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. 2020 Feb 13;147(6):603–610. doi: 10.1017/S0031182020000153

Table 6.

Summary of the main results regarding the use of anti-inflammatory agents in patients with Chagas cardiomyopathy

Study Study design Intervention Outcome
Sousa et al. (2008) Prospective observational cohort (1) Warfarin (INR 2-3) for 14 months; (2) acetylsalicylic acid (ASA) (200 mg/day) for 22±21 months.
  • Prophylaxis recommendation:

  • Warfarin for patients where the EC risk exceeds the risk of a major bleeding;

  • Bleeding risk similar to EC risk of using warfarin or ASA according to individual choice;

  • Low risk for EC use of ASA or no therapy.

Rassi et al. (2002) Case study-analytical observational Nifurtimox (8 to 9mg kg day-1) for 60 days; and decreasing doses of betamethasone (9 – 1 mg day-1) for 60 days
  • There were no negative results of the serological tests and transient negativity was only occasionally found or the eventual outcome was inconclusive;

  • Nine patients with xenodiagnostics documented therapeutic failure: onset of heart disease or worsening of pre-existent condition in four patients;

  • Concomitant use of nifurtimox and betamethasone did not lead to progress in the etiological therapy of chronic Chagas disease.