{"id":5518,"date":"2011-12-05T15:54:10","date_gmt":"2011-12-05T15:54:10","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carchagas\/"},"modified":"2025-05-13T20:28:28","modified_gmt":"2025-05-13T20:28:28","slug":"carchagas","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/carchagas\/","title":{"rendered":"Clasificaci\u00f3n para Miocardiopat\u00eda Chag\u00e1sica"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La enfermedad de Chagas es causada por un par\u00e1sito protozoario, el Trypanosoma cruzi, que se transmite a humanos a trav\u00e9s de las heces de los insectos chupadores de sangre infectados en \u00e1reas end\u00e9micas de Am\u00e9rica Latina, u ocasionalmente por mecanismos de no vectoriales, tales como transfusiones de sangre.\u00a0El compromiso card\u00edaco, que suele aparecer d\u00e9cadas despu\u00e9s de la infecci\u00f3n inicial, puede resultar en arritmias card\u00edacas, aneurisma ventricular, insuficiencia card\u00edaca congestiva, tromboembolismo, y muerte s\u00fabita card\u00edaca.<br \/>\n<!--more--><br \/>\n<strong>Miocardiopat\u00eda chag\u00e1sica: clasificaci\u00f3n de acuerdo con el American College of Cardiology\/American Heart Association<\/strong><br \/>\nA: ECG normal,\u00a0tama\u00f1o\u00a0card\u00edaco normal, fracci\u00f3n de eyecci\u00f3n del ventr\u00edculo izquierdo (FEVI)\u00a0normal, New York Heart Association (NYHA) clase I<br \/>\nB: Hallazgos anormales en el ECG,\u00a0tama\u00f1o\u00a0card\u00edaco normal,\u00a0FEVI normal, NYHA clase I<br \/>\nC:\u00a0Hallazgos anormales en el ECG,\u00a0aumento de tama\u00f1o del coraz\u00f3n, disminuci\u00f3n de la FEVI, NYHA\u00a0clase\u00a0II-III<br \/>\nD:\u00a0Hallazgos anormales en el ECG,\u00a0aumento de tama\u00f1o del coraz\u00f3n, disminuci\u00f3n de la FEVI, NYHA\u00a0clase\u00a0IV<\/p>\n<p><strong>Miocardiopat\u00eda chag\u00e1sica: clasificaci\u00f3n de consenso de Brasil<\/strong><br \/>\nA:\u00a0Hallazgos anormales en el ECG,\u00a0ecocardiograma con resultados normales, sin signos de ICC<br \/>\nB1: Hallazgos anormales en el ECG, hallazgos anormales del ecocardiograma con FEVI &gt;45%, sin signos de ICC<br \/>\nB2: Hallazgos anormales en el ECG, hallazgos anormales del ecocardiograma con FEVI &lt;45%, sin signos de ICC<br \/>\nC: Hallazgos anormales en el ECG, hallazgos anormales del ecocardiograma, ICC compensada<br \/>\nD: Hallazgos anormales en el ECG, hallazgos anormales del ecocardiograma, ICC refractaria<br \/>\n<strong><br \/>\n<\/strong><strong>Miocardiopat\u00eda chag\u00e1sica: clasificaci\u00f3n Los Andes modificada<\/strong><br \/>\nIA:\u00a0ECG normal, ecocardiograma con resultados normales, sin signos de ICC<br \/>\nIB:\u00a0ECG normal,\u00a0ecocardiograma con hallazgos anormales, sin signos de ICC<br \/>\nII: Hallazgos anormales en el ECG, ecocardiograma con hallazgos anormales, sin signos de ICC<br \/>\nIII: Hallazgos anormales en el ECG, ecocardiograma con hallazgos anormales, ICC<\/p>\n<p><strong>Miocardiopat\u00eda chag\u00e1sica:\u00a0<\/strong><strong>clasificaci\u00f3n\u00a0Kuschnir\u00a0modificada<\/strong><br \/>\n0:\u00a0ECG\u00a0Normal y el tama\u00f1o\u00a0del coraz\u00f3n\u00a0normal (por lo general basado en la radiograf\u00eda de t\u00f3rax)<br \/>\nI: Hallazgos anormales en el ECG y el tama\u00f1o\u00a0del coraz\u00f3n\u00a0normal (por lo general basado en la radiograf\u00eda de t\u00f3rax)<br \/>\nII: Agrandamiento del ventr\u00edculo izquierdo<br \/>\nIII: Insuficiencia card\u00edaca congestiva<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Acquatella H. Echocardiography in Chagas heart disease. Circulation. 2007 Mar 6;115(9):1124-31. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17339570\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Andrade JP, Marin Neto JA, Paola AA, Vilas-Boas F, Oliveira GM, Bacal F, Bocchi EA, Almeida DR, Fragata Filho AA, Moreira Mda C, Xavier SS, Oliveira Junior WA, Dias JC. I Latin American Guidelines for the diagnosis and treatment of chagas&#8217; heart disease: executive summary. Arq Bras Cardiol. 2011 Jun;96(6):434-42. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21789345\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Carrasco HA, Barboza JS, Inglessis G, Fuenmayor A, Molina C. Left ventricular cineangiography in Chagas&#8217; disease: detection of early myocardial damage. Am Heart J. 1982 Sep;104(3):595-602 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7113900\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Kuschnir E, Sgammini H, Castro R, Evequoz C, Ledesma R, Brunetto J. Evaluation of cardiac function by radioisotopic angiography, in patients with chronic Chagas cardiopathy. Arq Bras Cardiol. 1985 Oct;45(4):249-56. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3835868\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Dic 05, 2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La enfermedad de Chagas es causada por un par\u00e1sito protozoario, el Trypanosoma cruzi, que se transmite a humanos a trav\u00e9s de las heces de los insectos chupadores de sangre infectados en \u00e1reas end\u00e9micas de Am\u00e9rica Latina, u ocasionalmente por mecanismos de no vectoriales, tales como transfusiones de sangre.\u00a0El compromiso card\u00edaco, que suele aparecer d\u00e9cadas despu\u00e9s [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[1139,125,1138,1137,167,16,15,14,13],"class_list":["post-5518","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-cardiomiopatia","tag-cardiomyopathy","tag-cardiopatia","tag-chagas","tag-classification","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5518","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=5518"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5518\/revisions"}],"predecessor-version":[{"id":8782,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5518\/revisions\/8782"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=5518"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=5518"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=5518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}