The use of Levosimendan for myocardiopathy due to acute Chagas' disease.
Acute Chagas' disease corresponds to the initial period of a Trypanosoma cruzi infection. Levosimendan is a positive inotropic drug with vasodilatory properties that is indicated for acute heart failure. We describe two cases of myocarditis due to acute Chagas' disease, resulting from oral intake of sugar cane juice infected with T. cruzi and resulting complications. Both developed acute decompensated heart failure refractory to Dobutamine. We describe for the first time in the medical literature the use of Levosimendan for myocarditis due to acute Chagas' disease, with excellent clinical and hemodynamic results.
de March Ronsoni
Rafael
R
Feijó
Rubens Vaz
RV
Melo
Luiz Henrique
LH
Schwingel
Fabiano Luis
FL
Filho
Wilson Jacob
WJ
de Albernaz Muniz
Renata Zomer
RZ
Weber
Sarah
S
Moro
Adriana
A
D000208:Acute Disease; D002316:Cardiotonic Agents / Q000627:therapeutic use*; D002598:Chagas Cardiomyopathy / Q000188:drug therapy*; D006801:Humans; D006835:Hydrazones / Q000627:therapeutic use*; D009205:Myocarditis / Q000188:drug therapy* / Q000469:parasitology; D011724:Pyridazines / Q000627:therapeutic use*; D000077464:Simendan
D002316:Cardiotonic Agents; D006835:Hydrazones; D011724:Pyridazines; D000077464:Simendan