<?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>2954-3835</journal-id>
<journal-title><![CDATA[Cardiovascular and metabolic science]]></journal-title>
<abbrev-journal-title><![CDATA[Cardiovasc. metab. sci]]></abbrev-journal-title>
<issn>2954-3835</issn>
<publisher>
<publisher-name><![CDATA[Asociación Nacional de Cardiólogos de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-38352021000400179</article-id>
<article-id pub-id-type="doi">10.35366/102768</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Cardiac rupture during dobutamine stress echocardiography as stratification after acute myocardial infarction]]></article-title>
<article-title xml:lang="es"><![CDATA[Ruptura cardiaca durante ecocardiograma de estrés con dobutamina como estratificación posterior a infarto agudo al miocardio]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva Ortiz]]></surname>
<given-names><![CDATA[Josué Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Romo Ramírez]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 50 San Luis Potosí Servicio de Medicina Interna-Cardiología]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 50 San Luis Potosí ]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>32</volume>
<numero>4</numero>
<fpage>179</fpage>
<lpage>182</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-38352021000400179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-38352021000400179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-38352021000400179&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Dobutamine stress echocardiography is widely used in stratification after an acute myocardial infarction. Complications that can be life threatening have been reported, ventricular arrhythmias being the most frequent. Cardiac rupture is a rare but fatal complication. We report the case of a 68-year-old male with an inferior infarction without a reperfusion strategy, who underwent a dobutamine stress echocardiogram 6 days after the infarction. During the initial recovery, the patient presented cardiac rupture due to the presence of a pericardial effusion with a hematic appearance and electro-mechanical dissociation. Emergency pericardiocentesis was performed, eventually the patient died. Recent inferior infarction and a dyskinetic zone have been reported in the literature as high-risk characteristics to present. Proper selection of the patient, a baseline echocardiogram without risk characteristics for rupture, and the time to perform the study after the infarction can reduce the incidence of this complication.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El ecocardiograma de estrés con dobutamina es ampliamente utilizado en la estratificación posterior a un infarto agudo al miocardio. Se han reportado complicaciones que pueden ser potencialmente mortales, siendo las arritmias ventriculares las más frecuentes. La ruptura cardiaca es una complicación rara, pero fatal. Se presenta el caso de un masculino de 68 años con un infarto inferior sin estrategia de reperfusión, el cual fue sometido a un ecocardiograma de estrés con dobutamina a los seis días del infarto. Durante la recuperación inicial el paciente presenta ruptura cardiaca por presencia de derrame pericárdico de aspecto hemático y disociación electro mecánica. Se realizó pericardiocentesis de urgencia, finalmente falleciendo el paciente. En la literatura se ha reportado el infarto inferior reciente y una zona discinética como las características de alto riesgo para presentarse. La selección adecuada del paciente, un ecocardiograma basal sin características de riesgo para ruptura y el tiempo de realización del estudio posterior al infarto puede disminuir la incidencia de esta complicación.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cardiac rupture]]></kwd>
<kwd lng="en"><![CDATA[dobutamine stress echocardiogram]]></kwd>
<kwd lng="en"><![CDATA[acute myocardial infarction]]></kwd>
<kwd lng="es"><![CDATA[Ruptura cardiaca]]></kwd>
<kwd lng="es"><![CDATA[ecocardiograma estrés con dobutamina]]></kwd>
<kwd lng="es"><![CDATA[infarto agudo al miocardio]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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