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(B) continuous Doppler showing mean tricuspid valve gradient of 10<span class="elsevierStyleHsp" style=""></span>mmHg.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Hélder Ribeiro, Pedro Magalhães, Catarina Ferreira, Ana Baptista, Renato Margato, Sofia Carvalho, Policarpo Rosa, Pedro Mateus, Alberto Ferreira, José Ilídio Moreira" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Hélder" "apellidos" => "Ribeiro" ] 1 => array:2 [ "nombre" => "Pedro" "apellidos" => "Magalhães" ] 2 => array:2 [ "nombre" => "Catarina" "apellidos" => "Ferreira" ] 3 => array:2 [ "nombre" => "Ana" "apellidos" => "Baptista" ] 4 => array:2 [ "nombre" => "Renato" "apellidos" => "Margato" ] 5 => array:2 [ "nombre" => "Sofia" "apellidos" => "Carvalho" ] 6 => array:2 [ "nombre" => "Policarpo" "apellidos" => "Rosa" ] 7 => array:2 [ "nombre" => "Pedro" "apellidos" => "Mateus" ] 8 => array:2 [ "nombre" => "Alberto" "apellidos" => "Ferreira" ] 9 => array:2 [ "nombre" => "José" "apellidos" => "Ilídio Moreira" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S087025511200042X" "doi" => "10.1016/j.repc.2012.02.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087025511200042X?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204912000359?idApp=UINPBA00004E" "url" => "/21742049/0000003100000004/v1_201305151725/S2174204912000359/v1_201305151725/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2174204912000566" "issn" => "21742049" "doi" => "10.1016/j.repce.2012.04.003" "estado" => "S300" "fechaPublicacion" => "2012-04-01" "aid" => "72" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "ssu" "cita" => "Rev Port Cardiol. 2012;31:295-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 7268 "formatos" => array:3 [ "EPUB" => 149 "HTML" => 5988 "PDF" => 1131 ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review article</span>" "titulo" => "Valvular lesions in patients with systemic lupus erythematosus and antiphospholipid syndrome: An old disease but a persistent challenge" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "295" "paginaFinal" => "299" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "As lesões valvulares nos doentes com lúpus eritematoso sistémico e síndrome antifosfolipídeo: uma velha doença, um desafio permanente" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ester Ferreira, Paulo M. Bettencourt, Luís M. Moura" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ester" "apellidos" => "Ferreira" ] 1 => array:2 [ "nombre" => "Paulo M." "apellidos" => "Bettencourt" ] 2 => array:2 [ "nombre" => "Luís M." "apellidos" => "Moura" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204912000566?idApp=UINPBA00004E" "url" => "/21742049/0000003100000004/v1_201305151725/S2174204912000566/v1_201305151725/en/main.assets" ] "en" => array:19 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Isolated right ventricular infarction presenting with anterior ST-segment elevation: A case for careful assessment of right ventricular branch occlusion" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "301" "paginaFinal" => "304" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Sérgio Nabais, Victoria Martin-Yuste, Monica Masotti, Manel Sabaté" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Sérgio" "apellidos" => "Nabais" "email" => array:1 [ 0 => "sergionnabais@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Victoria" "apellidos" => "Martin-Yuste" ] 2 => array:2 [ "nombre" => "Monica" "apellidos" => "Masotti" ] 3 => array:2 [ "nombre" => "Manel" "apellidos" => "Sabaté" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Interventional Cardiology Section, Cardiology Department, Thorax Institute, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Enfarte isolado do ventrículo direito simulando enfarte da parede anterior: atenção ao ramo ventricular direito!" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 601 "Ancho" => 1949 "Tamanyo" => 114783 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Right coronary angiogram (A, left anterior oblique view; B, right anterior oblique view) demonstrating total occlusion of the right ventricular branch. (C) Angiogram of the right coronary artery (right anterior oblique view) after stenting of the right ventricular branch with TIMI 3 flow.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The presence of ST-segment elevation in the anterior precordial leads in patients with acute coronary syndromes usually indicates left anterior descending coronary artery occlusion. However, anterior ST-segment elevation has also been described in right coronary artery (RCA) occlusion and is thought to signify right ventricular myocardial infarction (RVMI). We describe a case of isolated RVMI presenting with anterior ST-segment elevation due to proximal occlusion of a right ventricular branch that was treated by primary angioplasty.