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1.
Figure 2

Figure 2. From: Developments in the management of Chagas cardiomyopathy.

This is a 12-lead ECG of a patient with severe Chagas cardiomyopathy, showing right bundle branch block and left anterior hemiblock.

Herbert B Tanowitz, et al. Expert Rev Cardiovasc Ther. ;13(12):1393-1409.
2.
Figure 1

Figure 1. Heart of a patient who died of Chagas cardiomyopathy. From: Developments in the management of Chagas cardiomyopathy.

There is cardiac enlargement and a prominent apical aneurysm (arrow).
Courtesy of Armed Forces Institute of Pathology, United States.

Herbert B Tanowitz, et al. Expert Rev Cardiovasc Ther. ;13(12):1393-1409.
3.
Figure 3

Figure 3. Histopathology of the heart from a patient who died while awaiting cardiac transplant. From: Developments in the management of Chagas cardiomyopathy.

(A) H&E showing bands of fibrous tissue. (B) Trichrome staining showing the bands of fibrous tissue.
Reproduced from Johndrow et al. (2014) [] Microbes and Infection, with permission of Elsevier.

Herbert B Tanowitz, et al. Expert Rev Cardiovasc Ther. ;13(12):1393-1409.
4.
Figure 4

Figure 4. Echocardiography of a patient with chronic chagas cardiomyopathy. From: Developments in the management of Chagas cardiomyopathy.

(A) Two-dimensional echocardiography at the apical four-chamber view of the left ventricle demonstrating a dilated apical aneurysm. There is a distinct limit between the normal contractile myocardium and the dyskinetic apex (arrow) with bulging motion during systole. (B) Two-chamber apical view showing an apical thrombus (arrow). There is a mass attached to the left ventricular apical aneurysm with a margin distinct from the underlying wall, which is dyskinetic.
LA: Left atrium, LV: Left ventricle; RA Right atrium; RV Right ventricle.

Herbert B Tanowitz, et al. Expert Rev Cardiovasc Ther. ;13(12):1393-1409.

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