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CASE REPORT
Year : 2017  |  Volume : 18  |  Issue : 2  |  Page : 54-57

An infrequent cause of apical ventricular aneurysm in the United States


Department of Cardiology, Mercy St. Vincent Medical Center, Toledo, OH, USA

Correspondence Address:
Mohammed M Taleb
Department of Cardiology, Mercy St. Vincent Medical Center, Toledo, OH 43608
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.208675

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Chronic Chagas cardiomyopathy (CCC) is a late complication of Chagas disease with various manifestations including arrhythmia, heart failure, thromboembolism, and stroke. In a patient with symptoms of heart failure and left ventricular apical aneurysm unexplained by structural heart or coronary vascular abnormalities, CCC should be strongly considered and inquiry made about exposure status. Typical electrocardiographic findings of bundle branch block, complete heart blocks, and ventricular arrhythmia are helpful clues. A positive trypanosomal immunoglobulin G antibody is supportive. Initiation of stage appropriate guideline-recommended heart failure regimen is the goal with careful attention paid to prevention of sudden cardiac death from ventricular arrhythmias.


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