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dc.contributor.authorVera, Miguel
dc.contributor.authorBravo, Antonio
dc.contributor.authorDel Mar, Atilio
dc.date.accessioned2020-12-07T20:51:09Z
dc.date.available2020-12-07T20:51:09Z
dc.date.issued2020
dc.identifier.issn26107996
dc.identifier.urihttps://hdl.handle.net/20.500.12442/6849
dc.description.abstractCoronary calcium is a marker of the presence and extent of atherosclerosis, capable of providing prognostic information in addition to traditional risk factors. Additionally, the coronary calcium test has as an associated descriptor the calcium score or calcium score (Cs) which is useful, mainly, for the risk stratification of asymptomatic patients, whereas in patients with acute or chronic chest pain, it is required, usually, coronary axial computed tomography. In this article, we present the clinical case of a 59-year-old male patient with a history of chronic hypertension and mixed hyperlipidemia who consults for presenting non-specific chest discomfort, without irradiation, of 3 months of evolution, which has been progressively increasing and exacerbated with intense effort; while it improves with rest. No abnormalities suggestive of myocardial ischemia was observed on the 12-lead surface electrocardiogram. A quantification of the Cs is performed, which reports a total value of 350 Hounsfield units (HU) equivalent to acute coronary disease. Due to the high volume, mass and concentration of calcium in a single artery, located at 310 HU in the right descending coronary artery (ADA), together with the clinical and risk factors, it was decided to perform a cardiac catheterization with a finding of 90 % in the proximal segment of the ADA, followed by the respective coronary angioplasty and coronary stent implantation processes.eng
dc.description.abstractEl calcio coronario es un marcador de la presencia y la extensión de aterosclerosis, capaz de proporcionar una información pronóstica añadida a los factores de riesgo tradicionales. Adicionalmente, la prueba de calcio coronario tiene como descriptor asociado la puntuación de calcio o calcio score (Cs) el cual es útil, principalmente, para la estratificación de riesgo de pacientes asintomáticos, mientras que en pacientes con dolor agudo o crónico de pecho se requiere, usualmente, la tomografía computarizada axial de coronarias. En este artículo, se presenta el caso clínico de un paciente masculino de 59 años con antecedentes de hipertensión crónica e hiperlipidemia mixta quien consulta por presentar molestia torácica inespecífica, sin irradiación, de 3 meses de evolución, que ha ido aumentando progresivamente y que se exacerba con el esfuerzo intenso; mientras que mejora con el reposo. En el electrocardiograma de superficie de 12 derivaciones no se observaron alteraciones sugerentes de isquemia miocárdica. Se realiza cuantificación del Cs el cual reporta un valor total de 350 unidades Hounsfield (UH) equivalente a enfermedad coronaria aguda. Debido al alto volumen, masa y concentración de calcio en una sola arteria, ubicado en 310 UH en la arteria coronaria descendente derecha (ADA), aunado a la clínica y factores de riesgo, se decidió practicarle un cateterismo cardiaco con hallazgo de lesión de 90% en el segmento proximal de la ADA; seguido de los respectivos procesos de angioplastia coronaria e implante del stent coronario.spa
dc.format.mimetypepdfspa
dc.language.isoengeng
dc.publisherSociedad Venezolana de Hipertensiónspa
dc.publisherSociedad Latinoamericana de Hipertensiónspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourceRevista Latinoamericana de Hipertensiónspa
dc.sourceVol. 15, No. 3 (2020)spa
dc.subjectCalcium scoreeng
dc.subjectCoronary arteryeng
dc.subjectCardiac catheterizationeng
dc.subjectAngioplastyeng
dc.subjectCoronary stenteng
dc.subjectArteria coronariaspa
dc.subjectCateterismo cardiacospa
dc.subjectAngioplastiaspa
dc.titleUsefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case reporteng
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccesseng
datacite.rightshttp://purl.org/coar/access_right/c_abf2eng
oaire.versioninfo:eu-repo/semantics/publishedVersioneng
dc.type.driverinfo:eu-repo/semantics/articleeng
dc.title.translatedUtilidad del calcio score e imágenes de tomografía computarizada en pacientes con dolor torácico inespecífico: A propósito de un caso clínicospa
dc.identifier.urlhttp://www.revhipertension.com/rlh_3_2020/15_usefulness.pdf
dc.type.spaArtículo científicospa


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