Journal Article

Cardiac hydatid disease; a systematic review

Nemati, Soheil, Banisefid, Erfan, Hamzehzadeh, Sina, Naseri, Amirreza, Samadifar, Zahra, Baghernezhad, Kosar, Owaysee Osquee, Hamid, Javanshir, Elnaz, Beheshti, Rasa

2023

Overview

Background and objectives Human cystic echinococcosis (CE), is a common health problem in low- and middle-income countries. Cardiac involvement is a relatively rare manifestation of Echinococcus infection. This study aims to summarize the evidence regarding the features of cardiac CE. Methods Case series of the patients with cardiac CE, were included in this study. Non-English papers, case reports, reviews, letters, , commentaries, and conference abstracts were not included. A systematic search was conducted in PubMed and EMBASE databases and the risk of bias in the included studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Results Out of 3985 results of the searches, finally 37 studies were included in this systematic review. Based on available evidence, cardiac involvement is an uncommon but serious presentation of CE which presents with some non-specific signs and symptoms. Dyspnea, chest pain, and palpitation are the most common symptoms of the disease and normal sinus rhythm is the most common Electrocardiogram (ECG) feature. The disease is not associated with high mortality in case of timely diagnosis and appropriate management. Discussion Consecutive and complete inclusion of participants, statistical analysis, and appropriate reporting of the demographics were the sources of bias in the included studies. The exclusion of non-English papers was a limitation during the review process. Funding The research protocol was approved and supported by the Student Research Committee, Tabriz University of Medical Sciences (grant number: 69380). Registration This study was registered in the International prospective register of systematic reviews (PROSPERO ID: CRD42022381204).

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Analysis / Bias / Blood tests / Cardiac patients / Cardiology / Care and treatment / Case reports / Content analysis / Coronary artery disease / Diagnosis / Dyspnea / Echinococcosis / Echinococcosis, Cardiac Echinococcosis / EKG / Electrocardiogram / Electrocardiography / Health aspects / Heart / Heart diseases / Hydatid disease / Infection / Infections / Infectious Diseases / Internal Medicine / Laboratories / Literature reviews / Medical Microbiology / Medical research / Medical science / Medicine / Medicine & Public Health / Medicine, Experimental / Mortality / Parasitic diseases / Parasitology / Pericardium / Respiration / Serology / Signs and symptoms / Statistical analysis / Systematic review / Systematic Reviews on Infectious Diseases / Tropical Medicine / United Kingdom