PMID- 24629695
OWN - NLM
STAT- MEDLINE
DCOM- 20151201
LR  - 20191210
IS  - 1578-8989 (Electronic)
IS  - 0025-7753 (Linking)
VI  - 144
IP  - 6
DP  - 2015 Mar 15
TI  - [Diagnostic performance of surface electrocardiogram in early detection of 
      chagasic cardiomyopathy].
PG  - 254-6
LID - S0025-7753(14)00122-5 [pii]
LID - 10.1016/j.medcli.2014.01.028 [doi]
AB  - BARCKGROUND AND OBJECTIVE: Contrast-enhanced cardiac magnetic resonance imaging 
      (CMR) allows early detection of myocardial involvement by Trypanosoma cruzi 
      infection. The aim of our study was to assess the diagnostic performance of the 
      surface electrocardiogram (ECG) in the early detection of Chagas' cardiomyopathy 
      (CCM) compared with CMR. METHODS: We included 43 asymptomatic patients (30 women, 
      42 +/- 9.8 years), diagnosed of Chagas disease. The sample was divided into 2 
      groups according to the presence (n=17) or absence (n=26) of electrocardiographic 
      abnormalities. All patients underwent CMR and late gadolinium enhancement (LGE) 
      was used as a marker of early myocardial involvement. RESULTS: Six (14%) patients 
      had a LGE significantly higher in the group who had electrocardiographic 
      abnormalities (29 vs. 4%, P<.05). With CMR as the method of reference, the ECG 
      had a sensitivity of 83% and a negative predictive value of 96% to detect CCM. 
      CONCLUSION: ECG is a useful, inexpensive and globally available tool for the 
      screening of CCM in asymptomatic patients but with proven myocardial involvement 
      in CMR.
CI  - Copyright (c) 2013 Elsevier Espana, S.L.U. All rights reserved.
FAU - Bochard-Villanueva, Bruno
AU  - Bochard-Villanueva B
AD  - Servicio de Cardiologia, Consorcio Hospital General Universitario de Valencia, 
      Valencia, Espana. Electronic address: bbochard@gmail.com.
FAU - Estornell-Erill, Jordi
AU  - Estornell-Erill J
AD  - Unidad de Imagen Cardiaca, ERESA, Consorcio Hospital General Universitario de 
      Valencia, Valencia, Espana.
FAU - Fabregat-Andres, Oscar
AU  - Fabregat-Andres O
AD  - Servicio de Cardiologia, Consorcio Hospital General Universitario de Valencia, 
      Valencia, Espana; Servicios Medicos Villarreal Club de Futbol SAD, Villarreal, 
      Castellon, Espana.
FAU - Garcia-Gonzalez, Pilar
AU  - Garcia-Gonzalez P
AD  - Servicio de Cardiologia, Consorcio Hospital General Universitario de Valencia, 
      Valencia, Espana.
FAU - Morell-Cabedo, Salvador
AU  - Morell-Cabedo S
AD  - Servicio de Cardiologia, Consorcio Hospital General Universitario de Valencia, 
      Valencia, Espana.
FAU - Ridocci-Soriano, Francisco
AU  - Ridocci-Soriano F
AD  - Servicio de Cardiologia, Consorcio Hospital General Universitario de Valencia, 
      Valencia, Espana; Departamento de Medicina, Facultad de Medicina, Universitat de 
      Valencia, Valencia, Espana.
LA  - spa
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
TT  - Rendimiento diagnostico del electrocardiograma de superficie en la deteccion 
      precoz de miocardiopatia chagasica.
DEP - 20140313
PL  - Spain
TA  - Med Clin (Barc)
JT  - Medicina clinica
JID - 0376377
SB  - IM
MH  - Adult
MH  - Asymptomatic Infections
MH  - Chagas Cardiomyopathy/*diagnosis
MH  - Early Diagnosis
MH  - *Electrocardiography
MH  - Female
MH  - Humans
MH  - *Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Sensitivity and Specificity
OTO - NOTNLM
OT  - Chagas cardiomyopathy
OT  - Chagas disease
OT  - Diagnostico precoz
OT  - Early diagnosis
OT  - Electrocardiografia
OT  - Electrocardiography
OT  - Enfermedad de Chagas
OT  - Magnetic resonance imaging
OT  - Miocardiopatia chagasica
OT  - Resonancia magnetica
EDAT- 2014/03/19 06:00
MHDA- 2015/12/15 06:00
CRDT- 2014/03/18 06:00
PHST- 2013/11/15 00:00 [received]
PHST- 2014/01/21 00:00 [revised]
PHST- 2014/01/23 00:00 [accepted]
PHST- 2014/03/18 06:00 [entrez]
PHST- 2014/03/19 06:00 [pubmed]
PHST- 2015/12/15 06:00 [medline]
AID - S0025-7753(14)00122-5 [pii]
AID - 10.1016/j.medcli.2014.01.028 [doi]
PST - ppublish
SO  - Med Clin (Barc). 2015 Mar 15;144(6):254-6. doi: 10.1016/j.medcli.2014.01.028. 
      Epub 2014 Mar 13.