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Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Left Ventricular Function and Myocardial Longitudinal Strain Analysis in Patients with Chagas Disease: Case Series and Systematic Literature Review

Version 1 : Received: 22 June 2024 / Approved: 25 June 2024 / Online: 25 June 2024 (09:33:18 CEST)

How to cite: da Nóbrega Borges, J. V.; Abdel Correia Leila, S.; Sooraj Thirukonda Jegadeesh Babu, K.; Jashvantbhai Patel, K.; Hiteshkumar Shah, K.; Ahmed Shaikh, M.; Majid Shaik, A.; Reddy Takkasila, M.; Burra, S. Left Ventricular Function and Myocardial Longitudinal Strain Analysis in Patients with Chagas Disease: Case Series and Systematic Literature Review. Preprints 2024, 2024061729. https://doi.org/10.20944/preprints202406.1729.v1 da Nóbrega Borges, J. V.; Abdel Correia Leila, S.; Sooraj Thirukonda Jegadeesh Babu, K.; Jashvantbhai Patel, K.; Hiteshkumar Shah, K.; Ahmed Shaikh, M.; Majid Shaik, A.; Reddy Takkasila, M.; Burra, S. Left Ventricular Function and Myocardial Longitudinal Strain Analysis in Patients with Chagas Disease: Case Series and Systematic Literature Review. Preprints 2024, 2024061729. https://doi.org/10.20944/preprints202406.1729.v1

Abstract

Introduction: Left ventricular dysfunction in an independent predictor of mortality in Chagas disease. Global longitudinal strain (GLS) is an emerging echocardiographic modality with possible incremental value in early detection of cardiac involvement. Objective: Compare left ventricular function with multiple echocardiographic parameters between patients with the indeterminate and chronic forms of Chagas and perform a literature review. Methods: In this observational study, 11 patients with a confirmed diagnosis of Chagas disease were evaluated. Individuals were distributed as follows: 5 with the indeterminate and 6 with the chronic forms. Conventional echocardiographic evaluation was followed by GLS measurement. Results: The mean left ventricle ejection fraction LVEF was 33 ± 2.88 and the mean GLS of the left ventricle was - 10.76 ± 2.20 in the chronic form as compared to 57.80 ± 6.49 and - 17.34 ± 3.82, respectively in the indeterminate group. Contractility was reduced in segments of the inferior, inferoseptal and anteroseptal walls in both groups. Conclusion: Analysis of longitudinal strain in the indeterminate form has potential incremental value to the conventional analysis of ejection fraction when compared to patients with chronic Chagas cardiomyopathy, especially with individual segmental analysis but the impact and clinical significance of these techniques is still unknown.

Keywords

Chagas Disease; Echocardiography; Global Longitudinal Strain

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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