title: [Automatic, implantible cardioverter-defibrillator in a patient with chronic Chagas cardiopathy and sustained ventricular tachycardia].
abstract: We studied a 48 years old woman, with chronic Chagasic cardiopathy, manifested with cardiomegaly, heart failure and syncope, due to a sustained ventricular tachycardia (SVT) of two different configurations (left bundle branch block and right bundle branch block). During electrophysiological testing, both types of ventricular tachycardia were reproduced. Successful ablation therapy of the right branch of His was performed due to suspicion of the bundle branch reentrant tachycardia, with a left bundle branch block. The patient continued to show SVT episodes, now with right bundle branch block pattern. Cardioverter Defibrillator was implanted. We report this case due to the rare frequency of Chagas' disease, where it could be a cause of heart disease, since the existence of the parasite (trypanosoma cruzi) and its vector (Triatoma) has been identified in some rural and suburban zones in the state of Aguascalientes, Mexico.
authors.affiliation: Departamento de Cardiología del Hospital de Especialidades Miguel Hidalgo, Aguascalientes, México.
authors.forename: H
authors.initials: H
authors.lastname: Rodríguez
authors.forename: M
authors.initials: M
authors.lastname: Muñoz
authors.forename: G
authors.initials: G
authors.lastname: Llamas
authors.forename: P
authors.initials: P
authors.lastname: Iturralde
authors.forename: A
authors.initials: A
authors.lastname: Medeiros
authors.forename: L
authors.initials: L
authors.lastname: Delgado
authors.forename: R
authors.initials: R
authors.lastname: Mar
authors.forename: F
authors.initials: F
authors.lastname: Rucinque
authors.forename: E
authors.initials: E
authors.lastname: Bayram
mesh_terms: D002598:Chagas Cardiomyopathy / Q000628:therapy*; D002908:Chronic Disease; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000628:therapy*
vernacular_title: Cardioverter desfibrilador automático implantable en una paciente con cardiopatía chagásica crónica y taquicardia ventricular sostenida.