Tromboembolismo pulmonar como causa de dor torácica na sala de emergência / Pulmonary thromboembolism asa cause of chest pain in the emergency room
Rev. méd. Minas Gerais
;
20(n.esp)nov. 2010. ilus, tab
Article
in Portuguese
| LILACS
| ID: lil-568315
RESUMO
Relata-se o caso de uma paciente de 43 anos, tabagista, em uso de análogo sintético do hormônio de liberação do hormônio luteinizante (LHRH), admitida na emergência com precordialgia típica. Eletrocardiograma evidenciou inversão de onda T nas derivações DII, DIII, avF e V1 a V4, sem alteração de enzimas cardíacas. Iniciado tratamento para síndrome coronariana aguda (SCA). Angiografia cardíaca mostrou coronárias pérvias, sendo realizada angiotomografia pulmonar que revelou tromboembolismo maciço e infarto pulmonar. Instituído tratamento específico, tendo a paciente boa evolução clínica. A embolia pulmonar deve ser considerada naqueles pacientes que se apresentam na sala de emergência com dor torácica, como no caso apresentado.
ABSTRACT
We report a case of a patient 43-year-old woman with a history of cigarette smoking and use of luteinizing hormone releasing hormone (LHRH), that came to emergency with typical precordial pain. Electrocardiography evidenced inversion of T wave in DII, DIII, avF and V1 to V4 derivations, without cardiac enzymes alteration. The patient was treated as an acute coronary syndrome (ACS). Elective coronary angiography showed normal coronaries and pulmonary angiotomography evidenced pulmonary massive thromboembolism and lung infarction. Specific treatment was instituted and the patient had a good clinical evolution. The pulmonary embolism must be remembered in those patients who present in the emergency with thoracic pain as in the presented case.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pulmonary Embolism
/
Chest Pain
/
Acute Coronary Syndrome
Type of study:
Etiology study
Limits:
Adult
/
Female
/
Humans
Language:
Portuguese
Journal:
Rev. méd. Minas Gerais
Journal subject:
Medicine
Year:
2010
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Fundação Ouro Branco/BR
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