Cardiovascular function in elderly patients with chronic chagasic cardiopathy

Revista da Sociedade Brasileira de Medicina Tropical

Manoel Otávio Costa Rocha²  Paulo César Correia²  Márcio Vinícius L. Barros²  Rosália Moraes Torres²  Antônio Luiz P. Ribeiro²  Mauro Martins Teixeira¹ 

[1] ,Federal University of Minas Gerais Faculty of Medicine

关键词: Chagas' disease;    Chagasic cardiomyopathy;    Cardiovascular function;    Elderly;    Doença de Chagas;    Cardiomiopatia chagásica;    Função cardiovascular;    Idosos;   

DOI  :  10.1590/S0037-86822003000500001

来源: SciELO

【 摘 要 】

The objective of this work was to verify the degree and type of heart damage of elderly chagasic patients seen at an outpatient referral center and to compare them with the changes found in young chagasic patients with a similar degree of heart damage. Elderly and young patients without advanced cardiopathy presented good functional behavior. Elderly patients with advanced cardiopathy had more ventricular premature beats (VPB) in 24 h and less functional capacity in the exercise test than young patients of the same subgroup. There was a higher occurrence of effort-induced VPB and a lower prevalence of severe forms in elderly men, suggesting that Chagas' disease may have a worse evolution in males. The association of cardiac damage characteristic of aging with the secondary damage due to Chagas' disease could explain the greater functional damage found in elderly chagasic patients. Thus, it appears that the physiopathological components of Chagas' disease do have an influence on the clinical course of cardiopathy in the elderly population.

【 授权许可】

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