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Diego F. Dávila *

Autor invitado por SIIC

Se propone una explicación para las alteraciones del control parasimpático de la frecuencia cardiaca de los pacientes chagásicos

ALTERACIONES DEL CONTROL PARASIMPATICO DE LA FRECUENCIA CARDIACA EN LA ENFERMEDAD DE CHAGAS CRONICA

Las alteraciones del control parasimpático de la frecuencia cardíaca en la enfermedad cardíaca chagásica crónica son consideradas primarias y específicas. Sin embargo, el control parasimpático de la frecuencia cardíaca puede ser normal o anormal, de acuerdo con la presencia y extensión del daño miocárdico. En el presente trabajo se propone una explicación común para estos contradictorios e incongruentes hallazgos.

*Diego F. Dávila
describe para SIIC los aspectos relevantes de su trabajo
VAGAL DYSFUNCTION AND THE PATHOGENESIS OF CHRONIC CHAGAS DISEASE
International Journal of Cardiology,
100(2):337-339 Abr, 2005

Esta revista, clasificada por SIIC Data Bases, integra el acervo bibliográfico
de la Biblioteca Biomédica (BB) SIIC.

Institución principal de la investigación
*Universidad de los Andes, Los Andes Mérida, Venezuela
Imprimir nota
Referencias bibliográficas
1. Ribeiro AL, Moares RS, Ribeiro JP y col. Parasympathetic dysautonomia precedes left ventricular systolic dysfunction in Chagas disease. Am Heart J 2001; 141:260-265.
2. Ribeiro ALP, Lombardi F, Sousa MR, Costa Rocha MO. Vagal dysfunction in Chagas' disease. Int J Cardiol 205, 100:337-339.
3.-Amorim DS, Manco DS, Gallo JR, Marin-Neto JA. Chagas' heart disease as an experimental model to study cardiac autonomic function in man. Mayo Clinic Proceed. 1982; 57(Supl.):46-62.
4. Koberle F. Cardiopatia parasympathicopriva. Munchn Med Wochenschr 1959;1308-1310.
5. Packer M. The neurohormonal hypothesis: a theory to explain the mechanism of disease progression. J Am Coll Cardiol 1992; 20:248-254.
6. Guzetti S, Iosa D, Pecis M, Bonura L, Prosdocini M, Malliani A. Impaired heart rate variability in patients with chronic Chagas' disease. Am Heart J 1991; 121:1727-1728.
7.- Carrasco H, Jugo D, Medina R, Castillo CM, Miranda P. Electrocardiograma de alta resolución y variabilidad de la frecuencia cardíaca con la respiración. Arch Inst Cardiol Mex 1997; 67:277-287.
8. Dávila DF, Santiago JJ, Odreman WA. Vagal dysfunction and the pathogenesis of chronic Chagas' disease. Int J Cardiol 2005:100:337-339.
9. Davila DF, Donis JH, Torres A, Gotteberg CF, Rossell O. Cardiacparasympathetic innervation in Chagas' heart disease. Medical Hypothesis 1991; 35:80-84.
10. Dávila DF, Inglessis G, Mazzei de Davila CA. Chagas' disease and the autonomic nervous system. Int J Cardiol 1998; 66:123-127.
11. Davila DF, Donis JH, Torres A, Ferrer J. A modified neurogenic hypothesis can explain the natural history of chronic Chagas' heart disease. Int J Cardiol 2004; 96:191-195.
12. Davila DF, Rossell O, Arata de Bellabarba G. Patogenesis of chronic chagas heart disease: parasite persistence and autoimmune responses versus cardiac remodeling and neurohormonal activation. Int J Parasitol 2002; 32:107-109.
13. Hedman AE, Hartikainen JE, Tahvanainen KU, Hakumaki Mo. The high frequency component of heart rate variability reflects cardiac parasympathetic modulation rather than parasympathetic tone. Acta Physiol Scand 1955;155:267-273.
14. Malik M, Camm AJ, Components of heart rate variability. What they really mean and what they really measure, Am J Cardiol 1993;72:821-822.
15. Goldberg JJ, Kim YH Ahmed MW, Kadish AH. Effects of increases in parasympathetic tone on heart rate variability. J Cardiovasc Electrophysiol 1996;7:594-602.
16. Goldberg JJ, Ahmed MW, Parker MA, Kadish AH. Dissociation of heart rate variability from parasympathetic tone. Am J Physiol 1994; 266:H2152-H2157.
17. Goldberg JJ, Kim YH, Tung R, Parker MA, Kadish AH. Relationship of heart rate variability to parasympathetic effect. Circulation 2001; 103:1977-1981.
18. - Zicker F, Seronni Zicker EM, Oliveira JJ, Almeida Netto JC, Oliveira RM, Smith PG. Exercise electrocardiogram tests in manual workers with and without antibodies to Trypanosoma cruzi: a population-based study. Transac Royal Soc Trop Med & Hyg 1990;84:787-791.
19. Decourt LV, Sosa EA, Pileggi F. Electrophysiological studies in the indeterminate form of Chagas' disease. Arq Bras Cardiol 1981, 36:227-234.
20. Ahmed MW, Kadish AH, Parker MA, Goldberg JJ. Effect of physiologic and pharmacologic adrenergic stimulation on heart rate variability. J AM Coll Cardiol 1994; 24:1082-1090.
21. Tulppo MP, Makikallio TH, Laukkanen RT, Huikuri HV. Vagal modulation of heart rate during exercise: effects of age and physical fitness. Am J Physiol 1998; 274(2 Pt 2):H424-H429.
22. Smith MA, Hudson DL, Graitzer HM, Raven PB. Exercise training bradycardia: the role of autonomic balance. Med Sci Sports Exerc. 1989; 21:40-44.
23. Sacknoff DM, Gleim GW, Stachenfeld N, Coplan NL. Effect if athletic training on heart rate variability. Am Heart J 1994; 127:1275-1280.
24. Ahmed MW, Kadish AH, Parker MA, Goldberg JJ. Effect of physiologic and pharmacologic adrenergic stimulation on heart rate variability. J Am Coll Cardiol 1994, 24:1082-1090.
25. Floras JS. Clinical aspects of sympathetic activation and parasympathetic withdrawal in heart failure. J Am Coll Cardiol 1993; 22 84 Suppl. A):72A-82A.
26. Marín Neto JA. Cardiac dysautonomia and pathogensis of Chagas' heart disease. Int J Cardiol 1998; 66:129-131.
27. Casado J, Davila DF, Donis JH, Torres A, Payares A, Colmenares R et al. Electrocardiographic abnormalities and left ventricular systolic function in Chagas' heart disease. Int J Cardiol 1990; 27:55-62.
Otros artículos de Diego F. Dávila

