Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year Incidence
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
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=S0066-782X2017000600546 |
Resumo: | Abstract Background: Chagas disease continues to be a serious public health problem, and accounts for 25-30% of the indications for cardiac stimulation in Brazil. Objective: To assess clinical and epidemiological characteristics of patients with Chagas disease, younger than 18 years, who had undergone pacemaker implantation in Brazil between 1994 and 2011, and its temporal trend. Methods: This was a cross-sectional analysis of data from the Brazilian Pacemaker Registry database. The following variables were analyzed: year when pacemaker was implanted, location, age, sex, ethnic group, functional class and the main electrocardiographic findings at baseline. Results: In a total of 183,123 implants performed between 1994 and 2011, 214 implants of cardiac stimulation device in Chagas disease patients aged younger than 18 years were identified. Mean age at implantation was 5.6 ± 6.2 years. Second- and third-degree atrioventricular blocks corresponded to 71% of indications for pacemaker implantation. Fifty-six percent of the procedures were performed in the southeast region. Regarding the total number of pacemaker implants per year, there was a remarkable increase in the implants for all causes. However, time series analysis of the implants in Chagas disease patients younger than 18 years revealed a significant reduction in the annual number of implants. Conclusion: There has been an important reduction in the number of pacemaker implantations among children and adolescents with Chagas disease, suggesting a reduction in the vertical transmission of the parasite. |
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Arquivos Brasileiros de Cardiologia (Online) |
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Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year IncidenceRetrospective StudiesPacemaker,ArtificialChildAdolescentsChagas DiseaseChagas CardiomyopathyEpidemiologyAbstract Background: Chagas disease continues to be a serious public health problem, and accounts for 25-30% of the indications for cardiac stimulation in Brazil. Objective: To assess clinical and epidemiological characteristics of patients with Chagas disease, younger than 18 years, who had undergone pacemaker implantation in Brazil between 1994 and 2011, and its temporal trend. Methods: This was a cross-sectional analysis of data from the Brazilian Pacemaker Registry database. The following variables were analyzed: year when pacemaker was implanted, location, age, sex, ethnic group, functional class and the main electrocardiographic findings at baseline. Results: In a total of 183,123 implants performed between 1994 and 2011, 214 implants of cardiac stimulation device in Chagas disease patients aged younger than 18 years were identified. Mean age at implantation was 5.6 ± 6.2 years. Second- and third-degree atrioventricular blocks corresponded to 71% of indications for pacemaker implantation. Fifty-six percent of the procedures were performed in the southeast region. Regarding the total number of pacemaker implants per year, there was a remarkable increase in the implants for all causes. However, time series analysis of the implants in Chagas disease patients younger than 18 years revealed a significant reduction in the annual number of implants. Conclusion: There has been an important reduction in the number of pacemaker implantations among children and adolescents with Chagas disease, suggesting a reduction in the vertical transmission of the parasite.Sociedade Brasileira de Cardiologia - SBC2017-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2017000600546Arquivos Brasileiros de Cardiologia v.108 n.6 2017reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/abc.20170074info:eu-repo/semantics/openAccessMizzaci,Carolina ChristianiniSouza,Thiago Gonçalves Schroder eTargueta,Gabriel PelegrinetiTótora,Ana Paula FredericoMateos,Juan Carlos PachónMateos,José Carlos Pachoneng2017-07-04T00:00:00Zoai:scielo:S0066-782X2017000600546Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2017-07-04T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year Incidence |
title |
Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year Incidence |
spellingShingle |
Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year Incidence Mizzaci,Carolina Christianini Retrospective Studies Pacemaker,Artificial Child Adolescents Chagas Disease Chagas Cardiomyopathy Epidemiology |
title_short |
Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year Incidence |
title_full |
Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year Incidence |
title_fullStr |
Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year Incidence |
title_full_unstemmed |
Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year Incidence |
title_sort |
Pacemaker Implants in Children and Adolescents with Chagas Disease in Brazil: 18-Year Incidence |
author |
Mizzaci,Carolina Christianini |
author_facet |
Mizzaci,Carolina Christianini Souza,Thiago Gonçalves Schroder e Targueta,Gabriel Pelegrineti Tótora,Ana Paula Frederico Mateos,Juan Carlos Pachón Mateos,José Carlos Pachon |
author_role |
author |
author2 |
Souza,Thiago Gonçalves Schroder e Targueta,Gabriel Pelegrineti Tótora,Ana Paula Frederico Mateos,Juan Carlos Pachón Mateos,José Carlos Pachon |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Mizzaci,Carolina Christianini Souza,Thiago Gonçalves Schroder e Targueta,Gabriel Pelegrineti Tótora,Ana Paula Frederico Mateos,Juan Carlos Pachón Mateos,José Carlos Pachon |
dc.subject.por.fl_str_mv |
Retrospective Studies Pacemaker,Artificial Child Adolescents Chagas Disease Chagas Cardiomyopathy Epidemiology |
topic |
Retrospective Studies Pacemaker,Artificial Child Adolescents Chagas Disease Chagas Cardiomyopathy Epidemiology |
description |
Abstract Background: Chagas disease continues to be a serious public health problem, and accounts for 25-30% of the indications for cardiac stimulation in Brazil. Objective: To assess clinical and epidemiological characteristics of patients with Chagas disease, younger than 18 years, who had undergone pacemaker implantation in Brazil between 1994 and 2011, and its temporal trend. Methods: This was a cross-sectional analysis of data from the Brazilian Pacemaker Registry database. The following variables were analyzed: year when pacemaker was implanted, location, age, sex, ethnic group, functional class and the main electrocardiographic findings at baseline. Results: In a total of 183,123 implants performed between 1994 and 2011, 214 implants of cardiac stimulation device in Chagas disease patients aged younger than 18 years were identified. Mean age at implantation was 5.6 ± 6.2 years. Second- and third-degree atrioventricular blocks corresponded to 71% of indications for pacemaker implantation. Fifty-six percent of the procedures were performed in the southeast region. Regarding the total number of pacemaker implants per year, there was a remarkable increase in the implants for all causes. However, time series analysis of the implants in Chagas disease patients younger than 18 years revealed a significant reduction in the annual number of implants. Conclusion: There has been an important reduction in the number of pacemaker implantations among children and adolescents with Chagas disease, suggesting a reduction in the vertical transmission of the parasite. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-01 |
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=S0066-782X2017000600546 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2017000600546 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/abc.20170074 |
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 |
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.108 n.6 2017 reponame:Arquivos Brasileiros de Cardiologia (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
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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1752126567270580224 |