02221nas a2200289   4500000000100000008004100001260003000042653004300072653002600115100001400141700002500155700001800180700001400198700002200212700001100234700002100245700001900266700001200285700001800297700001400315700001600329245002800345856006900373490000700442520146800449022001401917       2021                            d  bPublicidad Permanyer, SLU10aCardiology and Cardiovascular Medicine10athe NET-Heart Project1 aFarina JM1 aGarcía-Martínez CE1 aSaldarriaga C1 aPérez GE1 aBarbosa de Melo M1 aWyss F1 aSosa-Liprandi Á1 aOrtiz-Lopez HI1 aGupta S1 aLopez-Santi R1 aMendoza I1 aBaranchuk A00aLeishmaniasis and Heart  uhttp://www.archivoscardiologia.com/files/acm_21_92_1_085-093.pdf0 v923 a<p>As one of the neglected tropical diseases, leishmaniasis is defined as a parasitic communicable disease that is most prevalent in tropical and subtropical regions, affecting especially populations living in poverty. It has a profound negative impact on developing economies. It represents a group of heterogeneous syndromes with a wide spectrum of severity ranging from self-resolving cutaneous injuries to disseminated visceral compromise. Visceral leishmaniasis represents its most severe form, can affect almost all organs, and can have fatal consequences, especially in immunosuppressed patients. Cardiac involvement seems to be rare but has not been deeply studied. Consequently, there are no clear recommendations for the screening of cardiac manifestations in these patients. However, cardiovascular complications could be potentially lethal. In addition, there are valuable reports on the potential cardiotoxicity caused by drugs used in the treatment of this condition, so knowledge of its side effects could have important implications. This article is a part of the "Neglected Tropical Diseases and other Infectious Diseases affecting the Heart" project (the NET-Heart Project); its purpose is to review all the information available regarding cardiac implications of this disease and its treatment and to add knowledge to this field of study, focusing on the barriers for diagnosis and treatment, and how to adopt strategies to overcome them.</p>
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