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Electrocardiograma compatible con infarto agudo de miocardio con elevación del segmento ST en cara inferior y con afectación de ventrículo derecho. (C). ECG que muestra patrón de McGuin-White (S1Q3T3). (D). AngioTAC pulmonar, defectos de replección en las ramas principales de las arterias pulmonares (flechas).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Manuel Fernández-Anguita, Miguel Corbí-Pascual, Arsenio Gallardo-López" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Manuel" "apellidos" => "Fernández-Anguita" ] 1 => array:2 [ "nombre" => "Miguel" "apellidos" => "Corbí-Pascual" ] 2 => array:2 [ "nombre" => "Arsenio" "apellidos" => "Gallardo-López" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212915000579" "doi" => "10.1016/j.arbr.2015.02.024" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915000579?idApp=UINPBA00003Z" ] ] "EPUB" => 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"paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "249" "paginaFinal" => "250" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumomediastino y neumopericardio en un paciente con cáncer de pulmón espinocelular" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 996 "Ancho" => 1000 "Tamanyo" => 106913 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography showing large tumor in the right lung with direct mediastinal invasion and pneumomediastinum (arrow) anterior to the heart.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jan Kara, Sarka Klimesova, 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array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1554 "Ancho" => 2399 "Tamanyo" => 411768 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray on initial presentation, in which a mottled ground glass opacity and consolidation at the level of the right lower lobe can be seen. (B) Chest computed axial tomography (CT) image in a mediastinal window setting, showing an area of consolidation at the level of the right lower lobe, with an endobronchial lesion obstructing the basal segmented bronchi (arrow). (C) Bronchoscopy revealed a whitish endobronchial mass (arrow) at the opening of the basal anterior, lateral and posterior segmented bronchi of the right lower lobe. The follow-up chest X-ray (D) and chest CT (E) showed improvement of this lesion. The basal segmented bronchi in the right lower lobe were restored and identified on the chest CT (E) and in the bronchoscopy image (F). RB7: medial basal segmented bronchus of the right lower lobe.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Viboon Boonsarngsuk, Dararat Eksombatchai, Wasana Kanoksil, Visasiri Tantrakul" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Viboon" "apellidos" => "Boonsarngsuk" ] 1 => array:2 [ "nombre" => "Dararat" "apellidos" => "Eksombatchai" ] 2 => array:2 [ "nombre" => "Wasana" "apellidos" => "Kanoksil" ] 3 => array:2 [ "nombre" => "Visasiri" "apellidos" => "Tantrakul" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S030028961400194X" "doi" => "10.1016/j.arbres.2014.04.015" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961400194X?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915000592?idApp=UINPBA00003Z" "url" => "/15792129/0000005100000005/v2_201504270531/S1579212915000592/v2_201504270531/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clincal Image</span>" "titulo" => "Inferior Myocardial Infarction Involving Right Ventricle: Electrocardiogram Suggesting Pulmonary Embolism" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "247" "paginaFinal" => "248" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Manuel Fernández-Anguita, Miguel Corbí-Pascual, Arsenio Gallardo-López" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Manuel" "apellidos" => "Fernández-Anguita" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Miguel" "apellidos" => "Corbí-Pascual" "email" => array:1 [ 0 => "miguelcorbi@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "Arsenio" "apellidos" => "Gallardo-López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Cardiología, Complejo Hospitalario Universitario de Albacete, Calle Hermanos Falcó, 37, 02006 Albacete, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad Coronaria, Servicio de Cardiología, Complejo Hospitalario Universitario de Albacete, Calle Hermanos Falcó, 37, 02006 Albacete, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Unidad de Hemodinámica, Servicio de Cardiología, Hospital General de Albacete, Complejo Hospitalario Universitario de Albacete, Calle Hermanos Falcó, 37, 02006 Albacete, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infarto inferior y de ventrículo derecho: electrocardiograma de un tromboembolismo pulmonar" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1671 "Ancho" => 2225 "Tamanyo" => 360118 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Electrocardiogram suggestive of acute myocardial infarction with inferior ST segment elevation and right ventricular involvement. (C). ECG showing McGinn–White pattern (S1Q3T3). (D). Pulmonary CT-angiogram, filling defects in the primary branches of the pulmonary arteries (arrows).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 58-year-old woman, hypertensive, obese, smoker, was transferred to the emergency room due to cardiorespiratory arrest in an out-of-hospital setting. The first electrocardiogram after cardiopulmonary reanimation suggested acute myocardial infarction with inferior ST elevation and right ventricular (RV) involvement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B). Echocardiogram showed severe biventricular dysfunction, so emergency catheterization was performed that failed to reveal any coronary lesions. During the procedure, changes in blood pressure related with breathing indicative of <span class="elsevierStyleItalic">pulsus paradoxus</span> were observed, and the post-catheterization ECG (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C) showed sinus tachycardia, ST segment normalization, and McGinn–White pattern (S1Q3T3). CT-angiogram was performed, confirming the diagnosis of massive bilateral pulmonary embolism (PE) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D, arrows). The patient died 4<span class="elsevierStyleHsp" style=""></span>h later, despite thrombolytic treatment. The acute pressure overload from the PE would have led to RV failure secondary to RV infarction, as detected on our patient's ECG, despite the rarity of this finding.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">1</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">No funding was received.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of Interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors state that they had no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of Interest" ] 2 => array:1 [ "titulo" => "Reference" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Fernández-Anguita M, Corbí-Pascual M, Gallardo-López A. Infarto inferior y de ventrículo derecho: electrocardiograma de un tromboembolismo pulmonar. Arch Bronconeumol. 2015;51:247–248.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1671 "Ancho" => 2225 "Tamanyo" => 360118 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Electrocardiogram suggestive of acute myocardial infarction with inferior ST segment elevation and right ventricular involvement. (C). ECG showing McGinn–White pattern (S1Q3T3). (D). Pulmonary CT-angiogram, filling defects in the primary branches of the pulmonary arteries (arrows).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0010" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical characteristics of patients with acute pulmonary embolism stratified according to their presenting syndromes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P.D. Stein" 1 => "J.W. Henry" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1997" "volumen" => "112" "paginaInicial" => "974" "paginaFinal" => "979" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9377961" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005100000005/v2_201504270531/S1579212915000579/v2_201504270531/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005100000005/v2_201504270531/S1579212915000579/v2_201504270531/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915000579?idApp=UINPBA00003Z" ]
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