HEADACHE IN CHAGASIC WOMEN Cefaléia em mulheres chagásicas

The aim of this study was to compare the frequency of headache between Chagasic and Non-chagasic women. The cross-sectional study comprised 647 female ³ 40 years old, Chagasic (n = 362) and Controls (n = 285) at a Brazilian University Hospital. Chagasic were classified as Cardiac (n = 179), Megas (n...

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Bibliographic Details
Published in:Revista do Instituto de Medicina Tropical de São Paulo
Main Authors: Vitorino Modesto dos SANTOS, Selma Freire de Carvalho da CUNHA, Vicente de Paula Antunes TEIXEIRA, Jaqueline Pontes MONTEIRO, Jenner Arruda Modesto dos SANTOS, Taciana Arruda Modesto dos SANTOS, Lister Arruda Modesto dos SANTOS, Daniel Ferreira da CUNHA
Format: Article in Journal/Newspaper
Language:English
Published: Universidade de São Paulo (USP) 1999
Subjects:
Chagas' disease
Headache
Parasympathetic denervation
Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
Arctic
Online Access:https://doi.org/10.1590/S0036-46651999000200010
https://doaj.org/article/3af79255567242b0a7c93dbe57d99672
Description
Summary:The aim of this study was to compare the frequency of headache between Chagasic and Non-chagasic women. The cross-sectional study comprised 647 female ³ 40 years old, Chagasic (n = 362) and Controls (n = 285) at a Brazilian University Hospital. Chagasic were classified as Cardiac (n = 179), Megas (n = 58) or Indeterminate (n = 125) clinical forms. Headache was ascertained according to Headache International Society diagnostic criteria. The age (57.0 ± 11.3 versus 57.3 ± 10.4 years), and the percentage of white women (75.8% versus 77.1%) were similar between Chagasic and Controls, respectively. Headache was more prevalent among Chagasic (32.9%) than Controls (16.1%), mainly in Cardiac form (odds ratio, 2.41; 95% confidence interval, 1.38-4.23), phenomenon possibly related to parasympathetic denervation and cerebral vessels changes. O propósito do estudo foi comparar a freqüência de cefaléia entre mulheres Chagásicas e Não-chagásicas. O estudo retrospectivo compreendeu 647 mulheres com idade ³ 40 anos, Chagásicas (n = 362) e Controles (n = 285) atendidas em um Hospital Universitário brasileiro. As Chagásicas foram classificadas nas formas clínicas: Cardíacas (n = 179), Megas (n = 58) e Indeterminada (n = 125). Cefaléia foi definida de acordo com os critérios da Headache International Society. A idade (57,0 ± 11,3 versus 57,3 ± 10,4 anos) e a percentagem de mulheres de cor branca (75,8% versus 77,1%) foram semelhantes entre Chagásicas e Controles, respectivamente. Cefaléia foi mais freqüente entre Chagásicas (32,9%) que nas Controles (16,1%), principalmente na forma Cardíaca (odds ratio, 2,41; intervalo de confiança 1,38-4,23), fenômeno possivelmente relacionado com desnervação parassimpática e alterações vasculares cerebrais.

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