Stroke and brain atrophy in chronic Chagas disease patients: A new theory proposition
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Dementia & Neuropsychologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642009000100022 |
Resumo: | Abstract Chagas disease (CD) remains a major cause of cardiomyopathy and stroke in developing countries. Brain damage in CD has been attributed exclusively to the effects of structural heart disease on the brain, including cardioembolism and low cardiac output symptoms. However, CD patients also develop stroke and brain atrophy independently of cardiac disease severity. Chronic inflammation directed against T. cruzi may act as a trigger for endothelial damage, platelet activation, acceleration of atherosclerosis and apoptosis, all of which lead to stroke and brain atrophy. In the present article, evidence supporting this new theory is presented, along with considerations towards mechanistically-based targeted treatment. |
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Stroke and brain atrophy in chronic Chagas disease patients: A new theory propositionChagas diseaseAmerican trypanosomiasiscognitioncerebrovascular disorderspathogenesis.Abstract Chagas disease (CD) remains a major cause of cardiomyopathy and stroke in developing countries. Brain damage in CD has been attributed exclusively to the effects of structural heart disease on the brain, including cardioembolism and low cardiac output symptoms. However, CD patients also develop stroke and brain atrophy independently of cardiac disease severity. Chronic inflammation directed against T. cruzi may act as a trigger for endothelial damage, platelet activation, acceleration of atherosclerosis and apoptosis, all of which lead to stroke and brain atrophy. In the present article, evidence supporting this new theory is presented, along with considerations towards mechanistically-based targeted treatment.Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento2009-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642009000100022Dementia & Neuropsychologia v.3 n.1 2009reponame:Dementia & Neuropsychologiainstname:Associação de Neurologia Cognitiva e do Comportamento (ANCC)instacron:ANCC10.1590/S1980-57642009DN30100005info:eu-repo/semantics/openAccessOliveira-Filho,Jamaryeng2016-07-29T00:00:00Zoai:scielo:S1980-57642009000100022Revistahttp://www.demneuropsy.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||demneuropsy@uol.com.br1980-57641980-5764opendoar:2016-07-29T00:00Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC)false |
dc.title.none.fl_str_mv |
Stroke and brain atrophy in chronic Chagas disease patients: A new theory proposition |
title |
Stroke and brain atrophy in chronic Chagas disease patients: A new theory proposition |
spellingShingle |
Stroke and brain atrophy in chronic Chagas disease patients: A new theory proposition Oliveira-Filho,Jamary Chagas disease American trypanosomiasis cognition cerebrovascular disorders pathogenesis. |
title_short |
Stroke and brain atrophy in chronic Chagas disease patients: A new theory proposition |
title_full |
Stroke and brain atrophy in chronic Chagas disease patients: A new theory proposition |
title_fullStr |
Stroke and brain atrophy in chronic Chagas disease patients: A new theory proposition |
title_full_unstemmed |
Stroke and brain atrophy in chronic Chagas disease patients: A new theory proposition |
title_sort |
Stroke and brain atrophy in chronic Chagas disease patients: A new theory proposition |
author |
Oliveira-Filho,Jamary |
author_facet |
Oliveira-Filho,Jamary |
author_role |
author |
dc.contributor.author.fl_str_mv |
Oliveira-Filho,Jamary |
dc.subject.por.fl_str_mv |
Chagas disease American trypanosomiasis cognition cerebrovascular disorders pathogenesis. |
topic |
Chagas disease American trypanosomiasis cognition cerebrovascular disorders pathogenesis. |
description |
Abstract Chagas disease (CD) remains a major cause of cardiomyopathy and stroke in developing countries. Brain damage in CD has been attributed exclusively to the effects of structural heart disease on the brain, including cardioembolism and low cardiac output symptoms. However, CD patients also develop stroke and brain atrophy independently of cardiac disease severity. Chronic inflammation directed against T. cruzi may act as a trigger for endothelial damage, platelet activation, acceleration of atherosclerosis and apoptosis, all of which lead to stroke and brain atrophy. In the present article, evidence supporting this new theory is presented, along with considerations towards mechanistically-based targeted treatment. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642009000100022 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642009000100022 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1980-57642009DN30100005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento |
dc.source.none.fl_str_mv |
Dementia & Neuropsychologia v.3 n.1 2009 reponame:Dementia & Neuropsychologia instname:Associação de Neurologia Cognitiva e do Comportamento (ANCC) instacron:ANCC |
instname_str |
Associação de Neurologia Cognitiva e do Comportamento (ANCC) |
instacron_str |
ANCC |
institution |
ANCC |
reponame_str |
Dementia & Neuropsychologia |
collection |
Dementia & Neuropsychologia |
repository.name.fl_str_mv |
Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC) |
repository.mail.fl_str_mv |
||demneuropsy@uol.com.br |
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1754212929608089600 |