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Case report</span><p id="par0010" class="elsevierStylePara elsevierViewall">A 61-year-old man with no history of cardiac disease presented to a community hospital reporting typical chest pain 3<span class="elsevierStyleHsp" style=""></span>hours in duration with more severe intensity in the last 30<span class="elsevierStyleHsp" style=""></span>minutes. The initial standard 12-lead electrocardiogram (ECG) showed ST-segment elevation in leads V1–V5 and slight ST-segment elevation in the inferior leads (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The patient was given 5000<span class="elsevierStyleHsp" style=""></span>U of unfractionated heparin IV, 600<span class="elsevierStyleHsp" style=""></span>mg clopidogrel oral loading dose and 300<span class="elsevierStyleHsp" style=""></span>mg oral aspirin, and was transferred to our hospital for urgent catheterization. He arrived at our cath lab hemodynamically stable, with persistent chest pain. Coronary angiography, performed four and a half hours after symptom onset, showed a normal left coronary artery (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) and patent main vessel of the codominant RCA. Left ventriculography was normal. Careful review of the coronary angiogram revealed proximal occlusion of the right ventricular (RV) branch of the RCA (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>A and B). The RV branch occlusion was managed with balloon dilation and stenting (2.0<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>12.0<span class="elsevierStyleHsp" style=""></span>mm bare-metal stent at 16<span class="elsevierStyleHsp" style=""></span>atm, Multi-Link Mini Vision<span class="elsevierStyleSup">®</span>, Abbott Vascular, USA), resulting in resolution of the chest pain and ST-segment elevation (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1B and 3C</a>). One hour after the procedure the patient experienced a new episode of chest discomfort and ST-segment changes similar to the initial ECG (re-elevation in leads V1–V4 and slight elevation in leads II, III, and aVF) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). Emergency coronary angiography demonstrated acute stent thrombosis, which was probably related to previous inadequate stent covering of the proximal portion of the coronary plaque. Abciximab infusion was initiated, thrombus aspiration was performed and another proximal and overlapped bare-metal stent (2.25<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>12.0<span class="elsevierStyleHsp" style=""></span>mm at 12<span class="elsevierStyleHsp" style=""></span>atm, Multi-Link Mini Vision<span class="elsevierStyleSup">®</span>, Abbott Vascular, USA) was implanted, again resulting in resolution of chest pain and ST-segment elevation. The peak troponin I level was 5.2<span class="elsevierStyleHsp" style=""></span>ng/ml. The patient recovered without sequelae and was asymptomatic and fully active one month later. Contrast-enhanced magnetic resonance imaging (MRI) performed 30 days after presentation showed normal left ventricular function and normal right ventricular size and motion. No area of delayed hyperenhancement was visualized (<a class="elsevierStyleCrossRef" href="#fig0020">Fig. 4</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discussion</span><p id="par0015" class="elsevierStylePara elsevierViewall">Isolated RVMI is uncommon, with autopsy series indicating that it occurs in less than 3% of all patients with myocardial infarction.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> It has been described essentially in two anatomical contexts: occlusion of a nondominant RCA,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> and loss of large RV branches during coronary angioplasty of the RCA.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> There have been few reports of anterior ST-segment elevation caused by isolated RVMI due to RV branch occlusion in the absence of percutaneous coronary intervention.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Although it is usually considered that occlusion of a small nondominant right coronary artery is not associated with significant consequences, there are reports of cases presenting with sudden cardiac death.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Importantly, there are also reports of sudden cardiac death in which autopsy confirmed the occlusion of a branch of the RCA causing isolated RVMI.