Abstract

BERTANHA, Laura; GUARIENTO, Maria Elena; MAGNA, Luís Alberto  and  ALMEIDA, Eros Antonio de. Clinical and laboratory characterization of hypertensive Chagas' disease patients without evident heart failure. Rev. Soc. Bras. Med. Trop. [online]. 2008, vol.41, n.2, pp. 163-168. ISSN 0037-8682.  http://dx.doi.org/10.1590/S0037-86822008000200006.

This study evaluated the characteristics of 125 Chagas disease patients aged > 25 years or over who were attended at the Clinical Hospital of the State University of Campinas, State of São Paulo. Arterial pressure, age, gender, skin color, heart disease, body mass index, lipid profile, blood glucose level, alcohol and tobacco dependence, dyslipidemia, diabetes, anxiety disorders and obesity were investigated. It was found that the hypertensive Chagas disease patients were older than the non-hypertensive ones (p = 0.028). Among the hypertensive patients, there were more women (p = 0.015); higher blood glucose, LDL cholesterol and total cholesterol levels (p = 0.005, p = 0.024 and p = 0.017); more diabetics (p = 0.006); and more cardiac damage (p = 0.04) and left ventricular hypertrophy (p = 0.003). Only the age of patients with cardiac damage was shown to be higher (p = 0.003). The hypertensive Chagas disease patients presented clinical and laboratory characteristics that were similar to those of the general hypertensive population. This association may compound the harmful effects on the cardiovascular system.

Keywords : Chagas disease; Systemic arterial hypertension; Risk factors; Heart disease.