title: [Acute myocardial infarct: apropos a clinical case].
abstract: The AA describe a clinical case of acute myocardial infarction (A.M.I.) with prodromal angina and an initial diagnosis based exclusively on clinical criteria; the patient was submitted to thrombolysis and had recurrent angina which led to the performance of rescue percutaneous coronary angioplasty (P.T.C.A.) that was successful. The clinical situations that may precede A.M.I. are discussed and the importance of the clinical presentation in its diagnosis are stressed. The indications and benefits of rescue P.T.C.A. are also discussed and the AA. conclude that the patients with prodromata of A.M.I. must be kept under clinical observation, so that prompt necessary therapeutic measures may be undertaken and that rescue P.T.C.A. is a therapeutic option of proven clinical benefit.
authors.affiliation: Serviço de Cardiologia, Hospital de Santa Marta, Lisboa.
authors.forename: L
authors.initials: L
authors.lastname: Rosário
authors.forename: A
authors.initials: A
authors.lastname: Galrinho
authors.forename: M
authors.initials: M
authors.lastname: Oliveira
authors.forename: R
authors.initials: R
authors.lastname: Ferreira
authors.forename: J
authors.initials: J
authors.lastname: Quininha
authors.forename: J G
authors.initials: JG
authors.lastname: Clara
authors.forename: A M
authors.initials: AM
authors.lastname: Antunes
mesh_terms: D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D013997:Time Factors
vernacular_title: Enfarte agudo do miocárdio: a propósito de um caso clínico.