Por favor, use este identificador para citar o enlazar este ítem:
https://observatorio.fm.usp.br/handle/OPI/33636
Título: | Incidence and variables associated with arrhythmias during dobutamine-atropine stress echocardiography among patients with Chagas disease |
Autor: | RASSI, Daniela Carmo; HOTTA, Viviane Tiemi; FURTADO, Rogerio Gomes; VIEIRA, Marcelo Luiz Campos; TURCO, Fabio Paula; MELATO, Luciano Henrique; NUNES, Colandy Godoy; JR, Luiz Rassi; RASSI, Salvador |
Citación: | ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, v.36, n.7, p.1338-1345, 2019 |
Resumen: | Background Dobutamine stress echocardiography (DSE) is an important tool in the diagnosis of coronary artery disease. However, there is hesitation in clinical practice for using it in patients with Chagas disease (CD) due to the arrhythmogenic potential of this heart condition. This study aimed to evaluate the incidence and variables associated with arrhythmias during DSE in a population of patients with CD. Methods A population of 205 consecutive patients with CD and suspected coronary heart disease was assessed through a retrospective database analysis. CD was confirmed in all patients by serological testing. Results The mean age of the patients selected was 64 years, and 65.4% of the patients were female. Significant arrhythmias occurred as follows: nonsustained ventricular tachycardia in 7.3% of patients; supraventricular tachycardia and sustained ventricular tachycardia in 1%; and atrial fibrillation in 0.5%. Nonsignificant arrhythmias occurred as follows: premature ventricular contractions in 48% of patients and bigeminy in 4.4%. Values for the wall-motion score index at rest greater than 1.12 and 1.18 were independently correlated with the occurrence of nonsignificant arrhythmias (odds ratio [OR] = 2.90, P < 0.001) and significant arrhythmias (OR = 4.23, P = 0.044), respectively. Conclusion DSE should be considered a safe examination in patients with CD despite the known increased risk of arrhythmias in this group of patients. The occurrence of arrhythmias was low in this study. Abnormal wall-motion score index values at rest were associated with the occurrence of significant and nonsignificant arrhythmias during the test. |
Aparece en las colecciones: | Artigos e Materiais de Revistas Científicas - HC/InCor Artigos e Materiais de Revistas Científicas - ODS/03 |
Ficheros en este ítem:
Fichero | Descripción | Tamaño | Formato | |
---|---|---|---|---|
art_RASSI_Incidence_and_variables_associated_with_arrhythmias_during_dobutamineatropine_2019.PDF Restricted Access | publishedVersion (English) | 811.06 kB | Adobe PDF | Visualizar/Abrir Request a copy |
Los ítems de DSpace están protegidos por copyright, con todos los derechos reservados, a menos que se indique lo contrario.