{"id":"a14a70c8c5bb","type":"article","url":"https://hartvaat.nl/2026/03/25/cardiale-betrokkenheid-bij-parasitaire-infecties/","title":"Cardiale betrokkenheid bij parasitaire infecties","title_en":"","category":"algemeen","category_label":"Algemeen","professions":["cardioloog","internist"],"tags":["acuut-hartfalen","bradycardie","covid-hart","endocarditis","pericarditis"],"journal":"European heart journal","doi":"10.1093/eurheartj/ehag173","source_url":"https://doi.org/10.1093/eurheartj/ehag173","authors":["Maria Carmo Pereira Nunes","Johannes Blum","Teresa Cristina Abreu Ferrari"],"significance":6,"published":"2026-03-25","source_date":"2026-03-25","image":"","kennis":["https://hartvaat.nl/kennis/antistolling/doacs-overzicht/","https://hartvaat.nl/kennis/coronairlijden/spontane-coronaire-arterie-dissectie/"],"congress":"","summary_en":"Parasitic infections are an underrecognised but important cause of cardiovascular disease, especially in endemic regions and — through migration and travel — increasingly beyond them. Cardiac involvement arises from direct invasion or, more often, immune-mediated inflammation, affecting myocardium and pericardium: acute myocarditis, dilated or restrictive cardiomyopathy, pericardial effusion, tamponade, constrictive pericarditis or cystic lesions. This EHJ review advises considering a parasitic cause in unexplained myocardial or pericardial disease — particularly with relevant exposure, immunosuppression, fever or eosinophilia — and offers practical diagnostic and management guidance.","created":"2026-07-03T10:32:17Z","updated":"2026-07-03T13:31:14Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Parasitaire infecties zijn een ondergewaardeerde maar belangrijke oorzaak van hart- en vaatziekte, vooral in endemische gebieden en — door migratie en reizen — toenemend ook daarbuiten. Cardiale betrokkenheid ontstaat door directe invasie of, vaker, door immuun-gemedieerde ontsteking, met effecten op myocard en pericard: acute myocarditis, gedilateerde of restrictieve cardiomyopathie, pericardvocht, tamponade, constrictieve pericarditis of cysteuze laesies. Dit EHJ-overzicht adviseert een parasitaire oorzaak te overwegen bij onverklaarde myocard- of pericardziekte, zeker bij relevante blootstelling, immuunsuppressie, koorts of eosinofilie, en biedt praktische handvatten voor diagnostiek en behandeling.","abstract_original":"Parasitic infections are an underrecognized but important cause of cardiovascular disease, primarily in endemic regions and increasingly in non-endemic settings as a consequence of global migration and travel. Cardiac involvement may result from direct parasitic invasion or, more commonly, from immune-mediated and inflammatory mechanisms, with predominant effects on the myocardium and pericardium. Clinical manifestations include acute myocarditis, dilated or restrictive cardiomyopathy, pericardial effusion, tamponade, constrictive pericarditis, and occasionally cystic lesions identified on cardiac imaging. Parasitic aetiologies should be considered in patients with unexplained myocardial or pericardial disease, particularly in those with relevant epidemiological exposure, immunosuppression, fever, or eosinophilia. This narrative review offers an updated overview of cardiac involvement in parasitic infections, integrating current evidence on epidemiology, clinical manifestations, diagnosis, and management of parasitic cardiac disease, providing practical, clinically oriented guidance supported by figures, algorithms, and summary tables designed to enhance clinical applicability."}