Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease

Detalhes bibliográficos
Autor(a) principal: Furtado,Rogério Gomes
Data de Publicação: 2015
Outros Autores: Frota,Daniela do Carmo Rassi, Silva,João Batista Masson, Romano,Minna Moreira Dias, Almeida Filho,Oswaldo César de, Schmidt,André, Rassi,Salvador
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos Brasileiros de Cardiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015000300006
Resumo: Background: Patients with indeterminate form of Chagas disease/cardiac normality (ICD/CN) exhibited normal electrocardiograms and chest X-rays; however, more sophisticated tests detected some degree of morphological and functional changes in the heart. Objective: To assess the prevalence of systolic and diastolic dysfunction of the right ventricle (RV) in patients with ICD/CN. Methods: This was a case–control and prevalence study. Using Doppler two-dimensional echocardiography (2D), 92 patients were assessed and divided into two groups: group I (normal, n = 31) and group II (ICD/CN, n = 61). Results: The prevalence of RV systolic dysfunction in patients in groups I and II was as follows: fractional area change (0.0% versus 0.6%), mobility of the tricuspid annulus (0.0% versus 0.0%), and S-wave tissue Doppler (6.4% versus 26.0%, p = 0.016). The prevalence of global disorders such as the right myocardial performance index using tissue Doppler (16.1% versus 27.8%, p = 0.099) and pulsed Doppler (61.3% versus 68%, p = 0.141) and diastolic disorders such as abnormal relaxation (0.0% versus 6.0%), pseudonormal pattern (0.0% versus 0.0%), and restrictive pattern (0.0% versus 0.0%) was not statistically different between groups. Conclusion: The prevalence of RV systolic dysfunction was estimated to be 26% (S wave velocity compared with other variables), suggesting incipient changes in RV systolic function in the ICD/CN group.
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spelling Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas DiseaseChagas DiseaseVentricular Dysfunction RightEchocardiography, Doppler Background: Patients with indeterminate form of Chagas disease/cardiac normality (ICD/CN) exhibited normal electrocardiograms and chest X-rays; however, more sophisticated tests detected some degree of morphological and functional changes in the heart. Objective: To assess the prevalence of systolic and diastolic dysfunction of the right ventricle (RV) in patients with ICD/CN. Methods: This was a case–control and prevalence study. Using Doppler two-dimensional echocardiography (2D), 92 patients were assessed and divided into two groups: group I (normal, n = 31) and group II (ICD/CN, n = 61). Results: The prevalence of RV systolic dysfunction in patients in groups I and II was as follows: fractional area change (0.0% versus 0.6%), mobility of the tricuspid annulus (0.0% versus 0.0%), and S-wave tissue Doppler (6.4% versus 26.0%, p = 0.016). The prevalence of global disorders such as the right myocardial performance index using tissue Doppler (16.1% versus 27.8%, p = 0.099) and pulsed Doppler (61.3% versus 68%, p = 0.141) and diastolic disorders such as abnormal relaxation (0.0% versus 6.0%), pseudonormal pattern (0.0% versus 0.0%), and restrictive pattern (0.0% versus 0.0%) was not statistically different between groups. Conclusion: The prevalence of RV systolic dysfunction was estimated to be 26% (S wave velocity compared with other variables), suggesting incipient changes in RV systolic function in the ICD/CN group. Sociedade Brasileira de Cardiologia - SBC2015-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015000300006Arquivos Brasileiros de Cardiologia v.104 n.3 2015reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/abc.20140197info:eu-repo/semantics/openAccessFurtado,Rogério GomesFrota,Daniela do Carmo RassiSilva,João Batista MassonRomano,Minna Moreira DiasAlmeida Filho,Oswaldo César deSchmidt,AndréRassi,Salvadoreng2015-04-07T00:00:00Zoai:scielo:S0066-782X2015000300006Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2015-04-07T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false
dc.title.none.fl_str_mv Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease
title Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease
spellingShingle Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease
Furtado,Rogério Gomes
Chagas Disease
Ventricular Dysfunction Right
Echocardiography, Doppler
title_short Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease
title_full Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease
title_fullStr Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease
title_full_unstemmed Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease
title_sort Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease
author Furtado,Rogério Gomes
author_facet Furtado,Rogério Gomes
Frota,Daniela do Carmo Rassi
Silva,João Batista Masson
Romano,Minna Moreira Dias
Almeida Filho,Oswaldo César de
Schmidt,André
Rassi,Salvador
author_role author
author2 Frota,Daniela do Carmo Rassi
Silva,João Batista Masson
Romano,Minna Moreira Dias
Almeida Filho,Oswaldo César de
Schmidt,André
Rassi,Salvador
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Furtado,Rogério Gomes
Frota,Daniela do Carmo Rassi
Silva,João Batista Masson
Romano,Minna Moreira Dias
Almeida Filho,Oswaldo César de
Schmidt,André
Rassi,Salvador
dc.subject.por.fl_str_mv Chagas Disease
Ventricular Dysfunction Right
Echocardiography, Doppler
topic Chagas Disease
Ventricular Dysfunction Right
Echocardiography, Doppler
description Background: Patients with indeterminate form of Chagas disease/cardiac normality (ICD/CN) exhibited normal electrocardiograms and chest X-rays; however, more sophisticated tests detected some degree of morphological and functional changes in the heart. Objective: To assess the prevalence of systolic and diastolic dysfunction of the right ventricle (RV) in patients with ICD/CN. Methods: This was a case–control and prevalence study. Using Doppler two-dimensional echocardiography (2D), 92 patients were assessed and divided into two groups: group I (normal, n = 31) and group II (ICD/CN, n = 61). Results: The prevalence of RV systolic dysfunction in patients in groups I and II was as follows: fractional area change (0.0% versus 0.6%), mobility of the tricuspid annulus (0.0% versus 0.0%), and S-wave tissue Doppler (6.4% versus 26.0%, p = 0.016). The prevalence of global disorders such as the right myocardial performance index using tissue Doppler (16.1% versus 27.8%, p = 0.099) and pulsed Doppler (61.3% versus 68%, p = 0.141) and diastolic disorders such as abnormal relaxation (0.0% versus 6.0%), pseudonormal pattern (0.0% versus 0.0%), and restrictive pattern (0.0% versus 0.0%) was not statistically different between groups. Conclusion: The prevalence of RV systolic dysfunction was estimated to be 26% (S wave velocity compared with other variables), suggesting incipient changes in RV systolic function in the ICD/CN group.
publishDate 2015
dc.date.none.fl_str_mv 2015-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/abc.20140197
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
dc.source.none.fl_str_mv Arquivos Brasileiros de Cardiologia v.104 n.3 2015
reponame:Arquivos Brasileiros de Cardiologia (Online)
instname:Sociedade Brasileira de Cardiologia (SBC)
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instname_str Sociedade Brasileira de Cardiologia (SBC)
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reponame_str Arquivos Brasileiros de Cardiologia (Online)
collection Arquivos Brasileiros de Cardiologia (Online)
repository.name.fl_str_mv Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)
repository.mail.fl_str_mv ||arquivos@cardiol.br
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