Evidence map›Paper›PMID 33922366›Full record

ReviewPathogens (Basel, Switzerland)2021

Chagas Cardiomyopathy: From Romaña Sign to Heart Failure and Sudden Cardiac Death.

Antonia Pino-Marín, Germán José Medina-Rincón, Sebastian Gallo-Bernal, Alejandro Duran-Crane, Álvaro Ignacio Arango Duque, María Juliana Rodríguez, Ramón Medina-Mur, Frida T Manrique, Julian F Forero, Hector M Medina

Open access · goldAbstract readReview
In one paragraph

Review in Pathogens (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. ACS omega · 2026
    Article
  4. Article
  5. Article
  6. Coinfection by multipleMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Statins change the cytokine profile inFrontiers in immunology · 2022
    Article
  18. Article
  19. Review
  20. Chagas Disease in HIV-Infected Patients: It's Time to Consider the Diagnosis.The American journal of tropical medicine and hygiene · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Antonia Pino-MarínSchool of Medicine and Health Sciences, Universidad del Rosario, Bogotá 110131, Colombia.ORCID 0000-0002-6065-0078
Germán José Medina-RincónSchool of Medicine and Health Sciences, Universidad del Rosario, Bogotá 110131, Colombia.ORCID 0000-0003-2874-3669
Sebastian Gallo-BernalSchool of Medicine and Health Sciences, Universidad del Rosario, Bogotá 110131, Colombia.
Alejandro Duran-CraneInternal Medicine Residency Program, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.ORCID 0000-0001-8442-529X
Álvaro Ignacio Arango DuqueDepartment of Infectious Diseases, Fundación Cardio-Infantil-Instituto de Cardiología, Bogotá 110131, Colombia.
María Juliana RodríguezSchool of Medicine and Health Sciences, Universidad del Rosario, Bogotá 110131, Colombia.
Ramón Medina-MurDivision of Cardiology, Fundación Cardio-Infantil-Instituto de Cardiología, Bogotá 110131, Colombia.
Frida T ManriqueDivision of Cardiology, Fundación Cardio-Infantil-Instituto de Cardiología, Bogotá 110131, Colombia.ORCID 0000-0001-5070-838X
Julian F ForeroSchool of Medicine and Health Sciences, Universidad del Rosario, Bogotá 110131, Colombia.ORCID 0000-0003-0393-8742
Hector M MedinaSchool of Medicine and Health Sciences, Universidad del Rosario, Bogotá 110131, Colombia.
Institute of Cardiology · COUniversidad del Rosario · COCleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite nearly a century of research and accounting for the highest disease burden of any parasitic disease in the Western Hemisphere, Chagas disease (CD) is still a challenging diagnosis, primarily due to its poor recognition outside of Latin America. Although initially considered endemic to Central and South America, globalization, urbanization, and increased migration have spread the disease worldwide in the last few years, making it a significant public health threat. The international medical community's apparent lack of interest in this disease that was previously thought to be geographically restricted has delayed research on the complex host-parasite relationship that determines myocardial involvement and its differential behavior from other forms of cardiomyopathy, particularly regarding treatment strategies. Multiple cellular and molecular mechanisms that contribute to degenerative, inflammatory, and fibrotic myocardial responses have been identified and warrant further research to expand the therapeutic arsenal and impact the high burden attributed to CD. Altogether, cardiac dysautonomia, microvascular disturbances, parasite-mediated myocardial damage, and chronic immune-mediated injury are responsible for the disease's clinical manifestations, ranging from asymptomatic disease to severe cardiac and gastrointestinal involvement. It is crucial for healthcare workers to better understand CD transmission and disease dynamics, including its behavior on both its acute and chronic phases, to make adequate and evidence-based decisions regarding the disease. This review aims to summarize the most recent information on the epidemiology, pathogenesis, clinical presentation, diagnosis, screening, and treatment of CD, emphasizing on Chagasic cardiomyopathy's (Ch-CMP) clinical presentation and pathobiological mechanisms leading to sudden cardiac death.

Indexed as

Chagas diseaseCh-CMP/Chagas cardiomyopathyheart failuresudden cardiac deathtrypanosoma

Identifiers

PMID33922366
PMCPMC8145478
OpenAlexW3156788106

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.