Manifestaciones eléctricas de alteraciones miocárdicas asociadas a preexcitación ventricular / On the electrical manifestations of some heart diseases associated with ventricular preexcitation

Electro-Vectorcardiographic curves, corresponding some heart diseases, must be analyzed in the light of the ventricular depolarization sequence, as well as on the heart's position and rotation. A more than 30-msec interval between the end of the initial slurring (delta) and the vertex of the R wave in the left unipolar leads or the main axis of the vectorcardiographic ventricular curves, allows us to infer the coexistence of left ventricular hypertrophy. On the other hand, segmental irregularities or distorsions of the electric curves suggest the presence of a limited myocardial zone unable to be activated. Extensive or multiple deformations of these curves are more suggestive of a diffuse myocardial damage. Sometimes signs of preexcitation, due to a pharmacological action, can also appear.

Miocardiopatia hipertrofica apical. Presentacion del primer caso identificado en el continente americano. / Apical hypertrophic cardiomyopathy. Presentation of the first case identified in the american continent

Se presenta el primer caso de miocardiopatia hipertrofica, identificado en el continente americano, del que tenemos conocimiento comprobado angiograficamente y por ecocardiografia, portador de las alteraciones electrocardiograficas caracteristicas (T negativas "gigantes"). La radiocoronariografia sugiere alteraciones en la microcirculacion que podrian explicar la llamativa imagen de isquemia subepicardica encontrada en los electrocardiogramas de estos enfermos