Document Detail

Chagas cardiomyopathy with left ventricular apical aneurysm - first case report in Australia.
MedLine Citation:
PMID:  21988554     Owner:  NLM     Status:  Publisher    
A 54-year old female immigrant underwent coronary angiography for chest pain. There was no coronary artery disease, but dilatation of left ventricular (LV) apex was seen on ventriculography. Cardiovascular magnetic resonance (CMR) was performed to further define the LV apex. CMR revealed an apical LV aneurysm, with transmural fibrosis of the entire LV apex Sub-epicardial enhancement was also present in the basal inferolateral and mid-septal walls. These findings in the patient from Ecuador were suspicious of Chagas' disease. Serological antibody (IgG) confirmed infection with Trypanosoma cruzi. Cardiac involvement is a determining factor of prognosis in Chagas disease. CMR is more sensitive for detection of myocardial involvement than echocardiography. Physicians in Australia should be aware of this tropical disease, which may present during the chronic phase in immigrants from South America, and may otherwise be overlooked.
Khorawit Sooklim; Craig Maskiell; Nicholas J Brett; Mark Hansen; Richard E Slaughter; Christian R Hamilton-Craig
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-12
Journal Detail:
Title:  Internal medicine journal     Volume:  -     ISSN:  1445-5994     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101092952     Medline TA:  Intern Med J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 Sydney South West Area Health Service. Journal compilation © 2011 Royal Australasian College of Physicians.
Advanced Cardiac Imaging Centre, Bangkok Hospital Phuket, Bangkok Hospital Group, Thailand. Centre of Excellence in Cardiovascular Magnetic Resonance, The Prince Charles Hospital, Brisbane, Australia.
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