{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T06:01:50Z","timestamp":1747202510892,"version":"3.40.5"},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"7-8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>A taquicardia sinusal \u00e9 uma manifesta\u00e7\u00e3o comum em Pediatria, associada frequentemente a condi\u00e7\u00f5es fisiol\u00f3gicas, nomeadamente\u00a0as s\u00edndromes de somatiza\u00e7\u00e3o. Pode ser um sinal precoce de patologias graves, com progn\u00f3stico adverso. Adolescente de 15 anos,\u00a0sexo feminino, saud\u00e1vel e sob anticoncetivos orais desde h\u00e1 um m\u00eas. Admitida no servi\u00e7o de urg\u00eancia por lipotimia. Estava assintom\u00e1tica\u00a0e n\u00e3o apresentava altera\u00e7\u00f5es ao exame objetivo, \u00e0 exce\u00e7\u00e3o de taquicardia sinusal persistente, apesar da estabilidade hemodin\u00e2mica.\u00a0A angio-tomografia computorizada tor\u00e1cica revelou trombos nas art\u00e9rias pulmonares principais, confirmando o diagn\u00f3stico\u00a0de embolia pulmonar bilateral. Foi iniciada hipocoagula\u00e7\u00e3o com boa evolu\u00e7\u00e3o. A embolia pulmonar em idade pedi\u00e1trica \u00e9 rara, embora\u00a0provavelmente sub-diagnosticada pela apresenta\u00e7\u00e3o cl\u00ednica inespec\u00edfica, que pode conduzir ao atraso diagn\u00f3stico e, consequentemente,\u00a0agravar o progn\u00f3stico.<\/jats:p>","DOI":"10.20344\/amp.10719","type":"journal-article","created":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T14:53:11Z","timestamp":1568213591000},"page":"545-548","source":"Crossref","is-referenced-by-count":0,"title":["Taquicardia Sinusal em Adolescentes: A Import\u00e2ncia do Diagn\u00f3stico Diferencial"],"prefix":"10.20344","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1205-7437","authenticated-orcid":false,"given":"In\u00eas","family":"Oliveira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo","family":"Teles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipe","family":"Seixo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anabela","family":"Ferr\u00e3o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2019,8,1]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/10719\/5741","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/10719\/5741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T22:25:25Z","timestamp":1666650325000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/10719"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,1]]},"references-count":0,"journal-issue":{"issue":"7-8","published-online":{"date-parts":[[2019,8,1]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.10719","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"type":"electronic","value":"1646-0758"},{"type":"print","value":"0870-399X"}],"subject":[],"published":{"date-parts":[[2019,8,1]]}}}