Dor torácica e síndrome da repolarização precoce na unidade de emergência cardiológica / Early Repolarization Syndrome in Patients with Thoracic Pain at the Emergency Room
Arq. bras. cardiol
; 67(5): 335-338, Nov. 1996. ilus
Artigo
em Português
| LILACS
| ID: lil-321695
Biblioteca responsável:
BR1.1
ABSTRACT
PURPOSE:
To analyze the clinical and electrocardiographic characteristics of early repolarization syndrome (EP) in patients with thoracic pain.METHODS:
Patients with thoracic pain and early repolarization were studied. EP was diagnosed on the basis of the presence of two or more criteria ST elevation; upward concavity; notch or slur on QRS; assymetrical T waves of large amplitude; U waves.RESULTS:
Of 350 patients treated in the emergency department, 17 were studied. Sixteen were men, mean age 43.9 years. Four were black. The thoracic pain was atypical in 15. All the patients had ST elevation with upward concavity, most frequently in leads V2. Tall, peaked, positive waves were found in nine patients and U waves were present in 14.CONCLUSION:
The electrocardiographic characteristics of ST elevation with upward concavity most frequently observed in precordial leads in patients with atypical precordial pain are important to establish a differential diagnosis, to be confirmed by previous electrocardiogram and cardiac enzymes.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Dor no Peito
/
Disfunção Ventricular
Limite:
Adolescente
/
Adulto
/
Criança
/
Feminino
/
Humanos
/
Masculino
Idioma:
Português
Revista:
Arq. bras. cardiol
Assunto da revista:
Cardiologia
Ano de publicação:
1996
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
SANCOR - Pronto-Socorro do Coração de Santos/BR