Clinical presentation of chronic Chagas disease in elderly individuals
This study had the aim of evaluating the clinical presentation of chronic Chagas disease among the elderly. It was a retrospective analysis of clinical records at an outpatient referral service. The sample was divided into two groups: elderly (>or= 60 years old) and non-elderly. Sex, comorbiditie...
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| Veröffentlicht in: | Revista da Sociedade Brasileira de Medicina Tropical 2007-05, Vol.40 (3), p.311 |
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| container_title | Revista da Sociedade Brasileira de Medicina Tropical |
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| creator | de Almeida, Eros Antonio Barbosa Neto, Ruy Madsen Guariento, Maria Elena Wanderley, Jamiro da Silva de Souza, Milton Lopes |
| description | This study had the aim of evaluating the clinical presentation of chronic Chagas disease among the elderly. It was a retrospective analysis of clinical records at an outpatient referral service. The sample was divided into two groups: elderly (>or= 60 years old) and non-elderly. Sex, comorbidities, clinical form, electrocardiogram and serological titers were evaluated. In the elderly group (61 cases), the mean age was 66.03+/-5 years; 67.2% were female; 59% presented comorbidities (most frequently systemic arterial hypertension, in 39.3%); 1.6% had the indeterminate clinical form, 88.5% the cardiac form and 36% the digestive form; and abnormalities were frequently found on electrocardiograms: 41% presented anterosuperior left bundle branch block (AS-LBBB), 32.8% presented right bundle branch block (RBBB) and 22.9% presented ventricular ectopic beats (VEB). In the non-elderly group (61 cases), the mean age was 39.30+/-8.36 years; 54.1% were female; 50.8% presented comorbidities (most frequently systemic arterial hypertension, in 26.2%); 18% had the indeterminate clinical form (p |
| doi_str_mv | 10.1590/S0037-86822007000300012 |
| format | Article |
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It was a retrospective analysis of clinical records at an outpatient referral service. The sample was divided into two groups: elderly (>or= 60 years old) and non-elderly. Sex, comorbidities, clinical form, electrocardiogram and serological titers were evaluated. In the elderly group (61 cases), the mean age was 66.03+/-5 years; 67.2% were female; 59% presented comorbidities (most frequently systemic arterial hypertension, in 39.3%); 1.6% had the indeterminate clinical form, 88.5% the cardiac form and 36% the digestive form; and abnormalities were frequently found on electrocardiograms: 41% presented anterosuperior left bundle branch block (AS-LBBB), 32.8% presented right bundle branch block (RBBB) and 22.9% presented ventricular ectopic beats (VEB). In the non-elderly group (61 cases), the mean age was 39.30+/-8.36 years; 54.1% were female; 50.8% presented comorbidities (most frequently systemic arterial hypertension, in 26.2%); 18% had the indeterminate clinical form (p<0.05), 78.7% the cardiac form and 32.8% the digestive form; and abnormalities were frequently found on electrocardiogram: 24.6% presented AS-LBBB, 21.3% RBBB and 18% VEB. It was concluded that there were no clinical differences between elderly and non-elderly Chagas patients. The indeterminate clinical form predominated in patients less than 60 years old.</description><identifier>ISSN: 0037-8682</identifier><identifier>EISSN: 1678-9849</identifier><identifier>DOI: 10.1590/S0037-86822007000300012</identifier><identifier>PMID: 17653467</identifier><language>eng ; por</language><publisher>Brazil: Sociedade Brasileira de Medicina Tropical</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Chagas Cardiomyopathy - diagnosis ; Chagas Disease - classification ; Chagas Disease - diagnosis ; Chronic Disease ; Electrocardiography ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies</subject><ispartof>Revista da Sociedade Brasileira de Medicina Tropical, 2007-05, Vol.40 (3), p.311</ispartof><rights>Copyright Sociedade Brasileira de Medicina Tropical May/Jun 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17653467$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Almeida, Eros Antonio</creatorcontrib><creatorcontrib>Barbosa Neto, Ruy Madsen</creatorcontrib><creatorcontrib>Guariento, Maria Elena</creatorcontrib><creatorcontrib>Wanderley, Jamiro da Silva</creatorcontrib><creatorcontrib>de Souza, Milton Lopes</creatorcontrib><title>Clinical presentation of chronic Chagas disease in elderly individuals</title><title>Revista da Sociedade Brasileira de Medicina Tropical</title><addtitle>Rev Soc Bras Med Trop</addtitle><description>This study had the aim of evaluating the clinical presentation of chronic Chagas disease