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Our case, to the best of our knowledge, is the first one reported of primary percutaneous coronary intervention treatment of an RV branch occlusion causing isolated acute RVMI and anterior ST-segment elevation. Acute stent thrombosis with recurrence of chest pain and anterior ST-segment re-elevation was successfully managed percutaneously. Revision of images of the first intervention showed that the proximal portion of the unstable coronary plaque was not covered by the stent. Another stent was implanted, proximal and overlapped to the previous one, to cover all the unstable plaque. Minimal myocardial necrosis was demonstrated by troponin assay and follow-up contrast-enhanced MRI showed no areas of delayed hyperenhancement in the right or left ventricles.</p><p id="par0025" class="elsevierStylePara elsevierViewall">When isolated RVMI occurs, the ECG may show an acute anterior ST-segment elevation pattern (leads V1 through V5) and right ST-segment elevation (leads V3R through V6R, which were not performed in our case). However, isolated ST-segment elevation due to RVMI is uncommon in clinical practice. Since RVMI usually occurs with simultaneous left ventricular inferior infarction, the electrical current of injury from the left ventricle dominates the RV electrical forces. The typical ECG changes in this setting are ST-segment elevation in the inferior leads with concomitant ST-segment depression in the precordial leads if the left ventricular posterior wall is involved.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Certain electrocardiographic features have been suggested which may help differentiate ST-segment elevation secondary to isolated RVMI from left anterior descending artery territory infarction. However, these features are not pathognomonic and it may be impossible to make this distinction on the basis of electrocardiography alone. The absence of Q-wave development in the anterior precordial leads has been reported as favoring the diagnosis of RVMI,<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> as was observed in our case. Nevertheless, other suggested features such as progressive reduction in ST-segment elevation across the precordial leads<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> were not seen in this case. In addition, an electrocardiographic criterion described by Lopez-Sendon et al.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> in the differential diagnosis of RVMI and anteroseptal MI is the relationship between ST-segment elevation in V4R–V3. In most patients with RVMI, ST-segment elevation in V4R is higher than that found in V1–V3.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conclusion</span><p id="par0035" class="elsevierStylePara elsevierViewall">Our description clearly illustrates a case of isolated RVMI as an uncommon but important differential diagnosis of anterior ST-segment elevation and highlights the value of careful review of angiographic images, as the culprit lesion may be an RV branch occlusion. Primary percutaneous intervention of these branch vessels is possible and enables complete resolution of chest pain and ST-segment changes, minimization of the damage to the RV myocardium, and avoidance of malignant arrhythmias.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflicts of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:10 [ 0 => array:2 [ "identificador" => "xres176175" "titulo" => "Abstract" ] 1 => array:2 [ "identificador" => "xpalclavsec164552" "titulo" => "Keywords" ] 2 => array:2 [ "identificador" => "xres176176" "titulo" => "Resumo" ] 3 => array:2 [ "identificador" => "xpalclavsec164551" "titulo" => "Palavras-chave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Case report" ] 6 => array:2 [ "identificador" => "sec0015" "titulo" => "Discussion" ] 7 => array:2 [ "identificador" => "sec0020" "titulo" => "Conclusion" ] 8 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] 9 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2011-06-15" "fechaAceptado" => "2011-09-08" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec164552" "palabras" => array:4 [ 0 => "Myocardial infarction" 1 => "Right ventricle" 2 => "Angioplasty" 3 => "Stent" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec164551" "palabras" => array:4 [ 0 => "Enfarte do miocárdio" 1 => "Ventrículo direito" 2 => "Angioplastia" 3 => "<span class="elsevierStyleItalic">Stent</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">We describe the case of a 61-year-old man who presented with chest pain and ST-segment elevation in the anterior precordial leads (V1–V5) due to proximal occlusion of the right ventricular branch of a codominant right coronary artery. Primary coronary angioplasty and stenting of this branch was performed resulting in resolution of the chest pain and ST-segment elevation. Our description illustrates a case of isolated right ventricular infarction as an uncommon but important differential diagnosis of anterior ST-segment elevation. In addition, it highlights the value of careful review of the angiographic images in this context, as the culprit lesion may be a right ventricular branch occlusion. To the best of our knowledge, this is the first reported case of primary percutaneous coronary intervention treatment of a right ventricular branch occlusion causing isolated acute right ventricular myocardial infarction and anterior ST-segment elevation.