2020, Number 4
Atypical electrocardiographic patterns and invasive strategy in high-risk non-ST-segment elevation acute coronary syndrome
Language: Spanish
References: 14
Page: 481-484
PDF size: 648.68 Kb.
Text Extraction
To the Editor:Every year, around 1.7 million people are hospitalized in the United States of America for acute coronary syndromes, of whom three quarters (almost 1.3 million patients) suffer unstable angina or non-STsegment elevation acute myocardial infarction, and Cuba is not exempt from this statistic.
The appearance of ST-segment or T wave changes during symptoms and their normalization after symptoms disappear is diagnostic of non-ST-segment elevation acute coronary syndrome (NSTE-ACS)1; however, a normal electrocardiogram (ECG) in patients with chest pain does not exclude the possibility of NSTE-ACS. Isolated right ventricular or circumflex artery territory ischemia is not frequently reflected on a 12-lead ECG.
REFERENCES
Rodríguez Jiménez AE, Cruz Inerarity H, Valdés Arias B, Quintana Cañizares G, Toledo Rodríguez E. Duración del QRS como predictor de baja fracción de eyección en el infarto miocárdico con elevación del ST. CorSalud [Internet] 2018 [citado 14 Jul 2020];10(1):13-20. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/191/622
Valle Alonso J, González Marante CA, Bandera S. Presentaciones electrocardiográficas atípicas en pacientes con síntomas isquémicos, tiempo de cambiar la estrategia. Rev Cuban Cardiol [Internet]. 2017 [citado 15/07/2020];23(3). Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/713/pdf_103
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119-77.