myocarditis

Detalhes bibliográficos
Autor(a) principal: Andrade, Zilton de Araújo
Data de Publicação: 1988
Outros Autores: Andrade, Sonia Gumes, Sadigursky, Moysés
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/14614
Resumo: Fundação Gonçalo Moniz, Instituto de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
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spelling Andrade, Zilton de AraújoAndrade, Sonia GumesSadigursky, Moysés2016-06-27T13:46:51Z2016-07-07T11:39:52Z2016-06-27T13:46:51Z2016-07-07T11:39:52Z1988ANDRADE, Z. A.; ANDRADE, S. G.; SADIGURSKY, M. Pathology of complete atrioventricular block in chronic Chagas’ myocarditis. Revista da Sociedade Brasileira de Medicina Tropical, v. 21, n. 1, p. 7-13, 1988.0037-8682https://www.arca.fiocruz.br/handle/icict/14614engSociedade Brasileira de Medicina TropicalPathology of complete atrioventricular block in chronic Chagas’ myocarditisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Gonçalo Moniz, Instituto de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Gonçalo Moniz, Instituto de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilUniversidade Federal da Bahia. Salvador, BA, BrasilSclero-atrophy, fibrosis, vascular ectasia, phlebosclerosis and mild non-specific chronic inflammatory changes were observed in variable location and proportion involving the atrioventricular conducting tissue o f the heart in five human cases o f chronic Chagas’ myocarditis associated with complete atrioventricular block. One case presented complete destruction o f the A- V conduction system. In three cases the lesions were disseminated all along the conducting tissue but did not cause anywhere a complete disruption in the continuity o f the system. The distal portion o f the bundle branches were the most damaged sector o f the system, exceptfor the fasciculi o f the posterior division o f the left bundle branch which were relatively preserved. One case exhibited bilateral sclero-atrophy o f the bundle branches as the main change; and another showed early and mild fibrocalcific damage o f the penetrating portion o f the His bundle. The A -V node appeared as the least involved part o f the conducting system in the cases studied. Demonstration o f the lesions in this series o f cases seems important because: a) it reveals that complete atrioventriculr block in chronic Chagas’ disease results from disseminated lesions and not from fo ca l disruptive change as has been commonly observed in cases o f other etiologies; b) it shows that chronic inflammation can produce at the end variable and widespread vascular, degenerative andfibrotic alterations within the conducting tissue o f the heart, which may lead to its total destruction.Chronic Chagas’ myocarditisAtrioventricular blockinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALAndrade SG Pathology of 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dc.title.pt_BR.fl_str_mv Pathology of complete atrioventricular block in chronic Chagas’ myocarditis
title Pathology of complete atrioventricular block in chronic Chagas’ myocarditis
spellingShingle Pathology of complete atrioventricular block in chronic Chagas’ myocarditis
Andrade, Zilton de Araújo
Chronic Chagas’ myocarditis
Atrioventricular block
title_short Pathology of complete atrioventricular block in chronic Chagas’ myocarditis
title_full Pathology of complete atrioventricular block in chronic Chagas’ myocarditis
title_fullStr Pathology of complete atrioventricular block in chronic Chagas’ myocarditis
title_full_unstemmed Pathology of complete atrioventricular block in chronic Chagas’ myocarditis
title_sort Pathology of complete atrioventricular block in chronic Chagas’ myocarditis
author Andrade, Zilton de Araújo
author_facet Andrade, Zilton de Araújo
Andrade, Sonia Gumes
Sadigursky, Moysés
author_role author
author2 Andrade, Sonia Gumes
Sadigursky, Moysés
author2_role author
author
dc.contributor.author.fl_str_mv Andrade, Zilton de Araújo
Andrade, Sonia Gumes
Sadigursky, Moysés
dc.subject.en.pt_BR.fl_str_mv Chronic Chagas’ myocarditis
Atrioventricular block
topic Chronic Chagas’ myocarditis
Atrioventricular block
description Fundação Gonçalo Moniz, Instituto de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
publishDate 1988
dc.date.issued.fl_str_mv 1988
dc.date.accessioned.fl_str_mv 2016-06-27T13:46:51Z
2016-07-07T11:39:52Z
dc.date.available.fl_str_mv 2016-06-27T13:46:51Z
2016-07-07T11:39:52Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv ANDRADE, Z. A.; ANDRADE, S. G.; SADIGURSKY, M. Pathology of complete atrioventricular block in chronic Chagas’ myocarditis. Revista da Sociedade Brasileira de Medicina Tropical, v. 21, n. 1, p. 7-13, 1988.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/14614
dc.identifier.issn.pt_BR.fl_str_mv 0037-8682
identifier_str_mv ANDRADE, Z. A.; ANDRADE, S. G.; SADIGURSKY, M. Pathology of complete atrioventricular block in chronic Chagas’ myocarditis. Revista da Sociedade Brasileira de Medicina Tropical, v. 21, n. 1, p. 7-13, 1988.
0037-8682
url https://www.arca.fiocruz.br/handle/icict/14614
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical
publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical
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