A 62-year-old man came to the Echocardiography Service with a history of arterial hypertension and systolic murmur in the mitral area. At the subsequent evaluation, the patient reported dyspnea and fatigue on moderate exertion, but without an impact on social life. Peripheral oxygen saturation at rest ranged from 95% to 98%; extremities were warm and perfused, with no signs of peripheral hypoperfusion; cyanosis and digital clubbing were absent. The echocardiogram disclosed a case of levocardia, with the presence of a […]

Clinical aspects Chagas’ disease was first described by Brazilian physician and scientist Carlos Chagas in 1909. This multifaceted disease is caused by the protozoan Trypanosoma cruzi, which can be transmitted in different ways. Vector transmission through hematophagous insects is the most classic one, although it has declined in importance in recent years with measures to control the vector population. Transfusion transmission, as well as vector transmission, have shown a drastic reduction in the last decades, and no cases have been […]

Case report A 64-year-old Caucasian female, with a one-week history of stress angina. She was admitted to the hospital 2 hours after the onset of oppressive retrosternal pain at rest. Risk factors: hypertension, smoker, dyslipidemia and diabetes. […]

A-81-years old woman was admitted after an episode of ventricular tachycardia with hemodynamic instability converted after electrical cardioversion (). Past medical history was significant for poorly differentiated squamous cell carcinoma of left parathyroid, diabetes and hypertension. […]