https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=25456877&retmode=xml&tool=Litmetric&email=readroberts32@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09 254568772015022420141210
1879-191311512015Jan01The American journal of cardiologyAm J CardiolDevelopment of chagas cardiac manifestations among Texas blood donors.113117113-710.1016/j.amjcard.2014.09.050S0002-9149(14)01934-1Chagas disease, infection with the parasite Trypanosoma cruzi, has recently been identified as an important emerging parasitic disease in the United States. To describe the cardiac abnormalities in T. cruzi-positive blood donors in southeastern Texas, a pilot study of donors who had screened positive from 2007 to 2012 was performed. This one-time assessment included (1) a questionnaire to evaluate the source of infection, cardiac symptoms, and health co-morbidities; (2) electrocardiography; (3) echocardiography if electrocardiographic findings were abnormal; and (4) measurement of a high-sensitivity troponin T biomarker. Of those with confirmed infection, 41% (7 of 17) had electrocardiographic abnormalities consistent with Chagas cardiomyopathy. In addition, 36% (6 of 17) were suspected to be locally acquired cases. High-sensitivity troponin T serum levels increased with cardiac severity. In conclusion, cardiologists should consider Chagas disease in their differential diagnoses for patients who may have clinically compatible electrocardiographic changes or nonischemic cardiomyopathy, even if the patients have no histories of residing in Chagas-endemic countries.Copyright © 2015 Elsevier Inc. All rights reserved.GarciaMelissa NMNSection of Tropical Medicine, Department of Pediatrics, National School of Tropical Medicine, Baylor College of Medicine, Houston, Texas.MurrayKristy OKOSection of Tropical Medicine, Department of Pediatrics, National School of Tropical Medicine, Baylor College of Medicine, Houston, Texas.HotezPeter JPJSection of Tropical Medicine, Department of Pediatrics, National School of Tropical Medicine, Baylor College of Medicine, Houston, Texas.RossmannSusan NSNGulf Coast Regional Blood Center, Houston, Texas.GorchakovRodionRSection of Tropical Medicine, Department of Pediatrics, National School of Tropical Medicine, Baylor College of Medicine, Houston, Texas.OntiverosAlejandraASection of Tropical Medicine, Department of Pediatrics, National School of Tropical Medicine, Baylor College of Medicine, Houston, Texas.Woc-ColburnLailaLSection of Tropical Medicine, Department of Pediatrics, National School of Tropical Medicine, Baylor College of Medicine, Houston, Texas.BottazziMaria ElenaMESection of Tropical Medicine, Department of Pediatrics, National School of Tropical Medicine, Baylor College of Medicine, Houston, Texas.RhodesCharles ECESection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, Texas.BallantyneChristie MCMSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, Texas.AguilarDavidDSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, Texas. Electronic address: daguilar@bcm.edu.engJournal ArticleMulticenter Study20141014
United StatesAm J Cardiol02072770002-9149IMAdultAgedBlood DonorsChagas DiseasediagnosisepidemiologytransmissionEchocardiographyElectrocardiographyFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPilot ProjectsRetrospective StudiesRisk AssessmentmethodsRisk FactorsSurvival RatetrendsTexasepidemiologyYoung Adult
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