INTRODUÇÃO: A doença de Chagas permanece como grave problema de saúde pública na América Latina, mesmo com o controle de sua transmissão. Esse estudo avaliou a prevalência da doença de Chagas no distrito de Serra Azul, Centro-Oeste de Minas Gerais, identificando as anormalidades eletrocardiografias dos indivíduos com sorologia positiva. MÉTODOS: A sorologia para doença de Chagas foi realizada em 676 indivíduos (48% da população). O exame clínico e o eletrocardiograma (ECG) foram realizados na população sorologicamente positiva. Selecionou-se um grupo controle para comparação dos dados do ECG. RESULTADOS: A população estudada residia principalmente em área rural, com baixo nível sóciocultural. Quatorze indivíduos foram positivos, com prevalência de 2,1%. Os indivíduos chagásicos eram de faixa etária mais avançada (67 vs 39 anos; p < 0,001). As anormalidades ao ECG nos chagásicos foram frequentes (79%). O ECG dos soropositivos mostrou maior prevalência de extrassístoles ventriculares, distúrbio da condução do ramo direito isolado ou associado ao bloqueio da divisão ântero-superior em relação ao grupo controle. CONCLUSÕES: A prevalência da doença de Chagas no distrito de Serra Azul foi de 2,1%. Os soropositivos estavam em faixa etária mais elevada, sugerindo controle da transmissão. As anormalidades eletrocardiográficas foram frequentes, predominando distúrbio de condução do ramo direito.

INTRODUCTION: Chagas disease remains a severe public health problem in Latin America, despite control over its transmission. This study evaluated the prevalence of Chagas disease in the Serra Azul district, in the central-western region of the State of Minas Gerais, through identifying electrocardiographic (EKG) abnormalities among serologically positive individuals. METHODS: Specific serological tests for Chagas disease were carried out on 676 individuals (48% of the population). Clinical examinations and EKGs were performed on the serologically positive population. A control group was selected for comparison with the EKG data. RESULTS: The study population lived mainly in rural areas, with low sociocultural level. Forty subjects were positive (prevalence of 2.1%). The individuals with Chagas disease were in an older age group (67 vs. 39 years; p < 0.001). EKG abnormalities were frequent among the individuals with Chagas disease (79%). Among the seropositive individuals, the EKGs showed greater prevalence of ventricular premature beats and conduction disorder of the right branch alone or in association with anterosuperior division blockage, in relation to the controls. CONCLUSIONS: The prevalence of Chagas disease in the Serra Azul district was 2.1%. The seropositive individuals were in an older group, thus suggesting that transmission had been brought under control. EKG abnormalities occurred frequently, and conduction disorders of the right branch predominated.

The utilization of nanostructured materials for development of biosensors is a growing field in medical diagnostics. In this work a glucose biosensor based on bioactive polyglycerol (PGLD) and chitosan dendrimers (CHD) was developed. PGLD and CHD were bioconjugated with the enzyme glucose oxidase (GOx) to obtain dendrimers with glucose sensing properties. Polyaniline nanotubes (PANINT´s) were used as electron mediator due to their high ability to promote electron-transfer reactions involving GOx. The PGLD-GOx and CHD-GOx were entrapped in PANINT´s during template electrochemical polymerization of aniline. The prepared PGLD-GOx/PANINT´s and CHD-GOx/PANINT´s biosensors exhibit a strong and stable amperometric response to glucose even at a low potential of +100 mV. The based PGLD-GOx/PANINT´s and CHD-GOx/PANINT´s biosensors showed a good performance in glucose concentrations range in human blood. A comparison of the sensitivities to glucose showed that both biosensors have a linearity range between 0.02 and 10 mM, though PGLD-GOx/PANINT´s is more sensitive (10.41 vs. 7.04 nA.mM-1). The difference in the biosensor behavior and the high sensitivity of the PGLD-GOx/PANINT´s may be due to the specific organization of GOx layer at surface of the modifier macromolecule PGLD and their distribution in PANINT´s. The enzyme affinity for the substrate, K Mapp remains quite good after GOx immobilization on PGLD and CHD dendrimers and entrapment of the bioconjugates in PANINT´s.