<?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>0186-4866</journal-id>
<journal-title><![CDATA[Medicina interna de México]]></journal-title>
<abbrev-journal-title><![CDATA[Med. interna Méx.]]></abbrev-journal-title>
<issn>0186-4866</issn>
<publisher>
<publisher-name><![CDATA[Edición y Farmacia S.A. de C.V.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-48662018000400020</article-id>
<article-id pub-id-type="doi">10.24245/mim.v34i4.1887</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Wellens, equivalente clínico de estenosis coronaria crítica]]></article-title>
<article-title xml:lang="en"><![CDATA[Wellens&#8217; syndrome, clinical equivalent of critical coronary stenosis.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vergara-Orduña]]></surname>
<given-names><![CDATA[Fernando Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Macedo-Calvillo]]></surname>
<given-names><![CDATA[Lecsy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacios-Pérez]]></surname>
<given-names><![CDATA[Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Sánchez]]></surname>
<given-names><![CDATA[Miriam Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca-Tinoco]]></surname>
<given-names><![CDATA[Norma Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,ISSSTE  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaría de Salud  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>4</numero>
<fpage>658</fpage>
<lpage>661</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-48662018000400020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-48662018000400020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-48662018000400020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El infarto agudo de miocardio con elevación del segmento ST es una indicación urgente de cateterismo cardiaco. El síndrome de Wellens es la inversión persistente de la onda T en las derivaciones V2 y V3 con datos clínicos compatibles con angina; la evidencia de este síndrome indica la oclusión crítica de la coronaria descendente anterior; el tratamiento de elección es el cateterismo cardiaco. Se comunica el caso clínico de un paciente con factores de riesgo cardiovascular, con evidencia de síndrome de Wellens tipo B; el reconocimiento y la adecuada toma de decisiones son críticas en estas circunstancias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Acute myocardial infarction with ST elevation is an urgent indication for cardiac catheterization. Wellens&#8217; syndrome is a persistent reversal of the T wave in leads V2 and V3 with clinical presence compatible with angina; the evidence of this syndrome indicates the critical occlusion of the anterior descending coronary artery, with cardiac catheterization being the treatment of choice. We present the clinical case of a patient with cardiovascular risk factors, with evidence of Wellens&#8217; syndrome type B. Recognition and proper decision-making are critical in these circumstances.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infarto agudo de miocardio]]></kwd>
<kwd lng="es"><![CDATA[cateterismo cardiaco]]></kwd>
<kwd lng="es"><![CDATA[electrocardiograma]]></kwd>
<kwd lng="en"><![CDATA[Acute myocardial infarction]]></kwd>
<kwd lng="en"><![CDATA[Cardiac catheterization]]></kwd>
<kwd lng="en"><![CDATA[Electrocardio-graphy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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