Document Detail

Presence of a critical stenosis in left anterior descending coronary artery alongside a short "P-R" and "Q-T" pattern, in the same electrocardiographic record.
MedLine Citation:
PMID:  20392452     Owner:  NLM     Status:  MEDLINE    
The knowledge of the heart and its functions is increasing every day. However, many cardiac dysfunctions remain undocumented. One of them might be the presence of the Wellens' sign, minimally elevated or isoelectric ST segments, and inverted T waves in the precordial leads, without changes in the QRS complex, together with a shortened of "P-R and Q-T intervals" in the same electrocardiographic record. Both patterns are greatly underdiagnosed. The key to an accurate diagnosis of both dysfunctions must begin with a detailed analysis of all the symptoms reported by the patient. The ECG recording provides an almost definitive confirmation: The T-wave characteristics in precordial derivations. The duration of P-R and Q-T intervals.
Francisco R Breijo-Márquez; Manuel Pardo Ríos; Miguel Alcaraz Baños
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-04-14
Journal Detail:
Title:  Journal of electrocardiology     Volume:  43     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-08-23     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  422-4     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
School of Medicine and Dentistry, University Research Institute on Aging, University of Murcia, Murcia, Spain.
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MeSH Terms
Acute Coronary Syndrome / diagnosis*,  physiopathology*,  surgery
Biological Markers / analysis
Coronary Angiography
Coronary Stenosis / diagnosis*,  physiopathology*,  surgery
Diagnosis, Differential
Tomography, Emission-Computed, Single-Photon
Reg. No./Substance:
0/Biological Markers

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