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- W2019761301 abstract "La etiología más frecuente de disnea es de origen cardiorrespiratorio. No debemos tipificar el origen psicógeno de la misma, aunque el paciente tenga antecedentes psiquiátricos, sin haber realizado las pruebas complementarias necesarias para descartar una causa orgánica. Presentamos un caso clínico cuyos síntomas guías son disnea y edemas en un varón de raza negra de 30 años de edad, con antecedentes de esquizofrenia. Se encontraron cardiomegalia e hipertrofia ventricular izquierda en pruebas complementarias básicas. La confirmación diagnóstica de miocardiopatía dilatada se realizó mediante ecocardiograma. Nuestro paciente se diagnosticó en estadio D, con descompensación de insuficiencia cardíaca resistente al tratamiento y tras varios episodios de arritmias malignas falleció. Según la clasificación de la ACC/AHA, el tratamiento definitivo en dicho estadio es el trasplante cardíaco. En este caso fue desestimada su realización urgente, por agudización de enfermedad psiquiátrica y consumo activo de tóxicos. Dyspnoea is mainly of cardio-respiratory origin. A diagnosis of psychogenic origin should not be made without having undertaken the necessary complementary tests to rule out any underlying organic cause, even if the patient has a psychiatric history. We present a clinical case with a clinical picture of dyspnoea, in a 30 year-old male of African origin with a history of schizophrenia. Oedemas can also be associated with dyspnoea. Cardiomegaly and hypertrophy of the left ventricle were established, using additional basic tests. The diagnostic confirmation of dilated cardiomyopathy was obtained from the echocardiogram. He was diagnosed in D phase, with decompensated heart failure, which was refractory to treatment, and after several incidents of malignant arrhythmias, the patient died. According to the ACC/AHA classification, the definitive treatment in this phase is the heart transplant. In the present case, urgent intervention was not considered, due to the worsening of the psychiatric pathology and active drug-taking." @default.
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- W2019761301 date "2013-05-01" @default.
- W2019761301 modified "2023-10-16" @default.
- W2019761301 title "Disnea en paciente esquizofrénico. Diagnóstico inesperado" @default.
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- W2019761301 doi "https://doi.org/10.1016/j.semerg.2012.02.010" @default.
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