{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T16:27:06Z","timestamp":1748622426397},"reference-count":24,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Soc. Bras. Med. Trop."],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:p>INTRODUCTION: Despite significant left ventricular (LV) systolic dysfunction and cardiomegaly, pulmonary congestion does not seem to be a major finding in Chagas' cardiomyopathy (CC). This study sought to identify echocardiographic parameters associated with pulmonary congestion in CC and in dilated cardiomyopathy of other etiologies, such as non-CC (NCC), and to compare pulmonary venous hypertension between the two entities. METHODS: A total of 130 consecutive patients with CC and NCC, with similar echocardiographic characteristics, were assessed using Doppler echocardiography and chest radiography. Pulmonary venous vessel abnormalities were graded using a previously described pulmonary congestion score, and this score was compared with Doppler echocardiographic parameters. RESULTS: NCC patients were older than CC patients (62.4 \u00b1 13.5 \u00d7 47.8 \u00b1 11.2, p = 0.00), and there were more male subjects in the CC group (66.2% \u00d7 58.5%, p = 0.4). Pulmonary venous hypertension was present in 41 patients in the CC group (63.1%) and in 63 (96.9%) in the NCC group (p = 0.0), the mean lung congestion score being 3.2 \u00b1 2.3 and 5.9 \u00b1 2.6 (p = 0.0), respectively. On linear regression multivariate analysis, the E\/e' ratio (\u03b2 = 0.13; p = 0.0), LV diastolic diameter (\u03b2 = 0.06; p = 0.06), left atrial diameter (\u03b2 = 0.51; p = 0.08), and right ventricular (RV) end-diastolic diameter (\u03b2 = 0.02; p = 0.48) were the variables that correlated with pulmonary congestion in both groups. CONCLUSIONS: Pulmonary congestion was less significant in patients with CC. The degree of LV of systolic and diastolic dysfunction and the RV diameter correlated with pulmonary congestion in both groups. The E\/e' ratio was the hallmark of pulmonary congestion in both groups.<\/jats:p>","DOI":"10.1590\/s0037-86822012000200015","type":"journal-article","created":{"date-parts":[[2012,4,25]],"date-time":"2012-04-25T09:15:54Z","timestamp":1335345354000},"page":"215-219","source":"Crossref","is-referenced-by-count":2,"title":["Echocardiographic parameters associated with pulmonary congestion in outpatients with Chagas' cardiomyopathy and non-chagasic cardiomyopathy"],"prefix":"10.1590","volume":"45","author":[{"given":"Marselha Marques","family":"Barral","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria do Carmo Pereira","family":"Nunes","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais; Universidade Federal de Minas Gerais; Hospital Geral Socor"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcia Melo","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Hospital Geral Socor"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cid S\u00e9rgio","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilson Campos","family":"Tavares J\u00fanior","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manoel Ot\u00e1vio da Costa","family":"Rocha","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais; Universidade Federal de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.ahj.2003.07.026","article-title":"Congestive heart failure in Latin America: the next 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