<?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>1028-9933</journal-id>
<journal-title><![CDATA[Revista Información Científica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. inf. cient.]]></abbrev-journal-title>
<issn>1028-9933</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas Guantánamo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-99332019000300405</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Wellens, una forma grave de síndrome coronario agudo]]></article-title>
<article-title xml:lang="en"><![CDATA[Wellens syndrome, a severe form of acute coronary syndrome]]></article-title>
<article-title xml:lang="pt"><![CDATA[Síndrome de Wellens, uma forma grave de síndrome coronariana aguda]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Goire Guevara]]></surname>
<given-names><![CDATA[Geordan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias Otamendy]]></surname>
<given-names><![CDATA[Yassel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alberna Cardoso]]></surname>
<given-names><![CDATA[Aymé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Dr. Agostinho Neto&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Provincial Docente &#8220;Dr. Antonio Luaces Iraola&#8221;  ]]></institution>
<addr-line><![CDATA[ Ciego de Ávila]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>98</volume>
<numero>3</numero>
<fpage>405</fpage>
<lpage>412</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332019000300405&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332019000300405&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332019000300405&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se presentó el caso de una mujer de 41 años de edad, mestiza, con antecedentes de hipertensión arterial, obesidad y dislipemia que acudió al servicio de emergencias refiriendo dolor torácico retroesternal, opresivo, de intensidad 8/10, con irradiación a cuello, mandíbula y miembro superior izquierdo. El dolor torácico agudo representa del 5 al 20 % del total de las urgencias médicas y esta afectación común con un amplio diagnóstico diferencial es motivo de alarma, por lo que siempre se debe descartar la presencia de síndrome coronario agudo (SCA) debido al potencial riesgo que corren los pacientes con esta entidad y sus múltiples complicaciones. El electrocardiograma y la dosificación de enzimas cardíacas son herramientas importantes en la investigación de los pacientes, sin embargo, existen situaciones en las que aún en presencia de resultados normales, existe una enfermedad grave subyacente que podría pasar desapercibida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT We present the case of a 41-year-old woman, Mongrel , with a history of high blood pressure, obesity and dyslipidemia who went to the emergency service referring to chest pain, oppression, of intensity 8/10, with radiation to the neck, jaw and left upper limb. Acute chest pain accounts for 5 to 20% of all medical emergencies and this common affectation with a wide differential diagnosis is cause for alarm, so the presence of acute coronary syndrome (ACS) should always be ruled out due to the potential risk that run patients with this entity and its multiple complications. The electrocardiogram and the dosage of cardiac enzymes are important tools in the investigation of patients, however, there are situations in which even in the presence of normal results, there is a serious underlying disease that could go unnoticed.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Apresentamos o caso de uma mulher de 41 anos, mestiça, com história de hipertensão arterial, obesidade e dislipidemia, que compareceu ao serviço de emergência referindo dor torácica, opressão, de intensidade 8/10, com irradiação para o pescoço, mandíbula e membro superior esquerdo. A dor torácica aguda é responsável por 5 a 20% de todas as emergências médicas e essa afetação comum com amplo diagnóstico diferencial é motivo de alarme, portanto, a presença de síndrome coronariana aguda (SCA) deve ser sempre descartada devido ao risco potencial. que correm pacientes com essa entidade e suas múltiplas complicações. O eletrocardiograma e a dosagem de enzimas cardíacas são ferramentas importantes na investigação dos pacientes, entretanto, existem situações em que, mesmo na presença de resultados normais, existe uma doença subjacente grave que pode passar despercebida.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome coronario agudo]]></kwd>
<kwd lng="es"><![CDATA[síndrome de Wellens]]></kwd>
<kwd lng="es"><![CDATA[angina inestable aguda]]></kwd>
<kwd lng="es"><![CDATA[enzimas cardiacas]]></kwd>
<kwd lng="en"><![CDATA[acute coronary syndrome]]></kwd>
<kwd lng="en"><![CDATA[Wellens syndrome]]></kwd>
<kwd lng="en"><![CDATA[acute unstable angina]]></kwd>
<kwd lng="en"><![CDATA[cardiac enzymes]]></kwd>
<kwd lng="pt"><![CDATA[síndrome coronariana aguda]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de Wellens]]></kwd>
<kwd lng="pt"><![CDATA[angina instável aguda]]></kwd>
<kwd lng="pt"><![CDATA[enzimas cardíacas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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