among the elderly. It was a retrospective analysis of clinical records at an outpatient referral service. The sample was divided into two groups: elderly (>or= 60 years old) and non-elderly. Sex, comorbidities, clinical form, electrocardiogram and serological titers were evaluated. In the elderly group (61 cases), the mean age was 66.03+/-5 years; 67.2% were female; 59% presented comorbidities (most frequently systemic arterial hypertension, in 39.3%); 1.6% had the indeterminate clinical form, 88.5% the cardiac form and 36% the digestive form; and abnormalities were frequently found on electrocardiograms: 41% presented anterosuperior left bundle branch block (AS-LBBB), 32.8% presented right bundle branch block (RBBB) and 22.9% presented ventricular ectopic beats (VEB). In the non-elderly group (61 cases), the mean age was 39.30+/-8.36 years; 54.1% were female; 50.8% presented comorbidities (most frequently systemic arterial hypertension, in 26.2%); 18% had the indeterminate clinical form (p<0.05), 78.7% the cardiac form and 32.8% the digestive form; and abnormalities were frequently found on electrocardiogram: 24.6% presented AS-LBBB, 21.3% RBBB and 18% VEB. It was concluded that there were no clinical differences between elderly and non-elderly Chagas patients. The indeterminate clinical form predominated in patients less than 60 years old.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chagas Cardiomyopathy - diagnosis</subject><subject>Chagas Disease - classification</subject><subject>Chagas Disease - diagnosis</subject><subject>Chronic Disease</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><issn>0037-8682</issn><issn>1678-9849</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNo9j09LxDAQxYMo7rr6FTTguTpJ2vw5SnFVWPCgnkuaTt0s3bYmreC3N-LqYXhvmB_vMYRcMbhhhYHbFwChMi015wAK0paG8SOyZFLpzOjcHJPlP7QgZzHuALgShp-SBVOyELlUS7IuO997Zzs6BozYT3byQ0-HlrptGNKFllv7biNtfEQbkfqeYtdg6L6Sbfynb2bbxXNy0ibBi4OuyNv6_rV8zDbPD0_l3SYbmZBTpq2qna0LqaB1wpkCk1HC1YUTqJkw2mnJnKlrYNoJQDDoGEDOGy5aBLEi17-5Yxg-ZoxTtRvm0KfKiuW5YZJL80NdHqi53mNTjcHvbfiq_t4W3_dzWso</recordid><startdate>200705</startdate><enddate>200705</enddate><creator>de Almeida, Eros Antonio</creator><creator>Barbosa Neto, Ruy Madsen</creator><creator>Guariento, Maria Elena</creator><creator>Wanderley, Jamiro da Silva</creator><creator>de Souza, Milton Lopes</creator><general>Sociedade Brasileira de Medicina Tropical</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CLZPN</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>200705</creationdate><title>Clinical presentation of chronic Chagas disease in elderly individuals</title><author>de Almeida, Eros Antonio ; 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It was a retrospective analysis of clinical records at an outpatient referral service. The sample was divided into two groups: elderly (>or= 60 years old) and non-elderly. Sex, comorbidities, clinical form, electrocardiogram and serological titers were evaluated. In the elderly group (61 cases), the mean age was 66.03+/-5 years; 67.2% were female; 59% presented comorbidities (most frequently systemic arterial hypertension, in 39.3%); 1.6% had the indeterminate clinical form, 88.5% the cardiac form and 36% the digestive form; and abnormalities were frequently found on electrocardiograms: 41% presented anterosuperior left bundle branch block (AS-LBBB), 32.8% presented right bundle branch block (RBBB) and 22.9% presented ventricular ectopic beats (VEB). In the non-elderly group (61 cases), the mean age was 39.30+/-8.36 years; 54.1% were female; 50.8% presented comorbidities (most frequently systemic arterial hypertension, in 26.2%); 18% had the indeterminate clinical form (p<0.05), 78.7% the cardiac form and 32.8% the digestive form; and abnormalities were frequently found on electrocardiogram: 24.6% presented AS-LBBB, 21.3% RBBB and 18% VEB. It was concluded that there were no clinical differences between elderly and non-elderly Chagas patients. The indeterminate clinical form predominated in patients less than 60 years old.</abstract><cop>Brazil</cop><pub>Sociedade Brasileira de Medicina Tropical</pub><pmid>17653467</pmid><doi>10.1590/S0037-86822007000300012</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Revista da Sociedade Brasileira de Medicina Tropical, 2007-05, Vol.40 (3), p.311 |
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| language | eng ; por |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Age Factors Aged Aged, 80 and over Chagas Cardiomyopathy - diagnosis Chagas Disease - classification Chagas Disease - diagnosis Chronic Disease Electrocardiography Female Humans Male Middle Aged Retrospective Studies |
| title | Clinical presentation of chronic Chagas disease in elderly individuals |
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