<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572020000300019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Taponamiento cardíaco como forma de debut del lupus eritematoso sistémico]]></article-title>
<article-title xml:lang="en"><![CDATA[Cardiac tamponade as a debut form of systemic lupus erythematosus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega Candelario]]></surname>
<given-names><![CDATA[Rodolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega Jiménez]]></surname>
<given-names><![CDATA[Junior]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Ciego de Ávila Hospital Provincial Docente "Roberto Rodríguez" ]]></institution>
<addr-line><![CDATA[Ciego de Ávila ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Militar "Dr. Mario Muñoz Monroy"  ]]></institution>
<addr-line><![CDATA[Matanzas ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>49</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572020000300019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572020000300019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572020000300019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El lupus eritematoso sistémico tiene múltiples formas de presentarse. La afectación del pericardio es la manifestación cardíaca más frecuente. El taponamiento cardíaco es muy raro, pero se presenta como un síndrome clínico hemodinámico potencialmente mortal.  Objetivo:  Mostrar una forma muy rara de presentación del lupus eritematoso sistémico; el taponamiento cardíaco.  Caso clínico:  Paciente blanca de 47 años con anasarca, disnea, palpitaciones, polipnea, ortopnea, tiraje intercostal, dolor torácico intenso, punzante, toma del estado general, ansiedad, fiebre, artralgia, artritis, lesiones dermatológicas, acrocianosis, ingurgitación yugular e hipotensión marcada.  Comentarios:  El paciente con taponamiento cardíaco debe ser asumido por un equipo multidisciplinario que defina el diagnóstico preciso y la conducta, sobre todo cuando se trata del debut del lupus eritematoso sistémico, que con los fenómenos autoinmunitarios, afecta a todos los órganos y sistemas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Systemic lupus erythematosus has multiple ways of presentation. Pericardium involvement is the most frequent cardiac manifestation. Cardiac tamponade is very rare, but it presents as a life-threatening clinical hemodynamic syndrome.  Objective:  To show a very rare form of presentation of systemic lupus erythematosus; cardiac tamponade.  Clinical case:  47-year-old white patient with anasarca, dyspnea, palpitations, polypnea, orthopnea, intercostal retraction, throbbing severe chest pain, bad general condition, anxiety, fever, arthralgia, arthritis, dermatological lesions, acrocyanosis, jugular engorgement and severe hypotension.  Comments:  Cardiac tamponade patient must be assumed by a multidisciplinary team that defines the precise diagnosis and behavior, especially when it comes to the debut of systemic lupus erythematosus, which with its autoimmune phenomena, affects all organs and systems.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[taponamiento cardíaco]]></kwd>
<kwd lng="es"><![CDATA[emergencia médica]]></kwd>
<kwd lng="es"><![CDATA[lupus eritematoso]]></kwd>
<kwd lng="es"><![CDATA[abordaje multidisciplinario]]></kwd>
<kwd lng="en"><![CDATA[cardiac tamponade]]></kwd>
<kwd lng="en"><![CDATA[medical emergency]]></kwd>
<kwd lng="en"><![CDATA[lupus erythematosus]]></kwd>
<kwd lng="en"><![CDATA[multidisciplinary approach]]></kwd>
</kwd-group>
</article-meta>
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