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>Revistas >Medicina Interna de México >Año 2016, No. 4


Domínguez-Moreno R, Bahena-López E, Neach-De la Vega D, Venegas- Román A, Cerda-Contreras E, López-Ponce A, Sánchez-Zavala J
Abordaje del dolor torácico
Med Int Mex 2016; 32 (4)

Idioma: Español
Referencias bibliográficas: 52
Paginas: 461-474
Archivo PDF: 565.99 Kb.

[Texto completo - PDF]

RESUMEN

La prevalencia del dolor torácico es variable; la cardiopatía isquémica es una de las causas más frecuentes y con mayor morbilidad y mortalidad. Se comunica el caso clínico de un paciente de 21 años, que inició cinco días previos con malestar general, hiporexia, náuseas y diarrea de dos a tres evacuaciones al día, sin moco, sangre ni asociada con la ingestión de alimentos. Posteriormente se agregó sensación de reflujo gastroesofágico y dolor torácico, por lo que sospechó origen gastrointestinal; sin embargo, durante su evolución en el hospital tuvo fiebre, dolor torácico opresivo y taquicardia, por lo que el paciente se reabordó y se diagnosticó miocarditis aguda. Cinco días después se decidió su alta por mejoría clínica, sin complicaciones ni secuelas. Es importante evaluar de manera oportuna ante causas que pongan en peligro la vida, especialmente cardiopatía isquémica. Es importante hacer una historia clínica adecuada, exploración física y solicitud de los estudios de apoyo en búsqueda de la causa. Ante la sospecha de cardiopatía isquémica debe estratificarse el riesgo y con ello su abordaje, para iniciar el tratamiento adecuado y oportuno.


Palabras clave: dolor, gastrointestinal, infarto, miocarditis, torácico.


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>Revistas >Medicina Interna de México >Año2016, No. 4
 

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