{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:40:08Z","timestamp":1756312808024,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,24]]},"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>A man in his 40s, originally from Brazil, presented to the emergency department with dyspnoea and fatigue with marked limitation in activities of daily living. A transthoracic echocardiogram revealed reduced left ventricular systolic function and an apical thrombus in the left ventricle. Cardiac magnetic resonance confirmed a dilated cardiomyopathy with biventricular involvement and severe left ventricular ejection fraction impairment. Serologic tests (two different methods) were positive for <jats:italic>Trypanosoma cruzi<\/jats:italic> immunoglobulin (Ig)G antibody. The patient was discharged on guideline-directed medical therapy for heart failure (HF) and anticoagulation.<\/jats:p>\n               <jats:p>Chagas disease is a parasitic disease that affects millions in Latin America and became global due to population migration. Cardiac manifestations can develop decades after primary infection. This disease should be considered in patients presenting with HF and ventricular arrhythmias with suggestive epidemiological background and cardiac imaging findings.<\/jats:p>","DOI":"10.1136\/bcr-2024-264734","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T23:45:13Z","timestamp":1747352713000},"page":"e264734","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Newly diagnosed heart failure due to Chagas disease cardiomyopathy in a non-endemic area"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2061-2317","authenticated-orcid":false,"given":"Catarina","family":"T\u00e1vora","sequence":"first","affiliation":[{"name":"Internal Medicine, Hospital de Cascais Dr Jos\u00e9 de Almeida, Alcabideche, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6483-7414","authenticated-orcid":false,"given":"Beatriz","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Internal Medicine, Hospital de Cascais Dr Jos\u00e9 de Almeida, Alcabideche, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9lder","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Infectious Diseases, Hospital de Cascais Dr Jos\u00e9 de Almeida, Alcabideche, Lisboa, Portugal"},{"name":"Universidade Nova de Lisboa, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Rodrigues dos Santos","sequence":"additional","affiliation":[{"name":"Internal Medicine, Hospital de Cascais Dr Jos\u00e9 de Almeida, Alcabideche, Portugal"},{"name":"Universidade de Lisboa, Lisbon, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,15]]},"reference":[{"key":"2025082709192741000_18.5.e264734.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/ehjcr\/ytac487","article-title":"Case report: diagnosis of chronic Chagas cardiomyopathy using a multimodality imaging approach","volume":"7","author":"Li","year":"2022","journal-title":"European Heart Journal - Case Reports"},{"key":"2025082709192741000_18.5.e264734.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpcardiol.2019.100507"},{"key":"2025082709192741000_18.5.e264734.3","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000599"},{"key":"2025082709192741000_18.5.e264734.4","doi-asserted-by":"crossref","unstructured":"Lachter J . 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