Exploring the Historical Background and Clinical Implications of Electrocardiogram in the Context of Chagas Disease Research
ABSTRACT Chagas disease (CD) remains one of the most significant endemic diseases in Latin America. Approximately 30% of individuals with CD develop the cardiac form, the main determinant of morbidity and mortality, which is characterized by typical electrocardiogram (ECG) changes caused by chronic...
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ftdoajarticles:oai:doaj.org/article:321e342f7421408f9d8c0ae38078bbc6 2024-01-21T10:04:04+01:00 Exploring the Historical Background and Clinical Implications of Electrocardiogram in the Context of Chagas Disease Research Alejandro Marcel Hasslocher-Moreno Roberto Magalhães Saraiva Telêmaco Luiz da Silva Júnior Sergio Salles Xavier Andréa Silvestre de Sousa 2023-12-01T00:00:00Z https://doi.org/10.1590/0037-8682-0506-2023 https://doaj.org/article/321e342f7421408f9d8c0ae38078bbc6 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100207&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0506-2023 https://doaj.org/article/321e342f7421408f9d8c0ae38078bbc6 Revista da Sociedade Brasileira de Medicina Tropical, Vol 56 (2023) Chagas disease Chagas cardiomyopathy Electrocardiogram Standardization Arctic medicine. Tropical medicine RC955-962 article 2023 ftdoajarticles https://doi.org/10.1590/0037-8682-0506-2023 2023-12-24T01:45:20Z ABSTRACT Chagas disease (CD) remains one of the most significant endemic diseases in Latin America. Approximately 30% of individuals with CD develop the cardiac form, the main determinant of morbidity and mortality, which is characterized by typical electrocardiogram (ECG) changes caused by chronic chagasic cardiopathy (CCC). This review accentuates to how crucial it is for research teams and reference centers that treat patients with CD to standardize ECG in CCC. This was a non-systematic review of the literature. ECG is the most widely used examination in the diagnosis and evaluation of CCC, and it is also employed in epidemiological surveys, risk stratification for cardiovascular events and death, and monitoring the clinical progression of the disease. Carlos Chagas and Eurico Villela published the first work addressing CCC in 1922. Other works followed, including the study by Evandro Chagas' which was the first to perform ECG in CD, culminating in Francisco Laranja's seminal work in 1956. Since the 1980s, standardizations and ECG reading codes for CD have been established. This standardization aimed to code complex arrhythmias and characteristic ventricular conduction disorders and standardize ECG readings for clinical and epidemiological studies in CD. Nearly all existing electrocardiographic abnormalities can be found in CD, with a predominance of abnormalities in the formation and conduction of cardiac stimuli. The complex and heterogeneous substrate of CD with varied electrocardiographic manifestations poses a significant challenge when comparing studies involving patients with CCC, emphasizing the need for ECG standardization in CD. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Evandro ENVELOPE(-65.633,-65.633,-65.400,-65.400) Revista da Sociedade Brasileira de Medicina Tropical 56 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Chagas disease Chagas cardiomyopathy Electrocardiogram Standardization Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Chagas disease Chagas cardiomyopathy Electrocardiogram Standardization Arctic medicine. Tropical medicine RC955-962 Alejandro Marcel Hasslocher-Moreno Roberto Magalhães Saraiva Telêmaco Luiz da Silva Júnior Sergio Salles Xavier Andréa Silvestre de Sousa Exploring the Historical Background and Clinical Implications of Electrocardiogram in the Context of Chagas Disease Research |
topic_facet |
Chagas disease Chagas cardiomyopathy Electrocardiogram Standardization Arctic medicine. Tropical medicine RC955-962 |
description |
ABSTRACT Chagas disease (CD) remains one of the most significant endemic diseases in Latin America. Approximately 30% of individuals with CD develop the cardiac form, the main determinant of morbidity and mortality, which is characterized by typical electrocardiogram (ECG) changes caused by chronic chagasic cardiopathy (CCC). This review accentuates to how crucial it is for research teams and reference centers that treat patients with CD to standardize ECG in CCC. This was a non-systematic review of the literature. ECG is the most widely used examination in the diagnosis and evaluation of CCC, and it is also employed in epidemiological surveys, risk stratification for cardiovascular events and death, and monitoring the clinical progression of the disease. Carlos Chagas and Eurico Villela published the first work addressing CCC in 1922. Other works followed, including the study by Evandro Chagas' which was the first to perform ECG in CD, culminating in Francisco Laranja's seminal work in 1956. Since the 1980s, standardizations and ECG reading codes for CD have been established. This standardization aimed to code complex arrhythmias and characteristic ventricular conduction disorders and standardize ECG readings for clinical and epidemiological studies in CD. Nearly all existing electrocardiographic abnormalities can be found in CD, with a predominance of abnormalities in the formation and conduction of cardiac stimuli. The complex and heterogeneous substrate of CD with varied electrocardiographic manifestations poses a significant challenge when comparing studies involving patients with CCC, emphasizing the need for ECG standardization in CD. |
format |
Article in Journal/Newspaper |
author |
Alejandro Marcel Hasslocher-Moreno Roberto Magalhães Saraiva Telêmaco Luiz da Silva Júnior Sergio Salles Xavier Andréa Silvestre de Sousa |
author_facet |
Alejandro Marcel Hasslocher-Moreno Roberto Magalhães Saraiva Telêmaco Luiz da Silva Júnior Sergio Salles Xavier Andréa Silvestre de Sousa |
author_sort |
Alejandro Marcel Hasslocher-Moreno |
title |
Exploring the Historical Background and Clinical Implications of Electrocardiogram in the Context of Chagas Disease Research |
title_short |
Exploring the Historical Background and Clinical Implications of Electrocardiogram in the Context of Chagas Disease Research |
title_full |
Exploring the Historical Background and Clinical Implications of Electrocardiogram in the Context of Chagas Disease Research |
title_fullStr |
Exploring the Historical Background and Clinical Implications of Electrocardiogram in the Context of Chagas Disease Research |
title_full_unstemmed |
Exploring the Historical Background and Clinical Implications of Electrocardiogram in the Context of Chagas Disease Research |
title_sort |
exploring the historical background and clinical implications of electrocardiogram in the context of chagas disease research |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2023 |
url |
https://doi.org/10.1590/0037-8682-0506-2023 https://doaj.org/article/321e342f7421408f9d8c0ae38078bbc6 |
long_lat |
ENVELOPE(-65.633,-65.633,-65.400,-65.400) |
geographic |
Arctic Evandro |
geographic_facet |
Arctic Evandro |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 56 (2023) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100207&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0506-2023 https://doaj.org/article/321e342f7421408f9d8c0ae38078bbc6 |
op_doi |
https://doi.org/10.1590/0037-8682-0506-2023 |
container_title |
Revista da Sociedade Brasileira de Medicina Tropical |
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56 |
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