1
INTRODUCCION
Un var6n de 51 afios de edad se presenta aquejado de dolor tordcico. El
paciente se habia encontrado bien hasta 2 semanas antes, cuando noté una
opresién en el centro del pecho mientras caminaba cuesta arriba. La opre-
sin cedi6 después de 2-3 min de reposo. Desde entonces ha percibido sen-
saciones similares en varias ocasiones, veces durante el ejervicio y otras,
en reposo, Fuma un paquete de cigarrillos al dia y le han indicado que su
resin arterial era
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