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Minerva Cardioangiol ; 56(4): 435-9, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18614988

RESUMO

Usually, therapeutic decisions in patients with acute chest pain are based on the 12-lead electrocardiogram because ST-segment elevation is highly specific for myocardial infarction, but the presence of pacing-induced repolarization changes makes electrocardiogram interpretation difficult. The authors report an acute myocardial infarction patient with ventricular paced rhythm successfully treated by thrombolytic therapy. The aim of this work aims to highlight the difficulty with electrocardiographic diagnosis and timely treatment of myocardial infarction in the presence of ventricular pacing.


Assuntos
Infarto do Miocárdio/tratamento farmacológico , Marca-Passo Artificial , Terapia Trombolítica , Idoso de 80 Anos ou mais , Eletrocardiografia , Feminino , Humanos , Infarto do Miocárdio/diagnóstico , Fatores de Risco
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