Megacolon and Chagasic Heart Disease

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It is relatively common to find Chagasic heart disease among patients with megacolon. Analysis of 365 patients revealed an abnormal electro-

Figure 25.4. Plain radiograph of the chest indicating Chagasic cardiomegaly.

cardiogram in 288 (78.9%). The most common changes found were right bundle branch block and ventricular extrasystoles. We often see patients with cardiomegaly when cardiac failure is present (Figure 25.4).

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