Prevalence and Prognostic Value of Ventricular Dyssynchrony in Chagas' Cardiomyopathy

Detalhes bibliográficos
Autor(a) principal: Duarte, Jussara de Oliveira Pinheiro
Data de Publicação: 2011
Outros Autores: Magalhães, Luiz Pereira de, Santana, Oto Oliveira, Silva, Leandro Barros da, Simões, Monique, Azevedo, Darluce Oliveira de, Barbosa Júnior, Octávio Alencar, Fagundes, Alexsandro Alves, Reis, Francisco José Farias Borges dos, Correia, Luis Cláudio Lemos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5485
Resumo: p. 300-306.
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spelling Duarte, Jussara de Oliveira PinheiroMagalhães, Luiz Pereira deSantana, Oto OliveiraSilva, Leandro Barros daSimões, MoniqueAzevedo, Darluce Oliveira deBarbosa Júnior, Octávio AlencarFagundes, Alexsandro AlvesReis, Francisco José Farias Borges dosCorreia, Luis Cláudio LemosDuarte, Jussara de Oliveira PinheiroMagalhães, Luiz Pereira deSantana, Oto OliveiraSilva, Leandro Barros daSimões, MoniqueAzevedo, Darluce Oliveira deBarbosa Júnior, Octávio AlencarFagundes, Alexsandro AlvesReis, Francisco José Farias Borges dosCorreia, Luis Cláudio Lemos2012-03-02T11:35:47Z2012-03-02T11:35:47Z20110066-782Xhttp://www.repositorio.ufba.br/ri/handle/ri/5485v. 96, n. 4.p. 300-306.BACKGROUND: Chagas' cardiomyopathy is one important cause of heart failure in Latin America. Ventricular dyssynchrony may be a factor of decompensation in the course of this disease, but there are no data on its prevalence and its main prognostic implications yet. OBJECTIVE: Describe prevalence and prognostic value of ventricular dyssynchrony in Chagas' cardiomyopathy. METHODS: 56 patients with Chagas' cardiomyopathy were consecutively selected by two positive serologies and an ejection fraction < 45% in the echocardiogram. The echocardiogram evaluated the presence of intraventricular dyssynchrony using 3 criteria and interventricular dyssynchrony using 1 criterion. Patients were followed for 21 ± 14 months and cardiac events were defined as the combination of death and hospitalization. RESULTS: The average age of the population was 56 ± 10 years, 50% males. Mean ejection fraction was 30 ± 8% and 87% presented functional class I/II (NYHA). The prevalence of interventricular dyssynchrony was 34% (95% CI: 22%-48%) and intraventricular dyssynchrony had a prevalence of 85% (95% CI: 75%-93%). The prevalence of intraventricular dyssynchrony was similar among patients with QRS duration < 0.12 s or > 0.12 s (85% and 89%, respectively, p= 0.66). Twenty events were recorded. The incidence of combined events was similar in patients with or without intraventricular dyssynchrony (35% versus 38%, p= 0.9) and those with or without interventricular dyssynchrony (39% versus 34%, p= 0.73). CONCLUSION: Patients with Chagas' cardiomyopathy have high intraventricular and moderate interventricular prevalence of dyssynchrony. The high prevalence is independent from the QRS width. The ventricular dyssynchrony does not have any prognostic value in patients with Chagas' cardiomyopathy.Submitted by JURANDI DE SOUZA SILVA (jssufba@hotmail.com) on 2012-03-02T11:35:47Z No. of bitstreams: 1 __www.scielo.br_pdf_abc_v96n4_en_aop02411.pdf: 161766 bytes, checksum: 9f5334eced6c44d01e42804eb8caa832 (MD5)Made available in DSpace on 2012-03-02T11:35:47Z (GMT). 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dc.title.pt_BR.fl_str_mv Prevalence and Prognostic Value of Ventricular Dyssynchrony in Chagas' Cardiomyopathy
dc.title.alternative.pt_BR.fl_str_mv Arquivos Brasileiros de Cardiologia
title Prevalence and Prognostic Value of Ventricular Dyssynchrony in Chagas' Cardiomyopathy
spellingShingle Prevalence and Prognostic Value of Ventricular Dyssynchrony in Chagas' Cardiomyopathy
Duarte, Jussara de Oliveira Pinheiro
Chagas' cardiomyopathy
Ventricular dysfunction
Prevalence
Prognosis
title_short Prevalence and Prognostic Value of Ventricular Dyssynchrony in Chagas' Cardiomyopathy
title_full Prevalence and Prognostic Value of Ventricular Dyssynchrony in Chagas' Cardiomyopathy
title_fullStr Prevalence and Prognostic Value of Ventricular Dyssynchrony in Chagas' Cardiomyopathy
title_full_unstemmed Prevalence and Prognostic Value of Ventricular Dyssynchrony in Chagas' Cardiomyopathy
title_sort Prevalence and Prognostic Value of Ventricular Dyssynchrony in Chagas' Cardiomyopathy
author Duarte, Jussara de Oliveira Pinheiro
author_facet Duarte, Jussara de Oliveira Pinheiro
Magalhães, Luiz Pereira de
Santana, Oto Oliveira
Silva, Leandro Barros da
Simões, Monique
Azevedo, Darluce Oliveira de
Barbosa Júnior, Octávio Alencar
Fagundes, Alexsandro Alves
Reis, Francisco José Farias Borges dos
Correia, Luis Cláudio Lemos
author_role author
author2 Magalhães, Luiz Pereira de
Santana, Oto Oliveira
Silva, Leandro Barros da
Simões, Monique
Azevedo, Darluce Oliveira de
Barbosa Júnior, Octávio Alencar
Fagundes, Alexsandro Alves
Reis, Francisco José Farias Borges dos
Correia, Luis Cláudio Lemos
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Duarte, Jussara de Oliveira Pinheiro
Magalhães, Luiz Pereira de
Santana, Oto Oliveira
Silva, Leandro Barros da
Simões, Monique
Azevedo, Darluce Oliveira de
Barbosa Júnior, Octávio Alencar
Fagundes, Alexsandro Alves
Reis, Francisco José Farias Borges dos
Correia, Luis Cláudio Lemos
Duarte, Jussara de Oliveira Pinheiro
Magalhães, Luiz Pereira de
Santana, Oto Oliveira
Silva, Leandro Barros da
Simões, Monique
Azevedo, Darluce Oliveira de
Barbosa Júnior, Octávio Alencar
Fagundes, Alexsandro Alves
Reis, Francisco José Farias Borges dos
Correia, Luis Cláudio Lemos
dc.subject.por.fl_str_mv Chagas' cardiomyopathy
Ventricular dysfunction
Prevalence
Prognosis
topic Chagas' cardiomyopathy
Ventricular dysfunction
Prevalence
Prognosis
description p. 300-306.
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2012-03-02T11:35:47Z
dc.date.available.fl_str_mv 2012-03-02T11:35:47Z
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dc.identifier.issn.none.fl_str_mv 0066-782X
dc.identifier.number.pt_BR.fl_str_mv v. 96, n. 4.
identifier_str_mv 0066-782X
v. 96, n. 4.
url http://www.repositorio.ufba.br/ri/handle/ri/5485
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