Interação clínica entre moléstia de Chagas e hipertensão arterial primária em um serviço de referência ambulatorial

Guariento, Maria Elena; Orosz, Jose Eduardo B.; Gontijo, José Antônio Rocha

doi:10.1590/s0066-782x1998000600009

Cited by 17 publications

(15 citation statements)

References 5 publications

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“…Almeida et al 1 reported a high incidence of SAH among elderly chagasic patients (39.3%). Guariento et al 19 investigated chronic illnesses that coexisted with Chagas' disease in a reference service. Their results showed that 51.6% of their patients had SAH, 22.3% had other heart diseases arising from causes other than Trypanosoma cruzi infection, 19.4% had dyspepsia, 17.3% had some kind of anxiety disorder, 11.5% had chronic lung disease and 11.1% were obese 16 .…”

Section: Discussionmentioning

confidence: 99%

“…Guariento et al 19 investigated chronic illnesses that coexisted with Chagas' disease in a reference service. Their results showed that 51.6% of their patients had SAH, 22.3% had other heart diseases arising from causes other than Trypanosoma cruzi infection, 19.4% had dyspepsia, 17.3% had some kind of anxiety disorder, 11.5% had chronic lung disease and 11.1% were obese 16 . While analyzing 95 chronic chagasic patients between 22 and 89 years of age at Maringá University Hospital, PR, Bozelli et al 8 observed that SAH, DM and chronic obstructive lung disease, among others, coexisted with Chagas' disease in 25.3%, 10.5% and 4.2% of their patients, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Chagas' disease and ageing: the coexistence of other chronic diseases with Chagas' disease in elderly patients

Alves

Thomaz

Almeida

et al. 2009

Rev. Soc. Bras. Med. Trop.

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This study aimed to identify the main comorbidities in elderly chagasic patients treated in a reference service and identify possible associations between the clinical form of Chagas' disease and chronic diseases. Ninety patients aged 60 years-old or over were interviewed and their clinical diagnoses recorded. The study population profile was: women (55.6%); median age (67 years); married (51.1%); retired (73.3%); up to four years' education (64.4%); and earning less than two minimum wages (67.8%). The predominant forms of Chagas' disease were the cardiac (46.7%) and mixed forms (30%). There was a greater proportion of mild cardiac dysfunction (84.1%), frequently in association with megaesophagus. The mean number of concurrent diseases was 2.856 +/- 1.845, and 33% of the patients had four or more comorbidities. The most frequent were systemic arterial hypertension (56.7%), osteoporosis (23.3%), osteoarthritis (21.2%) and dyslipidemia (20%). Positive correlations were verified between sex and comorbidities and between age group and comorbidities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Chagas' disease and ageing: the coexistence of other chronic diseases with Chagas' disease in elderly patients

Alves

Thomaz

Almeida

et al. 2009

Rev. Soc. Bras. Med. Trop.

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“…Arritmias e insuficiência cardíacas, aneurismas apicais e trombos murais, dentre outros, predispõem à embolia como causa do acidente vascular cerebral isquêmico (47,48). Do mesmo modo, os dados na literatura são controversos sobre as características da associação entre a doença hipertensiva e a doença de Chagas (49,50). A verificação de que essa associação determina um frequente comprometimento cardíaco de maior gravidade, principalmente nas idades mais elevadas (49), contrapõe-se ao achado de as características da hipertensão em pacientes chagásicos serem similares às observadas na população geral (50).…”

Section: Discussionunclassified

Tendência da mortalidade relacionada à doença de Chagas, Estado de São Paulo, Brasil, 1985 a 2006: estudo usando causas múltiplas de morte

Santo¹

2009

Rev Panam Salud Publica

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“…The association between arterial hypertension and Chagas' disease in the development of severe cardiac involvement is still a matter of debate in the literature 24,25 . In this study, the increase of hypertensive diseases associated with diabetes mellitus can be attributed to increasing mortality at more advanced ages 3 .…”

Section: Martins-melo Fr Et Al -Causes Of Death Related To Chagas Dismentioning

confidence: 99%

Multiple causes of death related to Chagas' disease in Brazil, 1999 to 2007

Martins-Melo

Ramos

Alencar

et al. 2012

Rev. Soc. Bras. Med. Trop.

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Introduction:Chagas' disease is a major public health problem in Brazil and needs extensive and reliable information to support consistent prevention and control actions. This study describes the most common causes of death associated with deaths related to Chagas' disease (underlying or associated cause of death). Methods: Mortality data were obtained from the Mortality Information System of the Ministry of Health (approximately 9 million deaths). We analyzed all deaths that occurred in Brazil between 1999 and 2007, where Chagas' disease was mentioned on the death certificate as underlying or associated cause (multiple causes of death). Results: There was a total of 53,930 deaths related to Chagas' disease, 44,543 (82.6%) as underlying cause and 9,387 (17.4%) as associated cause. The main diseases and conditions associated with death by Chagas' disease as underlying cause included direct complications of cardiac involvement, such as conduction disorders/arrhythmias (41.4%) and heart failure (37.7%). Cerebrovascular disease (13.2%), ischemic heart disease (13.2%) and hypertensive diseases (9.3%) were the main underlying causes of deaths in which Chagas' disease was identified as an associated cause. Conclusions: Cardiovascular diseases were often associated with deaths related to Chagas' disease. Information from multiple causes of death recorded on death certificates allows reconstruction of the natural history of Chagas' disease and suggests preventive and therapeutic potential measures more adequate and specifics.Keywords: Chagas' disease. Mortality. Underlying cause of death. Multiple causes of death. Epidemiology. Brazil.The World Health Organization (WHO) recommends mortality statistics to be presented by the underlying cause of death. This is defined as the disease or injury, which initiated the cascade of events leading directly to death, or the circumstances of accident or violence that produced fatal injury 1 . However, especially for infectious and parasitic diseases, there is a need for more comprehensive information on fatal events. Additionally, there is a clear relevance to consider all causes of death recorded on death certificates. These include in addition to the underlying causes of death the associated causes that increase the risk of complications, and other contributing causes not directly related to the process that led to death. These three groups together are called multiple causes of death 2,3 .In Brazil, with significant reduction of vector and blood-borne transmission, the number of cases of acute form of Chagas' disease has been drastically reduced in most endemic areas 4 . In addition, both increased knowledge about the natural history of disease and better effectiveness of clinical and surgical interventions, led to the reduction of specific mortality and increased survival of infected individuals 5 . Recent estimates amount to 2 to 3 million individuals infected with the causing agent Trypanosoma cruzi in Brazil [6][7][8] . A large proportion of these cases occurred in o...

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Interação clínica entre moléstia de Chagas e hipertensão arterial primária em um serviço de referência ambulatorial

Abstract: Most of the hypertensive chagasic patients were 45 or more years old and showed some degree of heart failure compared to the normotensive group.

Cited by 17 publications

References 5 publications

Chagas' disease and ageing: the coexistence of other chronic diseases with Chagas' disease in elderly patients

Chagas' disease and ageing: the coexistence of other chronic diseases with Chagas' disease in elderly patients

Tendência da mortalidade relacionada à doença de Chagas, Estado de São Paulo, Brasil, 1985 a 2006: estudo usando causas múltiplas de morte

Multiple causes of death related to Chagas' disease in Brazil, 1999 to 2007

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