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Dissecção coronariana espontânea / Spontaneous coronary artery dissection
Albuquerque, Carlos Eduardo Daflon de; Nani, Eduardo; Martins, Wolney de Andrade; Souza, André Luiz Silveira.
  • Albuquerque, Carlos Eduardo Daflon de; Universidade Federal Fluminense. Hospital Universitário Antônio Pedro. Cardiologia. Niterói. BR
  • Nani, Eduardo; Universidade Federal Fluminense. Hospital Universitário Antônio Pedro. Cardiologia. Niterói. BR
  • Martins, Wolney de Andrade; Universidade Federal Fluminense. Hospital Universitário Antônio Pedro. Cardiologia. Niterói. BR
  • Souza, André Luiz Silveira; Universidade Federal Fluminense. Hospital Universitário Antônio Pedro. Cardiologia. Niterói. BR
Rev. bras. cardiol. (Impr.) ; 27(5): 370-373, set.-out. 2014. ilus
Article in Portuguese | LILACS | ID: lil-742409
RESUMO
Relata-se o caso de paciente feminina, 54 anos,admitida no serviço de emergência com dor torácica isquêmica iniciada em repouso, durante o períodode forte estresse emocional. Apresentou eletrocardiograma (ECG) com alterações de repolarização ventricular, marcadores de necrose miocárdica elevados e coronariografia com aspecto angiográfico de dissecção da artéria coronária descendente anterior (ACDA). Foi tratada conservadoramente com boa evolução clínica hospitalar e no seguimento ambulatorial.
ABSTRACT
Report on a female (54 years old) admitted to the Emergency Department with ischemic chest pain that began while at rest, during a period of severe emotional stress. An electrocardiogram (ECG) showed changes in ventricular repolarization, high myocardial necrosis markers and coronary angiography indicating anterior descending coronary artery dissection. The patient was treated conservatively, with satisfactory clinical progression in hospital and during out patient follow-up.
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Index: LILACS (Americas) Main subject: Coronary Artery Disease / Dissection / Acute Coronary Syndrome Limits: Female / Humans Language: Portuguese Journal: Rev. bras. cardiol. (Impr.) Journal subject: Cardiology Year: 2014 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal Fluminense/BR

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Index: LILACS (Americas) Main subject: Coronary Artery Disease / Dissection / Acute Coronary Syndrome Limits: Female / Humans Language: Portuguese Journal: Rev. bras. cardiol. (Impr.) Journal subject: Cardiology Year: 2014 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal Fluminense/BR