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<front>
<journal-meta>
<journal-id>1817-7433</journal-id>
<journal-title><![CDATA[Revista Científica Ciencia Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cient Cienc Méd]]></abbrev-journal-title>
<issn>1817-7433</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina, Universidad Mayor de San Simón.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-74332009000200021</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[ALGORITMO PARA EL MANEJO INICIAL DEL INFARTO AGUDO DE MIOCARDIO CON ELEVACIÓN DEL SEGMENTO ST]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arandia Guzmán]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Hospital Clínico Viedma  ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2009</year>
</pub-date>
<volume>12</volume>
<numero>2</numero>
<fpage>57</fpage>
<lpage>57</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1817-74332009000200021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1817-74332009000200021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1817-74332009000200021&amp;lng=en&amp;nrm=iso"></self-uri></article-meta>
</front><body><![CDATA[ <p align="right"><font face="Verdana" size="2"><b>EDUCACI&Oacute;N M&Eacute;DICA CONTINUA</b></font></p>     <p align="right">&nbsp;</p>     <p align="center"><b><font size="3" face="Verdana, Arial, Helvetica, sans-serif">ALGORITMO PARA EL MANEJO INICIAL DEL INFARTO AGUDO DE MIOCARDIO CON ELEVACI&Oacute;N DEL SEGMENTO ST</font></b></p>     <p align="center">&nbsp;</p>     <p align="center">&nbsp;</p>     <p align="center"><font face="Verdana" size="2"><b><i>Dr. Jaime Arandia Guzm&aacute;n</i></b></font></p>     <p align="center"><font face="Verdana" size="2"><i>Cardi&oacute;logo    <br>   Hospital Cl&iacute;nico Viedma, Cl&iacute;nica Los Olivos    <br>   Cochabamba, Bolivia</i></font></p>     <p align="center">&nbsp;</p>     ]]></body>
<body><![CDATA[<p align="left">&nbsp;</p> <hr noshade>     <p align="center">&nbsp;</p>     <p align="center"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Si el paciente refiere dolor tor&aacute;cico posiblemente isqu&eacute;mico.</font></p>     <p align="left"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">  Realizar:</font></p>     <p align="center"><img src="/img/revistas/rccm/v12n2/a20_cuadro_01.gif" width="681" height="870"></p>     <blockquote>       <p align="left"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><b>aPTT:</b> tiempo de tronboplastina parcial activada    <br>     <b>CK MB:</b> creatinakinasa isoenzima    <br>     <b>ECG:</b> electrocardiograma    <br>     <b>TP:</b> tiempo de protrombina    ]]></body>
<body><![CDATA[<br>     <b>LDL:</b> Lipoproteina de baja densidad(Low-density lipoprotein)</font>    <br>     <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><b>NTG:</b> Nitroglicerina</font></p> </blockquote>     <p align="left">&nbsp;</p>     <p align="center"><b><font size="3" face="Verdana, Arial, Helvetica, sans-serif">CONTRAINDICACIONES PARA EL USO DE TROMBOL&Iacute;TICOS</font></b></p>     <p align="center"><font face="Verdana" size="2"><b><i>Dr. Jaime Arandia Guzm&aacute;n</i></b></font></p>     <p align="center"><font face="Verdana" size="2"><i>Cardi&oacute;logo intervencionista    <br>   Hospital Cl&iacute;nico Viedma    <br> Cochabamba, Bolivia</i></font></p>     <p align="center"><img src="/img/revistas/rccm/v12n2/a20_cuadro_02.gif" width="692" height="298"></p>     <p align="center">&nbsp;</p>     ]]></body>
<body><![CDATA[<p align="center">&nbsp;</p>      ]]></body>
</article>
