medigraphic.com
SPANISH

Archivos de Cardiología de México

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2007, Number 3

<< Back Next >>

Arch Cardiol Mex 2007; 77 (3)

Electro-histological comparison in a case of chagasic chronic cardiomyopathy

Aranda FA, Chávez RB, Ballinas VMA, Arce FM, Medrano CGA, de Micheli SA
Full text How to cite this article

Language: Spanish
References: 8
Page: 249-252
PDF size: 176.21 Kb.


Key words:

chagasic Chronic cardiomyopathy, Subepicardial injury, Subepicardial location of inflammatory foci.

ABSTRACT

The case of a 50 years old man, coming from an endemic Chagas’ disease zone, is reported. This patient came with a dilated cardiomyopathy, likely of Chagasic etiology, and heart failure. He died in our Institute, were it was possible to register an ECG, and perform the necropsy, on the same day of his death. The ECG showed signs of heart chambers dilatation, inactive myocardium in subendocardial anterolateral regions of the left ventricle, and extensive subepicardial injury. The anatomical study demonstrated the four heart chambers dilatation, and a subendocardial fibrosis essentially located in antero-lateral portions of the left ventricle. The histological examination proved that the distribution of injured zones corresponded to location of the inflammatory foci. Furthermore, Trypanosoma cruzi inoculation in mice produced inflammatory foci, predominantly located in the ventricular epicardial and subepicardial regions.


REFERENCES

  1. De Micheli A, Aranda A, Iturralde P, Medrano GA: En torno a las arritmias ventriculares en la miocardiopatía chagásica crónica. Arch Cardiol Mex 2006; 76(3): 320-323.

  2. Sosa E, Scanavacca M, d´Avila A, Bellotti G, Pileggi F: Radiofrequency catheter ablation of ventricular tachicardia guided by non-surgical epicardial mapping in chronic Chagasic heart disease. PACE 1999, 22 (Pt I): 128-130.

  3. Medrano GA, de Micheli A: Elcectrocardiographic features in experimental subendocardial infarction in canine hearts. J Electrocardiol 1994; 27(3): 263-273.

  4. Rossi MA. Gonçalves S, Ribeiro-dos-Santos R: Experimental Trypanosoma cruzi cardiomyopathy in BALB/c mice: the potencial role of intravascular platelet aggregation in its genesis. Am J Pathol 1984; 114: 209-216.

  5. Rossi MA, Carobrez SG: Experimental Trypanosoma cruzi cardiomyopathy in BALB/c mice: Histochemical evidence of hypoxic changes in the myocardium. Br J Exp Pathol 1985; 66: 155-160.

  6. Factor SM, Cho S, Wittner M, Trenowitz HB: Abnormalities of the coronary microcirculation in acute murine Chagas’ disease. Am J Trop Med Hig 1985; 34: 246-253.

  7. Marín-Neto JA, Cunha-Neto E, Maciel BC, Simões MV: Pathogenesis of chronic Chagas heart disease. Circulation 2007; 115(9): 1109-1123.

  8. Benvenuti LA, Sampaio Gutierrez P: Lesões Epicárdicas na Cardiopatía Chagásica são Reflexo de Processo Inflamatório. Arq Bras Cardiol 2007; 88(4): 496-498.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Arch Cardiol Mex. 2007;77