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Dolor de brazo fantasma y tinnitus en un paciente con infarto de miocardio por elevación del segmento ST: un informe
John Porter1, Chad P Liedl2, Kevin P Steever2
1Mayo Clinic, Cardiac Catheterization Laboratory, Rochester, Minnesota.
Clinical practice and cases in emergency medicine
|February 10, 2026
Resumen
Este estudio de caso destaca un raro caso de dolor de brazo fantasma y empeoramiento del tinnitus durante un infarto de miocardio por elevación del segmento ST (STEMI). El tratamiento inmediato de la oclusión de la arteria coronaria resolvió estos síntomas inusuales.
Área de la Ciencia:
- Cardiología Cardiología.
- Neurología Neurología.
Sus antecedentes:
- El infarto de miocardio por elevación del segmento ST (STEMI) puede presentarse con síntomas atípicos.
- El dolor de extremidad fantasma y la exacerbación del tinnitus rara vez se informan en el síndrome coronario agudo.
Objetivo del estudio:
- Para informar de un caso único de STEMI que se presenta con dolor de brazo fantasma y exacerbación del tinnitus.
- Para discutir la rara asociación entre estos síntomas y el infarto de miocardio.
Principales métodos:
- Informe de caso de un hombre de 56 años que experimenta dolor en el pecho, dolor en el brazo fantasma y tinnitus.
- El diagnóstico de STEMI confirmado por los servicios médicos de emergencia y la angiografía coronaria.
- El tratamiento consistió en una intervención coronaria percutánea con stents liberadores de fármacos.
Principales resultados:
- Se identificó y trató con éxito una oclusión del 100% de la arteria coronaria derecha.
- El dolor de la extremidad fantasma del paciente y los síntomas de tinnitus se resolvieron después de la intervención.
- El paciente fue dado de alta en condición estable dos días después del procedimiento.
Conclusiones:
- El dolor de extremidad fantasma y la exacerbación del tinnitus pueden ser inusuales al presentar síntomas de STEMI.
- El reconocimiento y la intervención temprana son cruciales para el manejo de STEMI, incluso con presentaciones atípicas.
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