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      "titulo" => "Ventricular tachycardia induced by pacing algorithm designed to avoid atrial fibrillation"
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          "titulo" => "Indu&#231;&#227;o de taquicardia ventricular por algoritmo de <span class="elsevierStyleItalic">pacemaker</span> de preven&#231;&#227;o de fibrilha&#231;&#227;o auricular"
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            "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Markers retrieved from the pacemaker memory detailing the sequence of events inducing ventricular tachycardia &#40;VT&#41;&#58; ventricular premature beat &#40;a&#41; with retrograde &#40;ventriculoatrial&#41; conduction &#40;b&#41;&#59; since an atrial refractory event is sensed a window is opened during which no atrial pacing is delivered &#40;c&#41;&#59; atrial pacing then resumes &#40;d&#41;&#44; and a ventricular stimulus is delivered earlier than normal &#40;e&#41;&#44; leading to the induction of monomorphic sustained VT &#40;f&#41;&#46;</p>"
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    "titulo" => "De Winter pattern&#58; An ST-elevation myocardial infarction equivalent"
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        "titulo" => "Padr&#227;o de De Winter&#58; um equivalente de EAMCST"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Initial electrocardiogram showing a De Winter pattern &#40;3-6<span class="elsevierStyleHsp" style=""></span>mm ST-segment depression with high symmetrical T waves in leads V2-V3&#41;&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 47-year-old male&#44; smoker&#44; with hypertension and hypercholesterolemia&#44; presented to the emergency department with oppressive chest pain starting two hours before&#46; The initial electrocardiogram revealed sinus rhythm at 75 bpm and Q waves and 3-6 mm ST-segment depression with high symmetrical T waves in leads V2-V3 &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#44; with no ST-segment elevation in leads V7-V9&#46; A De Winter pattern was identified and the patient underwent emergent coronary angiography &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#44; which revealed occlusion of the proximal left anterior descending artery &#40;LAD&#41;&#44; followed by angioplasty and implantation of a drug-eluting stent&#46; Electrocardiographic evolution showed QS without T waves in leads V1-V4 &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">A De Winter pattern&#44; characterized by ST-segment depression in precordial leads with high-amplitude positive T waves&#44; usually reflects proximal LAD occlusion&#46; This pattern is described in about 2&#37; of cases of anterior myocardial infarction and is considered an ST-elevation myocardial infarction equivalent&#46; Early recognition is essential to enable emergent reperfusion therapy and improved prognosis&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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