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2004, Número 2

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Cir Cir 2004; 72 (2)


Onda J no hipotérmica en hemorragia subaracnoidea

Carrillo-Esper R, Limón-Camacho L, Vallejo-Mora HL, Contreras-Domínguez V, Hernández-Aguilar C, Carvajal-Ramos R, Salmerón-Nájera P

Idioma: Español
Referencias bibliográficas: 61
Paginas:
Archivo PDF: 82.11 Kb.


RESUMEN

La incidencia de alteraciones electrocardiográficas en la hemorragia subaracnoidea por ruptura de aneurisma es de 50 a 100%. En diferentes estudios se han descrito por orden de frecuencia: ondas T acuminadas, planas o invertidas, ondas T invertidas asociadas a QT prolongado, supra o infradesniveles del segmento ST, ondas U prominentes, alargamiento del QT, alargamiento del PR, ondas P acuminadas y ondas Q patológicas. El punto J es el sitio de unión isoeléctrico del complejo QRS con el segmento ST. Representa el final de la despolarización y el inicio de la repolarización. Al supradesnivel prominente del punto J se le denomina onda J, la cual se considera patognomónica de hipotermia grave, aunque también se ha descrito en entidades no asociadas a hipotermia como hipercalcemia, síndrome de Brugada, lesión cerebral aguda posterior a paro cardíaco y disfunción del simpático cervical. La onda J no hipotérmica es una manifestación electrocardiográfica poco frecuente de la hemorragia subaracnoidea, por lo que se describe un caso y se revisa la literatura.


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