Carrillo-Esper R, Muciño-Bermejo J, Frausto-Ruiz F

Idioma: Español
Referencias bibliográficas: 11
Paginas: 134-137
Archivo PDF: 521.33 Kb.

FRAGMENTO

Enfermo de 75 años con antecedentes de diabetes mellitus, síndrome metabólico, tabaquismo intenso, enfermedad pulmonar obstructiva crónica y cardiopatía isquémica que fue sometido a lobectomía superior izquierda por cáncer pulmonar. En el postoperatorio presentó arritmia caracterizada por taquicardia fija con frecuencia de 138/m. En el electrocardiograma taquicardia con apertura ocasional del intervalo RR, observándose ondas F 2:1 (Figura 1). Con lo anterior se hizo el diagnóstico de flutter auricular. Esta arritmia se asoció a inestabilidad hemodinámica, por lo que fue necesario realizar cardioversión sincronizada con 50 joules, con lo que salió en un inicio a bradicardia sinusal para posteriormente recuperar frecuencia, estabilidad hemodinámica y ritmo sinusal (Figuras 2 y 3).

REFERENCIAS (EN ESTE ARTÍCULO)

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