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2014, Número 2

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Rev Mex Cardiol 2014; 25 (2)


Infarto agudo del miocardio secundario a trauma cerrado de tórax

Alcocer GMA, Maxwell MRL, Gavidia LLM, García HE, Galán HM, Montalvo RA, Aguirre CJ

Idioma: Español
Referencias bibliográficas: 52
Paginas: 121-125
Archivo PDF: 551.08 Kb.


RESUMEN

Se presenta el caso de un hombre de 44 años de edad sin factores de riesgo coronario; éste, después de un entrenamiento de artes marciales en el que recibió múltiples traumatismos con golpe a mano cerrada y puntapié en la cara anterior del tórax durante enfrentamiento corporal, presentó dolor opresivo intenso en región retroesternal y acudió con dos médicos, quienes le prescribieron analgésicos y antiinflamatorios. Por la persistencia de la sintomatología sin mejoría, acudió con un tercer facultativo quien realizó un electrocardiograma (ECG), el cual documentó lesión subepicárdica inferior; fue trasladado para realizar coronariografía, la cual mostró oclusión trombótica funcional del segmento proximal de la coronaria derecha, misma que fue tratada exitosamente con intervención coronaria percutánea primaria e implante de stent medicado. Este caso muestra que el infarto agudo del miocardio asociado con trauma cerrado de tórax es una patología de difícil diagnóstico.


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