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2020, Número 2

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Cardiovasc Metab Sci 2020; 31 (2)


Síndrome de Wellens. Reporte y revisión de un caso

Aldana VO, Chacón JGV, Hernández-Mercado MA, López Reyes FF, Morales-Bernal NE

Idioma: Inglés [English version]
Referencias bibliográficas: 35
Paginas: 53-58
Archivo PDF: 1197.85 Kb.


RESUMEN

El síndrome de Wellens es una entidad clínica caracterizada por una oclusión importante de la arteria descendente anterior izquierda (10-15% de incidencia) en más de 80% de los casos en el segmento proximal, que se diagnostica con electrocardiograma por la presencia de inversión de onda T precordial (V1-V5) en 76% de los casos (tipo B) y en 24% de los casos en derivaciones V2-V3 (tipo 1). Presentamos a un paciente evaluado en el Servicio de Urgencias por dolor torácico intermitente e inversión de la onda T del patrón del síndrome de Wellens tipo B, que fue tratado con intervención coronaria percutánea, en la que se demostró una lesión crítica en la descendente anterior media. Este caso muestra cómo el diagnóstico oportuno previene la progresión a infarto de miocardio agudo anterior extenso.


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