Table 1.

Checklist When Suspecting Chagas Disease in a Stroke Patient From Endemic Area

Clinical history
 Was the patient born in an endemic country for CD?
 Did patient live in a mud house during childhood?
 Did patient have contact with triatomine insect vector?
 Is there any family member of sudden death or CD?
 Does patient have a history of
  cardiomyopathy, heart disease of cardiac arrhythmia?
  dysphagia or constipation?
  cardioembolic or cryptogenic ischemic stroke?
Findings on ancillary exams
 Right bundle block on ECG
 Apical aneurysm, mural thrombus, or dilated cardiomyopathy on echocardiogram
 Large cortical single or multiple ischemic infarctions on neuroimaging
 Detection of megaesophagus or megacolon
 Positive serological test for CD
  • CD indicates Chagas disease; and ECG, electrocardiogram.