Cardiac parasympathetic innervation in Chagas' heart disease.

Abstract:

:Trypanosoma cruzi is thought to selectively destroy the postganglionic cardiac vagal neurons of chagasic cardiac patients. This theory is based on morphologic and functional evidences obtained from chagasic individuals who were in very advanced stages of the disease. We have studied chagasic patients who were in both the early and late stages of the disease. Our findings and the review of the available literature suggest that myocardial damage and mild left ventricular dilatation precede the cardiac parasympathetic abnormalities. Furthermore, we have found a strong correlation between the degree of left ventricular dilatation and the extent of cardiac parasympathetic impairment. Consequently, we propose that the cardiac parasympathetic abnormalities arise as a compensating mechanism for the progressive left ventricular dilatation.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Davila DF,Donis JH,Torres A,Gottberg CF,Rossell O

doi

10.1016/0306-9877(91)90027-v

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

80-4

issue

2

eissn

0306-9877

issn

1532-2777

pii

0306-9877(91)90027-V

journal_volume

35

pub_type

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