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Current Cardiology Reports

, 20:131 | Cite as

Diagnosis and Management of Chagas Cardiomyopathy in the United States

  • Lillian Benck
  • Evan Kransdorf
  • Jignesh Patel
Heart Failure (HJ Eisen, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Heart Failure

Abstract

Purpose of Review

Chagas cardiomyopathy is an emerging form of non-ischemic cardiomyopathy in the USA. This review aims to summarize current concepts in pathophysiology, disease transmission, medical therapy, and heart transplantation for patients with chronic Chagas cardiomyopathy.

Recent Findings

The incidence of Chagas cardiomyopathy is increasing in the USA, driven mainly by immigration from countries where Chagas disease is endemic. Chagas cardiomyopathy is a chronic, progressive myocarditis, with hallmark features of biventricular dysfunction, ventricular arrhythmias, thromboembolic complications, and a high risk of mortality. Currently, there is no effective treatment for chronic Chagas cardiomyopathy. Heart transplantation is the only treatment for patients with end-stage Chagas cardiomyopathy, but is associated with unique challenges including risk of reactivation.

Summary

As the prevalence of Chagas cardiomyopathy increases in the USA, practitioners must be aware of the unique challenges in diagnosis and management that Chagas cardiomyopathy presents.

Keywords

Chagas cardiomyopathy Trypanosoma cruzi Myocarditis Trypanocidal therapy Heart transplantation Reactivation 

Notes

Compliance with Ethical Standards

Conflict of Interest

Lillian Benck, Evan Kransdorf, and Jignesh Patel declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Smidt Heart InstituteCedars-Sinai Medical CenterBeverly HillsUSA

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