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Dor torácica e síndrome da repolarização precoce na unidade de emergência cardiológica / Early Repolarization Syndrome in Patients with Thoracic Pain at the Emergency Room
Vacanti, Luciano Janussi.
Afiliação
  • Vacanti, Luciano Janussi; SANCOR - Pronto-Socorro do Coração de Santos. BR
Arq. bras. cardiol ; 67(5): 335-338, Nov. 1996. ilus
Article em Pt | 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Dor no Peito / Disfunção Ventricular Limite: Adolescent / Adult / Child / Female / Humans / Male Idioma: Pt Revista: Arq. bras. cardiol Assunto da revista: CARDIOLOGIA Ano de publicação: 1996 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Dor no Peito / Disfunção Ventricular Limite: Adolescent / Adult / Child / Female / Humans / Male Idioma: Pt Revista: Arq. bras. cardiol Assunto da revista: CARDIOLOGIA Ano de publicação: 1996 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil