Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-31T14:37:08.615Z Has data issue: false hasContentIssue false
  • English
  • Français

Cardiac morbidity due to Chagas' disease in a rural community in Bolivia

Published online by Cambridge University Press:  15 May 2009

Th. Weinke ,
K. Ueberrieiter  and
M. Alexander
Th. Weinke
Affiliation:
Robert Koch-Institute, Fachgebiet Klinische Parasitologie. Nordufer 20.1000 Berlin 65, West Germany.
K. Ueberrieiter
Affiliation:
Klinikum Charlottenburg der FU Berlin, Abteilung für innere Medizin mit Schwerpunkt Infektionskrankheiten, Spandauer Damm 130, 1000 Berlin 19, West Germany.
M. Alexander
Affiliation:
Klinikum Charlottenburg der FU Berlin, Abteilung für innere Medizin mit Schwerpunkt Infektionskrankheiten, Spandauer Damm 130, 1000 Berlin 19, West Germany.
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The prevalence of cardiac morbidity due to Change' disease was assessed in a rural community in Central Bolivia. Sixty-nine of 104 persons (66%) were seropositive to Trypanosoma cruzi by two serological methods. Two of 35 (6%) seronegative individuals presented with modest ECG alterations (left anterior hemiblock), but 21 of 69 (30%) seropositives showed modest and severe abnormalities (6 complete right bundle branch block. 2 polyfocal or frequent extrasystoles, 9 ischaemic ST alterations). A high percentage (56%) of domiciliary Triatoma infestans was infected with T. cruzi. There was a significant association between seropositivity and substandard housing. Priority preventive measures should thus include house improvement (to reduce bug infestation) and health education.

Type
Research Article
Information
Epidemiology & Infection , Volume 101 , Issue 3 , December 1988 , pp. 655 - 660
Copyright
Copyright © Cambridge University Press 1988

References

REFERENCES

Andrade., Z. A.., Andrade, S. G.., Oliveira, G. B. & Alonso, D. R. (1978). Histopathology of the conducting tissue of the heat in Chagas' myocarditis. American Heart Journal 95. 316–324.Google Scholar
Dias, J. C. P. & Kloetzel, K. (1968). The prognostic value of the electrocardiographic features of chronic Chagas' disease. Revista do Instituto Medicina Tropical de São Paulo 10. 158–162.Google ScholarPubMed
Kawabata, M.., Uohiyama, T., Mimor, T., Hashiguchi, Y. & De Coronel, V. V. (1987). Association of electrocardiographic abnormalities with seropositivity to Trypanosoma cruzi in Ecuador. Transactions of the. Royal Society of Tropical Medicine and Hygiene 81. 7–10.Google Scholar
Luquetti, A. O.., Miles, M. A., Rassi, A.. De, Rezende, J. M.., De Souza, A. A.., Povoa, M. M. & Rodrigues, I. (1986). Trypanosoma cruzi; Zymodemes associated with acute and chronic Chagas' disease in central Brazil. Transactions of the Royal Society of Tropical Medicine and Hygiene 80. 462–470.Google Scholar
Maguire, J. H.., Mott, K. E.., Souza, A. A.., Almeida, E. C., Ramos, N. B. & Guimaraes, A. C. (1982). Electrocardiographic classification and abbreviated lead system for population-based studies of Chagas' disease. Bulletin of the Pan American Health Organization 16. 47–58.Google ScholarPubMed
Maguire, J. H.., Mott, K. E.., Lehman, J. S., Hoff, R., Muniz, T. M., Guimaraes, A. C., Sherlock, I. & Morrow, R. H. (1983). Relationship of electrocardiographic abnormalities and seropositivity to Trypanosoma cruzi within a rural community in northeast Brazil. American Heart Journal 105. 287–294.CrossRefGoogle ScholarPubMed
Meiryenne, N., Van &, Le Ray D. (1985). Diagnosis of African and American trypanosomiasis. British Medical Bulletin 41. 156–161.Google Scholar
Miles, M. A. (1983). The epidemiology of South American trypanosomiasis - biochemical and immunological approaches and their relevance to control. Transactions of the Royal Society of Tropical Medicine and Hygiene 77. 5–23.Google Scholar
Moncayo, A. (1986). Research activities of the scientific working group (SWG) on Chagas' disease 1982–1985. Menórias do Insitituto Oswaldo Cruz. Rio de Janeiro. 81. Suppl. 179–244.Google Scholar
Mott, K. E.., Lehman, J. S.., Hoff, R., Morrow, R. H.., Muniz, T. M., Sherlock, I., Draper, C. C., Pugliese, C. & Guimarāes, A. C. (1976). The epidemiology and household distribution of seroreactivity to Trypanosoma cruzi in a rural community in northeast Brazil. American Journal of Tropical Medicine and Hygiene 25. 552–556.Google Scholar
Muynck, A. De, Ribera, B.., Zuna, H.., Lagrava, M.., Serrano, R.., Melgar, B.., Villarroel, G.. De, Lagrava, S., Vargas, J. & Navia, J. (1976). Estudio epidemiológieo de la enfermedad de Changas en la provincia de Vallegrande. Botetín Informativo del Cenetrop 2.4–28.Google Scholar
Oliveria, J. A. M., De Oliveria, J. S. M. & Köberle, F. (1972). Pathologic anatomy of the His-Tawara system and electrocardiographic abnormalities in chronie Chagas' heart disease. Arquivos Brasileiros de Cardiología 25, 17–25.Google Scholar
Palermo, H. A., Caeiro, T. F.., Iosa, D. J. (1980). Caracteristicas distintïvas de la cardiopati'a en la enfermedad de Chagas.Medicina (Buenos Aires) 40. Suppl. 1.234–238.Google Scholar
Pereira, J. B.., Willcox, H. P. & Coura, J. R. (1985). Morbidade da doença de Chagas III. Estudo longitudinal de seis anos em Virgem da Lapa. MG. Brasil. Memdriax do Inxituto Oswaldo Cruz. Rio de Janeiro 80, 63–71.Google Scholar
Prata, A. R. (1976). Natural history of chagasic cardiomypathy.pan American Health Organization Scientific Publication, No. 318. 191–198.Google Scholar
Schofield, C. J. (1985). Control of Chagas' disease vectors. British medical Bulletin 41. 187–194.CrossRefGoogle ScholarPubMed
World Health Organization (1985). Chagas' disease in the region of the Americas. Weekly Epidemiological Record 60. 37–42.Google Scholar