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OBJECTIVE To analyze myocardial abnormalities in patients of acquired immunodeficiency syndrome with clinical and pathological correlation. METHODS We selected 50 cases, retrospectively, age ranged from 3 months to 40 years, all of them had myocardial changes and the data of clinical records fulfilled our protocol. Cases of others cardiac diseases were not included. RESULTS The pathological findings were: myocarditis in 33 (11 had severe myocarditis) and degenerative hystological lesions in 17. The etiologic agents detected were: Toxoplasma in 11, Cryptococcus in 7 and Cytomegalovirus in 3. In 12 cases we could not find any agent. In 15 cases occurred others lesions: endocarditis, pericarditis and sarcoma of Kaposi. It was noted tachycardia in 15 cases, decrease of heart sounds in 12, arterial hypotension in seven, systolic murmur in 8, galop rhythm in 7, pericardial friction rub in 3, arrhythmia in 2. Four patients had congestive heart failure. The EKG showed sinus tachycardia in 18, ST and T changes in 10, low voltage in 5, ST segment elevation in 5 and extrasystoles in 3 cases. The echocardiogram findings were: pericardial effusion in 9 cases and 9 had ventricular dysfunction. CONCLUSIONS The cardiac lesions were very important even in patients without clinical signals. We need others prospective studies with viral identification trying to detect specific lesions of HIV.
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
August 1985,
Archives of pathology & laboratory medicine,
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
December 1987,
Arquivos de neuro-psiquiatria,
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
July 1985,
Human pathology,
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
February 1986,
Journal of the American Academy of Dermatology,
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
January 1988,
L'union medicale du Canada,
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
November 1988,
Southern medical journal,
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
September 1995,
Archives of ophthalmology (Chicago, Ill. : 1960),
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
February 1991,
Journal of the American Academy of Dermatology,
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
April 1996,
Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics,
G V Herdy, and
R Ramos, and
A R Bazin, and
A H Herdy, and
P S Almeida, and
R G Ramos, and
M Carrinho
January 1987,
Revue neurologique,
