PMID- 33183832 OWN - NLM STAT- MEDLINE DCOM- 20210721 LR - 20210721 IS - 1535-6280 (Electronic) IS - 0146-2806 (Linking) VI - 46 IP - 3 DP - 2021 Mar TI - Toxoplasmosis and the Heart. PG - 100741 LID - S0146-2806(20)30217-6 [pii] LID - 10.1016/j.cpcardiol.2020.100741 [doi] AB - Toxoplasmosis is a common disease caused by Toxoplasma gondii, a parasite with high prevalence in tropical regions. Most infections show minimal symptoms, but immunocompromised patients tend to have a poor prognosis. Cardiovascular manifestations in toxoplasmosis are rare and reported in a limited number of patients. As part of the "Neglected Tropical Diseases and Other Infectious Diseases Affecting the Heart" (NET-Heart) project, this paper aims to systematically review all available information regarding the cardiovascular implications of toxoplasmosis. Relevant studies were identified in the MEDLINE and/or PubMed database, and 48 articles were ultimately included. This was completed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Cardiac compromise in toxoplasmosis mainly involves myocarditis, and complications vary widely in severity. Toxoplasmic myocarditis is challenging to diagnose, as endomyocardial biopsy is usually required. This article provides a summary of cardiac toxoplasmosis, including an original algorithm facilitating diagnosis and treatment. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Zhou, Zier AU - Zhou Z AD - Division of Cardiology, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada. FAU - Ortiz Lopez, Hector Isaac Alejandro AU - Ortiz Lopez HIA AD - Division of Cardiology, Hospital Herrera Llerandi, Guatemala City, Guatemala. FAU - Perez, Gonzalo Emanuel AU - Perez GE AD - Division of Cardiology, Clinica Olivos, Buenos Aires, Argentina. FAU - Burgos, Lucrecia Maria AU - Burgos LM AD - Department of Heart Failure, Pulmonary Hypertension and Heart Transplant, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina. FAU - Farina, Juan Maria AU - Farina JM AD - Division of Cardiology, Clinica Olivos, Buenos Aires, Argentina. FAU - Saldarriaga, Clara AU - Saldarriaga C AD - Department of Cardiology and Heart Failure Clinic, Cardiovascular Clinic Santa Maria, University of Antioquia, Medellin, Colombia. FAU - Lopez-Santi, Ricardo AU - Lopez-Santi R AD - Division of Cardiology, Hospital Italiano de La Plata, Buenos Aires, Argentina. FAU - Cotella, Juan Ignacio AU - Cotella JI AD - Division of Cardiology, Centro Privado de Cardiologia San Miguel de Tucuman, Tucuman, Argentina. FAU - Perez, Ana Laura Sauce AU - Perez ALS AD - Division of Cardiology, Centro Medico Nacional Siglo XXI, Mexico City, Mexico. FAU - Baranchuk, Adrian AU - Baranchuk A AD - Division of Cardiology, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada. Electronic address: Adrian.Baranchuk@kingstonhsc.ca. LA - eng PT - Journal Article PT - Review DEP - 20201102 PL - Netherlands TA - Curr Probl Cardiol JT - Current problems in cardiology JID - 7701802 SB - IM MH - Humans MH - *Myocarditis/diagnosis/epidemiology/parasitology MH - Prevalence MH - *Toxoplasma MH - *Toxoplasmosis/complications/diagnosis/epidemiology EDAT- 2020/11/14 06:00 MHDA- 2021/07/22 06:00 CRDT- 2020/11/13 05:37 PHST- 2020/10/03 00:00 [received] PHST- 2020/10/04 00:00 [accepted] PHST- 2020/11/14 06:00 [pubmed] PHST- 2021/07/22 06:00 [medline] PHST- 2020/11/13 05:37 [entrez] AID - S0146-2806(20)30217-6 [pii] AID - 10.1016/j.cpcardiol.2020.100741 [doi] PST - ppublish SO - Curr Probl Cardiol. 2021 Mar;46(3):100741. doi: 10.1016/j.cpcardiol.2020.100741. Epub 2020 Nov 2.