INTRODUCTION: @entity1526 , @entity1526 is caused by @entity1527 . Between 10% and 30% of infected @entity1 develop the chronic form, with predominance of the cardiac and gastrointestinal forms. @entity296 leads to @entity712 , @entity943 and @entity1031 phenomena, and may cause @entity64 . @entity1 AND METHODS: We report two @entity1 , a 57 year old @entity1 and a 52 year old @entity1 , carriers of the chronic cardiac form of @entity1526 , with @entity64 . In both @entity1 , serology was positive for @entity1526 (indirect hemagglutination and indirect immunofluorescence). The causes of @entity64 were ruled out on carotid and transcranial Doppler studies. RESULTS: The @entity1 had previously had an @entity1188 of the left middle cerebral artery. She was admitted with a @entity64 involving the vertebrobasilar territory. On Holter studies there was second degree @entity713 and the electrocardiogram showed severe dilated @entity296 . On magnetic resonance studies there was an old left temporoparietal @entity1188 and recent ischaemia of the pons and cerebral peduncle. She was anticoagulated and a pacemaker implanted. The @entity1 had a right @entity2500 . His electrocardiogram showed @entity955 and left anterosuperior block. The echocardiogram showed @entity1002 and concentric @entity123 . CONCLUSIONS: The chronic cardiac form of @entity1526 should be included in the differential diagnosis of @entity64 of cardioembolic origin both in endemic areas and in countries to which @entity1 exposed to infection during the early years of life emigrate.

[ @entity64 of cardioembolic origin in XXXX ].

@entity1 :: ('9606', 'Species') :: ['man', 'persons', 'woman', 'patients', 'PATIENTS'] @entity712 :: ('MESH:D006333', 'Disease') :: ['congestive heart failure'] @entity296 :: ('MESH:D009202', 'Disease') :: ['myocardiopathy', 'Chagas myocardiopathy'] @entity64 :: ('MESH:D020521', 'Disease') :: ['strokes', 'cardioembolic strokes', 'atherothrombotic stroke', 'stroke'] @entity1527 :: ('5693', 'Species') :: ['Trypanosoma cruzi'] @entity713 :: ('MESH:D054537', 'Disease') :: ['atrioventricular block'] @entity2500 :: ('MESH:D020244', 'Disease') :: ['middle cerebral artery infarct'] @entity1526 :: ('MESH:D014355', 'Disease') :: ['American trypanosomiasis', 'Chagas disease'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarct'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolic'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation'] @entity123 :: ('MESH:D024741', 'Disease') :: ['ventricular hypertrophy'] @entity943 :: ('MESH:D001145', 'Disease') :: ['dysrhythmias'] @entity1002 :: ('MESH:D018487', 'Disease') :: ['left ventricular dysfunction']
@entity1526 :: (MESH:D014355,Disease) :: ['Chagas disease']
