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2019, Número 4

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Cardiovasc Metab Sci 2019; 30 (4)


Anomalías electrocardiográficas en hemorragia subaracnoidea

Gloria EJM, Zuluaga GJP, Duque GL, Restrepo BCA

Idioma: Inglés [English version]
Referencias bibliográficas: 41
Paginas: 136-142
Archivo PDF: 241.94 Kb.


RESUMEN

Las anormalidades en el electrocardiograma son particularmente comunes en los pacientes con hemorragia subaracnoidea. Se han descrito fenómenos como la taquicardia y fibrilación ventriculares, taquicardia de puntas torcidas (principalmente cuando el intervalo QTc se encuentra prolongado), marcapaso atrial migratorio, complejos atriales, de la unión y ventriculares prematuros, bloqueo auriculoventricular, ondas T neurogénicas, ondas P picudas, acortamiento del intervalo PR, ondas U invertidas y desviaciones del segmento ST. Estas anormalidades no sólo pueden simular isquemia o infarto del miocardio, sino que también comparten una importante prevalencia con otras de la motilidad de la pared miocárdica, como la cardiomiopatía de Takotsubo. Pocos estudios han utilizado el monitoreo Holter en estos pacientes, lo que constituye un tema de investigación con miras a estandarizar este tipo de complicaciones para evitar afectar de forma adversa el alta de estos pacientes o prolongar su estancia hospitalaria.


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