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Tuberculosis and the Heart

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dc.contributor.authorLopez-Lopez, José
dc.contributor.authorPosada-Martínez, Edith L.
dc.contributor.authorPonte-Negretti, Carlos I.
dc.contributor.authorSaldarriaga, Clara
dc.contributor.authorWyss, Fernando
dc.contributor.authorAlexander, Bryce
dc.contributor.authorMiranda-Arboleda, Andrés Felipe
dc.contributor.authorMartínez-Sellés, Manuel
dc.contributor.authorBaranchuk, Adrian
dc.contributor.authorThe Neglected Tropical Diseases
dc.contributor.authorInfectious Diseases Affecting the Heart (the NET-Heart Project)*
dc.contributor.researchgroupMasiraspa
dc.date.accessioned2022-03-07T16:08:58Z
dc.date.available2022-03-07T16:08:58Z
dc.date.issued2021-03-18
dc.descriptionDigitalspa
dc.description.abstractAcquired tuberculosis continues to be a challenge worldwide. Although tuberculosis has been considered a global public health emergency, it remains poorly controlled in many countries. Despite being primarily a pulmonary disease, tu-berculosis could involve the heart. This systematic review is part of the "Neglected Tropical Diseases and Other Infectious Diseases Involving the Heart" (the NET-Heart Project) initiative from the Interamerican Society of Cardiology. This project aims to review the cardiovascular involvement of these heterogeneous diseases, advancing original algorithms to help healthcare providers diagnose and manage cardiovascular complications. In tuberculosis, pericardium involvement is relatively common, especially in AIDS, and tuberculosis is the most common cause of constrictive pericarditis in endemic countries. Myocarditis and aortitis by tuberculosis are rare. Clinical manifestations of cardiovascular involvement by tuberculosis differ from those typically found for bacteria or viruses. Prevailing systemic symptoms and the pericarditis diagnostic index should be taken into account. An echocardiogram is the first step for diagnosing cardiovascular involvement; however, several image modalities can be used, depending on the suspected site of infection. Adenosine deaminase levels, gamma interferon, or polymerase chain reaction testing could be used to confirm tuberculosis infection; each has a high diagnostic performance. Antituberculosis chemotherapy and corticosteroids are treatment mainstays that significantly reduce mortality, constriction, and hospitaliza-tions, especially in patients with HIV. In conclusion, tuberculosis cardiac involvement is frequent and could lead to heart failure, constrictive pericarditis, or death. Early detection of complications should be a cornerstone of overall management.spa
dc.description.researchareaCiencias Médicas y de la Saludspa
dc.format.extent13 pspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.arkhttps://doi.org/10.1161/JAHA.120.019435
dc.identifier.urihttps://repositorio.udes.edu.co/handle/001/6261
dc.language.isoengspa
dc.publisher.placeReino Unidospa
dc.relation.citationendpage13spa
dc.relation.citationissue7spa
dc.relation.citationstartpage1spa
dc.relation.citationvolume10spa
dc.relation.indexedScopusspa
dc.relation.ispartofjournalJournal of the American Heart Associationspa
dc.rights© 2021 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/spa
dc.sourcehttps://www.ahajournals.org/doi/10.1161/JAHA.120.019435spa
dc.subject.proposalHearteng
dc.subject.proposalMyocarditiseng
dc.subject.proposalPericarditiseng
dc.subject.proposalTuberculosiseng
dc.subject.proposalVesselseng
dc.titleTuberculosis and the Heartspa
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1spa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dcterms.audienceTodas las Audienciasspa
dspace.entity.typePublication
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
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