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Prevalence of Chagas Disease in Immigrant Patients With Conduction Abnormalities on Electrocardiogram
This study is currently recruiting participants.
Study NCT00453700   Information provided by University of California, Los Angeles
First Received: March 28, 2007   No Changes Posted

March 28, 2007
March 28, 2007
February 2007
 
Prevalence of positive trypanosoma cruzi serologies
Same as current
No Changes Posted
 
 
 
Prevalence of Chagas Disease in Immigrant Patients With Conduction Abnormalities on Electrocardiogram
Prevalence of Chagas Disease in Immigrant Patients With Conduction Abnormalities on Electrocardiogram

Chagas disease is endemic to the Americas, infecting between 16-18 million individuals. In immigrant populations in the United States from endemic areas, it is estimated up to 4.9% may be asymptomatic carriers of Trypanosoma cruzi, the organism which causes Chagas disease. Between 10-20% of these patients progress to development of end-stage cardiomyopathy with a high associated morbidity. Following acute disease, patients enter into an indeterminate phase which can last 10-20 years. The earliest sign of cardiac involvement usually is electrocardiogram abnormalities. The most common abnormality is right bundle branch block (RBBB), followed by left anterior fascicular block (LAFB), and left bundle branch block (LBBB). Recent studies have shown that treatment of patients at this stage with antiparasitics may delay the progression of overt cardiomyopathy.

At the University of California, Los Angeles, there is a large population of immigrant patients from countries endemic to Chagas disease. The researchers propose that screening patients with conduction abnormalities on electrocardiogram may be a potentially useful method to identify patients with early cardiac manifestations of Chagas disease. The researchers hope to enroll approximately 300 individuals with RBBB, LAFB or LBBB on electrocardiogram to determine the incidence of Chagas disease in this patient population.

 
 
Interventional
Screening, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment
Chagas Disease
Procedure: Trypanosoma cruzi serology
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
300
 
 

Inclusion Criteria:

  • One of the following EKG abnormalities:

    • Complete or incomplete right bundle branch block (RBBB)
    • Left anterior fascicular block (LAFB)
    • Left bundle branch block (LBBB)
  • Residence at any point in past in an endemic area (any country in Central or South America or Mexico) for at least 12 months.
  • Age >18 and <60.

Exclusion Criteria:

  • Ejection fraction <40%
  • Symptomatic heart failure
  • Documented coronary artery disease
Both
18 Years to 60 Years
No
Contact: Sheba K Meymandi, M.D. 818-364-4289 smeymandi@ladhs.org
Contact: Mahmoud I Traina, M.D. 818-364-4287 mitraina@gmail.com
United States
 
NCT00453700
 
06H-561004
University of California, Los Angeles
Centers for Disease Control and Prevention
Principal Investigator: Sheba K Meymandi, M.D. OV-UCLA Medical Center
University of California, Los Angeles
March 2007

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP