Negreira OD, Pérez PJ, Góngora CD, Rodríguez VR

Language: Spanish
References: 16
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ABSTRACT

We present a surgical-clinical case of a 68 years old, female who was received in emergency room having a acute miocardial infarction(AMI) on a old left bundle-broach block(LBBB). Over her progress it was jointly diagnosticated a acute appendicitis which needed immediately surgical treatment. To the AMI´s diagnose was applied unexposed electrocardiographic standard in our hospital. The case was discussed among a team of internists, intensivists, cardiologists and surgeons. The progress of the patient was good during the stay in the intensive care unit and later in the general surgery room because of that, she was discharged and she was sent to external cardiology consult. It was proved that acute miocardial infarction can evolve during the development of the acute appendicitis.

REFERENCES

1. Budaj A, Clemmensen P, Collet JP, Gustine O, Hamm C, Kala P, Lancelotti P, Maggioni AP, Merkely B, Neumann FJ, Piepoli MF. ESC Guidelines for the management of acute myiocardial infarction in patients presenting with ST-segment elevation. European heart journal. 2012;33:2251-67.

2. Sgarbossa EB, Pinski SL et al. Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle-branch block. N Engl J Med. 1996; 334: 481–487

3. Tabas JA, Rodriguez RM, Seligman HK, Goldschlager NF. Electrocardiographic criteria for detecting acute myocardial infarction in patients with left bundle branch block: a meta-analysis. AnnEmerg Med. 2008;52, 329-36e1.

4. Smith SW, Dodd KW et al. Diagnosis of ST-elevation myocardial infarction in the presence of left bundle branch block with the ST-elevation to S-wave ratio in a modified Sgarbossa rule. Ann EmergMed. 2012; 60: 766–776.

5. Wilner B, de Lemos JA, et al. LBBB in Patients With Suspected MI: An Evolving Paradigm[Internet]. American College of Cardiology. Feb 2017 [cited: October 22 2017].

6. Cai Q, Mehta N, Sgarbossa EB et al. The left bundle-branch block puzzle in the 2013 ST-elevation myocardial infarction guideline: From falsely declaring emergency to denying reperfusion in a high-risk population. Are the Sgarbossa Criteria ready for prime time? Am Heart J. 2013 Sep;166(3):409-13. doi: 10.1016/j.ahj.2013.03.032.

7. María Elena NoyaChaveco, Noel Lorenzo Moya González. “Roca Goderich. Temas de Medicina Interna”, 5ta Ed, 2017. Parte VIII, cap 49, pag 458.

8. Borja Ibáñes, Stefan James, Stefan Agewall, Manuel J. Antunes, Chiara Buciarelli-Ducci. Guías de la Sociedad Europea de Cardiología(ESC) sobre el tratamiento del infarto agudo del miocardio en pacientes con elevación del segmento ST.Rev Esp Cardiol.2017;70(12):1082.e-e61.

9. Nelson L. Moreno. Criterios de Sgarbossa: es momento de actualizarlos.RevColombCardiol. 2015;22(6):294-297.

10. Protocolos de actuación en el Síndrome Coronario Adudo Con Elevación del segmento ST. Hospital General Docente “Guillermo Domínguez López”. Puerto Padre, Las Tunas, Cuba. 2018.

11. Protocolos de actuación en el Síndrome Coronario Adudo Con Elevación del segmento ST. Hospital “Ernesto Guevara de la Serna”. Las Tunas, Cuba. 2018.

12. Constatiniu I, Mihalide D, Constatiniu R. Coexistence of surgical acute abdomen and acute myocardial infarct. Rev Chir. 1997;28(6):431-5.

13. Dimitrov G. Acute surgical abdomen and its clinical mask in patients with a history of myocardial infarct. Rev Khirugia Bulgaria. 1997;40(4):55-60.

14. Butsenko VN, Iaroshchak W, Popandupulo GB, Roshin SI. Characteristics of the diagnosis and treatment of acute myocardial infarction. Rev Chir Russian. 1996;24:4.

15. Kristian Thygensen, Joseph S. Alpert, Allan S. Jaffe. Documento de concenso de expertos. Tercera definición de infarto de miocardio. Rev Esp Cardiol. 2013; 66(2):132.e1-e15.

16. Kósulas Z. Infarto agudo del miocardio y piocolecisto: Informe de un caso. Rev Arch Ins Card México. 1997;399:40.