| Electrocardiographic changes and myocarditis in trichinellosis: a retrospective study of 154 patients. | |
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MedLine Citation:
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PMID: 15949188 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The frequencies of electrocardiographic (ECG) abnormalities and myocarditis were determined, retrospectively, among 154 cases of trichinellosis [101 males and 53 females, with a mean (S.D.) age of 35.60 (14.64) years] who were hospitalized at the University Hospital for Infectious Diseases in Zagreb, Croatia, over a 5-year period. Eighty-seven (56%) of the patients, most of them in the invasive phase of infection with Trichinella spiralis, were found to have abnormalities when examined by 12-lead, resting electrocardiography. The ECG disorder most frequently observed was a non-specific ventricular repolarization disturbance (with ST-T wave changes), followed by bundle-branch conduction disturbances, and sinus tachycardia. The other ECG disorders recorded, during various phases of the infection, were sinus bradycardia, right bundle-branch block, supraventricular and ventricular extrasystoles, low-voltage QRS complexes in standard limb leads, first-degree atrio-ventricular block, and atrial fibrillation. Eighteen (12%) of the patients were identified as cases of myocarditis (13 in the invasive phase and five in the convalescent) and two (1.3%) as cases of myopericarditis. One patient developed acute myocardial infarction 28 days after the onset of disease and died soon thereafter; an autopsy revealed multiple necroses and fibroses of the myocardium and thrombus of a coronary artery. Although ECG abnormalities appear to be a common feature of trichinellosis, especially during the invasive phase of the disease, they are rarely associated with a poor prognosis. A transient, non-specific, ventricular-repolarization disturbance is the abnormality most commonly observed. |
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Authors:
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I Puljiz; A Beus; I Kuzman; S Seiwerth |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of tropical medicine and parasitology Volume: 99 ISSN: 0003-4983 ISO Abbreviation: Ann Trop Med Parasitol Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-06-13 Completed Date: 2005-09-01 Revised Date: 2009-11-19 |
Medline Journal Info:
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Nlm Unique ID: 2985178R Medline TA: Ann Trop Med Parasitol Country: England |
Other Details:
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Languages: eng Pagination: 403-11 Citation Subset: IM |
Affiliation:
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University Hospital for Infectious Diseases Dr Fran Mihaljević, Zagreb, Croatia. ipuljiz@bfm.hr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Coronary Vessels / pathology Electrocardiography Female Humans Male Middle Aged Myocardial Infarction / parasitology, pathology Myocarditis / parasitology*, pathology, physiopathology Prognosis Retrospective Studies Trichinellosis / pathology, physiopathology* |
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