Dávila DF, Santiago JJ, Odreman WA. Vagal dysfunction and the pathogenesis of chronic Chagas' disease. Int J Cardiol 2005, 100:337-339.

Dávila DF, Donis JH, Torres A, Gotteberg CF, Rossell O. Cardiacparasympathetic innervation in Chagas' heart disease. Medical Hypothesis 1991, 35:80-84.

Dávila DF, Inglessis G, Mazzei de Dávila CA. Chagas' disease and the autonomic nervous system. Int J Cardiol 1998, 66: 123-127.

Dávila DF, Donis JH, Torres A, Ferrer J. A modified neurogenic hypothesis can explain the natural history of chronic chagas heart disease. Int J Cardiol 2004; 96:191-195.

Dávila DF, Rossell O, Arata de Bellabarba G. Patogénesis of chronic chagas heart disease: parasite persistence and autoimmune responses versus cardiac remodeling and neurohormonal activation. Int J Parasitol 2002; 32:107-109.

Casado J, Dávila DF, Donis JH, Torres A, Payares A, Colmenares R et al. Electrocardiographic abnormalities and left ventricular systolic function in Chagas' heart disease. Int J Cardiol 1990; 27:55-62.

Khoury AM, Dávila DF, Bellabarba G, Donis JH, Torres A, Lemorvan C, Hernández L, Bishop W. Acute effects of digitalis and enalapril on the neurohormonal profile of chagasic patients with severe congestive heart failure. International Journal of Cardiology 57:21,1996.

Dávila DF, Donis JH, Bellabarba G, Torres A, Casado J, Mazzei de Dávila C. Cardiac afferents and neurohormonal activation in congestive heart failure. Medical Hypothesis 54:242, 2000.

Dávila DF, Bellabarba G, Donis JH, Torres A, Rossell O, Figueroa O, Amaro M, Vásquez CJ. Cardiac autonomic control mechanisms in Chagas' heart disease: Therapeutic implications Medical Hypothesis 40:33-37, 1993.

Dávila DF, Bellabarba G, Hernández L, Calmon G, Torres A, Donis JH, Barboza JS, Lemorvan C, González JC. Plasma norepinephrine, myocardial damage and left ventricular systolic function. International Journal of Cardiology 52:145-151, 1995.

Dávila DF, Angel F, Bellabarba G, Donis JH. Effects of metoprolol in chagasic patients with severe congestive heart failure. International Journal of Cardiology. 85(2-3):255-258, 2002.

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Autor invitado
16 de mayo, 2005
Descripción aprobada
22 de agosto, 2005
Reedición siicsalud
6 de mayo, 2010

Acerca del trabajo completo
ALTERACIONES DEL CONTROL PARASIMPATICO DE LA FRECUENCIA CARDIACA EN LA ENFERMEDAD DE CHAGAS CRONICA

Título original en castellano
DisautonomIa vagal en la patogEnesis de la enfermedad de Chagas crOnica

Autor


Acceso a la fuente original
International Journal of Cardiology
http://www.ijc.elsevier.com

El artículo se relaciona estrictamente con las especialidades de siicsalud


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