Importancia del electrocardiograma en el diagnóstico del infarto agudo al miocardio por obstrucción del tronco común de arteria coronaria izquierda

• Autores: Francisca González, María Ignacia Arteaga, María Lorena Jofré S. M., Martín Valdebenito, José Pardo G.
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 148, Nº. 10, 2020, págs. 1508-1512
• Idioma: español
• Títulos paralelos:
  • Acute myocardial infarction caused by thrombosis of left main coronary artery. Report of two cases
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• Resumen

  • Acute myocardial infarction caused by thrombosis of left main coronary artery generate acute cardiac failure, cardiogenic shock and death. Along with the clinical history, the electrocardiogram (EKG) is the most useful tool for its recognition and timely management. Classically the EKG shows ST elevation > 1 mm in aVR or V1 with ST depression in the other leads. Urgent coronary angiography with percutaneous coronary angioplasty using drug eluting stents is recommended when the diagnosis is made. We report two cases to exemplify the clinical presentation, EKG and angiographic findings and therapeutic approach.