[Frequency of Trypanosoma cruzi infection in patients with implanted pacemaker].
BACKGROUND
In Colombia the impact of infections of Trypanosoma cruzi are known to produce chronic cardiopathy and expressed by bradycardia. In Colombia the extent and impact of these infections has not been examined.


OBJECTIVE
The current study aimed to determine the prevalence of T. cruzi infection as measured by serology, in a population of patients with cardiopathy that required a permanent pacemaker as treatment for cardiac rhythm abnormalities and conduction blocking.


METHODS
A cross sectional study sampled 332 patients from the pacemaker clinic at the San Pedro Claver Hospital in Bogotá, Colombia, for one year (2004-2005). Epidemiological and clinical data were obtained through interviews and physical examination. Serological tests consisted of indirect inmunofluorescence assay and ELISA. Statistical analyses were accomplished with chi-square and Students t tests.


RESULTS
Of patients with pacemakers, 17.1% had anti-T. cruzi antibodies (seropositive). At the time when the pacemaker was implanted, chronic Chagas disease patients were younger (55+/-13 years) than those patients with cardiopathy (60+/-17 years) with no anti-T. cruzi antibodies (p<0.01). The seropositive group was aware of the Chagas disease vector (83.6%) in contrast to the seronegative group (39.6%, p<0.001). In 60% of the patients of the seropositive group, no clinical signs of the disease were apparent. The geographical origin of the seropositive group were traced to regions in Colombia known to be endemic for Chagas disease transmission.


CONCLUSIONS
Chagas disease prevalence is high in Colombian patients who required a permanent cardiac pacemaker. Chronic Chagas disease patients required pacemaker implant at a younger age in contrast with patients with other cardiac pathologies. The clinical recognition of Chagas disease associated with cardiopathy is low despite the epidemiological data.
Mora
Guillermo
G
Departamento de Medicina, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, DC, Colombia.
Echeverry
María Clara
MC
Rey
Gustavo Enrique
GE
López
Myriam Consuelo
MC
Posada
Luisa Fernanda
LF
Rivas
Fabio Aurelio
FA
D000328:Adult; D000368:Aged; D000818:Animals; D001919:Bradycardia / Q000503:physiopathology / Q000628:therapy; D002598:Chagas Cardiomyopathy / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology; D003105:Colombia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial; D012698:Serologic Tests; D014349:Trypanosoma cruzi / Q000276:immunology / Q000472:pathogenicity*