<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032016000100032</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Monitoreo Holter prolongado en paciente con ictus]]></article-title>
<article-title xml:lang="en"><![CDATA[Long time Holter monitoring in stroke patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arellano Aguilar]]></surname>
<given-names><![CDATA[José Gregorio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas Gutiérrez]]></surname>
<given-names><![CDATA[Irving]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Basurto]]></surname>
<given-names><![CDATA[Adolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Carrillo]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles León Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles León Servicio de Neurología ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles León Servicio de Cardiología ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Guanajuato Facultad de Medicina de León ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>14</volume>
<numero>1</numero>
<fpage>32</fpage>
<lpage>35</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032016000100032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032016000100032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032016000100032&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  La fibrilación auricular paroxística (FAP) es una forma de arritmia cardiaca autolimitada y recurrente, comprende entre 25 y 62% de los casos, puede manifestarse como un breve episodio o periodos de duración variable, por lo que es subdiagnosticada principalmente en pacientes con ataque isquémico transitorio y/o apoplejía.  Caso clínico:  Hombre de 76 años que inicia cuatro días antes con parestesias en miembros superior e inferior izquierdos, las cuales evolucionaron a hemiplejía izquierda. Debido a infartos múltiples en RMN se procedió a determinar origen; el ecocardiograma transesofágico mostró aneurisma en septum interauricular de 22 mm; con monitoreo Holter se capturaron hasta el sexto día: tres episodios de fibrilación auricular paroxística, el más prolongado con duración de 4.3 minutos, prescribiendo con bases la anticoagulación.  Conclusiones:  Evitar encasillar a pacientes con infartos cerebrales criptogénicos en la categoría de origen desconocido con un solo Holter de 24 horas con resultados negativos. El descubrimiento de FAP en pacientes con ataque isquémico transitorio y/o ictus establecido tiene implicaciones diagnósticas y terapéuticas en la prevención primaria y secundaria del ictus respectivamente, por lo que debemos utilizar el monitoreo cardiaco de manera prolongada con los implementos que contemos, pues el costo beneficio del monitoreo Holter prolongado está plenamente justificado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Paroxysmal atrial fibrillation (PAF) is a form of self-limited and recurrent cardiac arrhythmia, comprising between 25 and 62% of cases, may manifest as a brief episode or periods of varying duration, which are subdiagnosed, mainly in patients with transient ischemic attack and/or stroke.  Clinical case:  76 years old male, who started four days earlier with paresthesia in left upper and lower members, which evolved to left hemiplegia. By submitting multiple infarcts in NMR proceeded to determine origin; the trans-esophageal echocardiogram showed atrial septum aneurysm 22 mm; with Holter monitoring were captured three episodes of paroxysmal atrial fibrillation until the 6th day; the longest lasting 4.3 minutes, prescribing anticoagulation with support.  Conclusions:  Avoid to catalog patients with cryptogenic stroke like unknown origin with negative results in single 24-hour Holter. The discovery of PAF in patients with transient ischemic attack and/or stroke has diagnostic and therapeutic implications on primary and secondary stroke prevention respectively. Prolonged Holter monitoring must be used because the cost-benefit is fully justified.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Monitoreo Holter prolongado]]></kwd>
<kwd lng="es"><![CDATA[fibrilación auricular]]></kwd>
<kwd lng="es"><![CDATA[infarto cerebral criptogénico]]></kwd>
<kwd lng="en"><![CDATA[Prolonged Holter monitoring]]></kwd>
<kwd lng="en"><![CDATA[atrial fibrillation]]></kwd>
<kwd lng="en"><![CDATA[cryptogenic brain stroke]]></kwd>
</kwd-group>
</article-meta>
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