Crisis hipertensivas asociadas a arritmia severa por esfuerzo

Resumen

Se trata de un paciente de 46 años que inicialmente presenta una crisis hipertensiva sin otro diagnóstico asociado. Posteriormente, presenta un episodio de dolor torácico que es diagnosticado de posible pericarditis. Un mes después, presenta nuevo episodio de dolor torácico que es diagnosticado de taquicardia regular con QRS ancho desencadenada por el esfuerzo. El interés del presente caso radica en la escasa frecuencia de la taquicardia con QRS ancho desencadenada con el esfuerzo y en la dificultad para llegar a un diagnóstico adecuado. También destacar su asociación a descontrol tensional y crisis hipertensivas.

Abstract

A case is reported regarding a 46-year old male patient who initially had a hypertensive episode with no other associated diagnosis. He then had an episode of chest pain that was diagnosed as a possible pericarditis. One month later, the patient had a new episode of chest pain that was diagnosed as regular tachycardia with wide QRS precipitated by exercise. The interest of the present case is based on the scant frequency of wide-QRS tachycardia precipiated by exercise and on the difficulty to reach an adequate diagnosis. Its assocation to inadequate blood pressure control and hypertensive episodes also stands out.