Título : |
The de winter electrocardiographic pattern |
Tipo de documento : |
documento electrónico |
Autores : |
Tatiana Arroyave Peña, ; Jairo Giovanni Moncayo Viveros, |
Fecha de publicación : |
2018 |
Títulos uniformes : |
Journal of Cardiology & Current Research
|
Idioma : |
Inglés (eng) |
Palabras clave : |
Electrocardiography acute coronary syndrome myocardial reperfusion chest pain |
Resumen : |
We present a clinical case of a patient, without previous cardiac history, admitted to the emergency department with chest pain at low probability for coronary artery disease. The first electrocardiogram showed high-risk changes that were mistakenly interpreted as normal; serial electrocardiograms did not show dynamic changes in ST-segment or in the T wave. The patient remained asymptomatic and with hemodynamic stability. Ultrasensitive troponin was positive, and echocardiography reported a structurally healthy heart. Finally, the patient was submitted to diagnostic coronary angiography, evidencing involvement of the proximal anterior descending artery. After reviewing again the initial electrocardiogram, it revealed a high-risk pattern (the de Winter). |
Mención de responsabilidad : |
Giovanny Moncayo, Tatiana Arroyave, Diego Abreo |
Referencia : |
J Cardiol Curr Res. 2018;11(5):204-5. |
DOI (Digital Object Identifier) : |
10.15406/jccr.2018.11.00400 |
Derechos de uso : |
CC BY-NC |
En línea : |
https://medcraveonline.com/JCCR/JCCR-11-00400.pdf |
Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4145 |
The de winter electrocardiographic pattern [documento electrónico] / Tatiana Arroyave Peña, ; Jairo Giovanni Moncayo Viveros, . - 2018. Obra : Journal of Cardiology & Current ResearchIdioma : Inglés ( eng) Palabras clave : |
Electrocardiography acute coronary syndrome myocardial reperfusion chest pain |
Resumen : |
We present a clinical case of a patient, without previous cardiac history, admitted to the emergency department with chest pain at low probability for coronary artery disease. The first electrocardiogram showed high-risk changes that were mistakenly interpreted as normal; serial electrocardiograms did not show dynamic changes in ST-segment or in the T wave. The patient remained asymptomatic and with hemodynamic stability. Ultrasensitive troponin was positive, and echocardiography reported a structurally healthy heart. Finally, the patient was submitted to diagnostic coronary angiography, evidencing involvement of the proximal anterior descending artery. After reviewing again the initial electrocardiogram, it revealed a high-risk pattern (the de Winter). |
Mención de responsabilidad : |
Giovanny Moncayo, Tatiana Arroyave, Diego Abreo |
Referencia : |
J Cardiol Curr Res. 2018;11(5):204-5. |
DOI (Digital Object Identifier) : |
10.15406/jccr.2018.11.00400 |
Derechos de uso : |
CC BY-NC |
En línea : |
https://medcraveonline.com/JCCR/JCCR-11-00400.pdf |
Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4145 |
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