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2014, Number 1

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Med Sur 2014; 21 (1)

McGinn and White sign in pulmonary thromboembolism

Carrillo-Esper R, Zepeda-Mendoza AD, Carrillo-Córdova JR, Carrillo-Córdova CA
Full text How to cite this article

Language: Spanish
References: 6
Page: 40-42
PDF size: 278.05 Kb.


Key words:

Electrocardiogram, Pulmonary embolism, Right cavities dilation.

ABSTRACT

In 1935, McGinn and White described the electrocardiographic image of deep S Q and inverted T. The McGinn and White image is not frequent and can be seen in 7-19% pulmonary embolism cases. A 70-year-old woman with ovarian adenocarcinoma is admitted, S3 auscultation showed no gallop and Chavez pulmonary complex. The electrocardiogram showed sinusal tachycardia, S1/ Q3/T3 pattern, diffuse alterations in the repolarization and hypokinesia of right cavities, Doppler ultrasound showed clots in deep venous system and electrocardiogram dilation.


REFERENCES

  1. McGinn S, White PD. Acute cor pulmonale resulting from pulmonary embolism: its clinical recognition. JAMA 1935; 104: 1473-80.

  2. Wood KE. A history of pulmonary embolism and deep venous thrombosis. Crit Care Clin 2009; 25: 115-31.

  3. Brugada P, Gorgels AP, Wellens HJJ. The electrocardiogram in pulmonary embolism. In: Wellens HJJ, Kulbertus HE (eds.). What’s New in Electrocardiography. The Hague: Martinus Nijhoff 1981: 366-80.

  4. Daniel KR, Courtney M, Kline JA. Assessment of cardiac stress from massive pulmonary embolism with 12-lead ECG. Chest 2001; 120: 474-81.

  5. Surawicz B, Knilans TK. Electrocardiography in Clinical Practice: Adult and Pediatric, 5th ed. Philadelphia: WB Saunders; 2001, p. 289-92.

  6. Punukollu G, Gorda R, Khan I, Navarro VS, Vasavada B. Role of ECG in identifying patients with right ventricular dysfunction in acute pulmonary embolism. Chest 2003; 124: 2385-95.




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C?MO CITAR (Vancouver)

Med Sur. 2014;21