Chronic Chagas Cardiomyopathy at a Peruvian National Referral Hospital: A Case Series
- 1Universidad Peruana Cayetano Heredia, Lima, Peru. Universidad Peruana Cayetano Heredia Universidad Peruana Cayetano Heredia Lima Peru
- 2Instituto Nacional Cardiovascular, INCOR-EsSalud, Lima, Peru Instituto Nacional Cardiovascular INCOR-EsSalud Lima Peru
- 3Hospital Nacional Arzobispo Loayza, Lima, Peru Hospital Nacional Arzobispo Loayza Lima Peru
Abstract
Objectives:: To describe the cardiovascular manifestations and clinical course of patients with chronic Chagas cardiomyopathy at a Peruvian national hospital.
Materials and methods: : Descriptive retrospective case series (2021-2025). Nine patients with serologically confirmed Trypanosoma cruzi infection were assessed by electrocardiography, echocardiography, and/or 24-hour Holter monitoring; a predominant cardiovascular phenotype was assigned to each.
Results: : The mean age was 50.1 ± 6.8 years; 55.6% were male, and 66.7% came from the Peruvian Amazon. The heart failure phenotype predominated (55.6%), with ejection fractions of 15-39%, followed by ventricular arrhythmias (22.2%) and conduction disorders (22.2%). Two patients (22.2%) received permanent pacemakers, one (11.1%) received an implantable cardioverter-defibrillator, and two (22.2%) died.
Conclusions: : The three classic phenotypes coexisted, with advanced disease at diagnosis. Chagas disease should be considered cases of nonischemic dilated cardiomyopathy or conduction disorders.
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BibTeX
@article{carmen2026chronic,
title = {{Chronic Chagas Cardiomyopathy at a Peruvian National Referral Hospital: A Case Series}},
author = {Karen Alejandra Serrano Carmen and Diego Davila-Flores and Paola Gisella Oliver Rengifo},
journal = {Archivos Peruanos de Cardiología y Cirugía Cardiovascular},
year = {2026},
month = sep,
doi = {10.47487/apcyccv.v7i3.651},
url = {https://doi.org/10.47487/apcyccv.v7i3.651},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Chronic Chagas Cardiomyopathy at a Peruvian National Referral Hospital: A Case Series
AU - Karen Alejandra Serrano Carmen
AU - Diego Davila-Flores
AU - Paola Gisella Oliver Rengifo
PY - 2026
DA - 2026/09/26
JO - Archivos Peruanos de Cardiología y Cirugía Cardiovascular
DO - 10.47487/apcyccv.v7i3.651
UR - https://doi.org/10.47487/apcyccv.v7i3.651
AB - Objectives:: To describe the cardiovascular manifestations and clinical course of patients with chronic Chagas cardiomyopathy at a Peruvian national hospital. Materials and methods: : Descriptive retrospective case series (2021-2025). Nine patients with serologically confirmed Trypanosoma cruzi infection were assessed by electrocardiography, echocardiography, and/or 24-hour Holter monitoring; a predominant cardiovascular phenotype was assigned to each. Results: : The mean age was 50.1 ± 6.8 years; 55.6% were male, and 66.7% came from the Peruvian Amazon. The heart failure phenotype predominated (55.6%), with ejection fractions of 15-39%, followed by ventricular arrhythmias (22.2%) and conduction disorders (22.2%). Two patients (22.2%) received permanent pacemakers, one (11.1%) received an implantable cardioverter-defibrillator, and two (22.2%) died. Conclusions: : The three classic phenotypes coexisted, with advanced disease at diagnosis. Chagas disease should be considered cases of nonischemic dilated cardiomyopathy or conduction disorders.
SN - 2708-7212
ER -