Recommendations for Multimodality Cardiac Imaging in Patients with Chagas Disease

Echocardiography should be performed whenever acute ChD is suspected.

A febrile illness accompanied by myocarditic findings on echocardiography and/or pericardial fluid should raise suspicion for acute ChD in endemic countries and in Latin American immigrants with immunosuppressed states living in nonendemic countries.

As acute myocarditis is a common cardiac presentation, assessment of ejection fraction and wall motion abnormalities is of critical importance.

Hypotension may be a sign of hemodynamically significant pericardial effusion leading to cardiac tamponade.