| Autor: |
Ruiz K; Servicio de Cardiología, Hospital Militar Central, Buenos Aires, Argentina jorgecurotto@hotmail.com., Curotto-Grasiosi J, Machado RA, Angel A, Alasia D, Peressotti B |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2017 Nov-Dec; Vol. 55 (6), pp. 792-795. |
| Abstrakt: |
A 54-year-old man, ex smoker with high blood pressure and a history of possible Wolff-Parkinson-White syndrome was admitted for presenting an episode suggestive of acute coronary syndrome with immediate syncope and left bundle branch block, while performing physical activity. Angioplasty and a drug-eluting stent were performed in the left circumflex artery. Subsequently, Doppler echocardiography disclosed an image suggestive of a subaortic membrane. Given these findings, the patient underwent a 3D transesophageal echocardiogram and a magnetic resonance study, which confirmed the diagnosis of a subaortic membrane. In turn, in the Holter monitoring a paroxysmal pattern of Wolff-ParkinsonWhite was observed. The patient presented three possible causes of syncope. A stress echocardiogram elicited a gradient of 126 mm Hg, which could be possibly related to the syncopal episode that the patient suffered. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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