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Descreve-se o caso de um homem de 61 anos que se apresentou com dor torácica típica e supradesnivelamento do segmento ST nas derivações precordiais (V1-V5). A coronariografia de urgência revelou a oclusão proximal de um ramo ventricular da artéria coronária direita. Foi realizada angioplastia primária deste ramo com implantação de <span class="elsevierStyleItalic">stent</span> metálico convencional, resultando na resolução da dor torácica e da elevação ST. A presente descrição ilustra um caso de enfarte isolado do ventrículo direito como um diagnóstico diferencial pouco comum mas importante de elevação ST nas derivações precordiais. O presente caso realça ainda a importância de uma cuidadosa revisão das imagens angiográficas neste contexto, uma vez que a lesão culpada pode ser a oclusão de um ramo ventricular direito. Segundo a nossa pesquisa, o presente caso trata-se da primeira descrição de intervenção coronária percutânea primária de um ramo ventricular direito causando enfarte isolado do ventrículo directo e elevação ST nas derivações precordiais.</p>" ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3094 "Ancho" => 3275 "Tamanyo" => 1145788 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">(A) Initial ECG showing ST-segment elevation in the anterior precordial leads. (B) Post-coronary angioplasty ECG showing normal sinus rhythm with resolution of ST-segment elevation and no anterior Q waves. (C) Acute stent thrombosis causing new ST-segment elevation in leads V1–V4 and slight ST-segment elevation in leads II, III, and aVF.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 949 "Ancho" => 952 "Tamanyo" => 77949 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Left coronary angiogram showing no significant obstruction in the left anterior descending coronary artery (left anterior oblique view with cranial angulation).</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 601 "Ancho" => 1949 "Tamanyo" => 114783 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Right coronary angiogram (A, left anterior oblique view; B, right anterior oblique view) demonstrating total occlusion of the right ventricular branch. (C) Angiogram of the right coronary artery (right anterior oblique view) after stenting of the right ventricular branch with TIMI 3 flow.</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 826 "Ancho" => 952 "Tamanyo" => 58052 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Contrast-enhanced magnetic resonance imaging demonstrating absence of delayed hyperenhancement in the right or left ventricles.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Right ventricular infarction" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.W. Kinch" 1 => "T.J. Ryan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199404283301707" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1994" "volumen" => "330" "paginaInicial" => "1211" "paginaFinal" => "1217" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8139631" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Isolated right ventricular infarction resulting from occlusion of a nondominant right coronary artery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Gregory" 1 => "A. Desai" 2 => "M. 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Year/Month | Html | Total | |
---|---|---|---|
2024 November | 8 | 3 | 11 |
2024 October | 50 | 29 | 79 |
2024 September | 45 | 23 | 68 |
2024 August | 49 | 33 | 82 |
2024 July | 40 | 25 | 65 |
2024 June | 48 | 35 | 83 |
2024 May | 55 | 26 | 81 |
2024 April | 37 | 47 | 84 |
2024 March | 64 | 20 | 84 |
2024 February | 42 | 25 | 67 |
2024 January | 51 | 29 | 80 |
2023 December | 52 | 30 | 82 |
2023 November | 58 | 29 | 87 |
2023 October | 39 | 17 | 56 |
2023 September | 27 | 26 | 53 |
2023 August | 54 | 12 | 66 |
2023 July | 48 | 14 | 62 |
2023 June | 30 | 21 | 51 |
2023 May | 41 | 29 | 70 |
2023 April | 37 | 10 | 47 |
2023 March | 36 | 28 | 64 |
2023 February | 31 | 24 | 55 |
2023 January | 29 | 20 | 49 |
2022 December | 45 | 22 | 67 |
2022 November | 44 | 29 | 73 |
2022 October | 48 | 26 | 74 |
2022 September | 46 | 36 | 82 |
2022 August | 45 | 29 | 74 |
2022 July | 30 | 37 | 67 |
2022 June | 23 | 31 | 54 |
2022 May | 26 | 33 | 59 |
2022 April | 36 | 32 | 68 |
2022 March | 27 | 36 | 63 |
2022 February | 30 | 31 | 61 |
2022 January | 26 | 23 | 49 |
2021 December | 23 | 32 | 55 |
2021 November | 31 | 40 | 71 |
2021 October | 29 | 35 | 64 |
2021 September | 27 | 35 | 62 |
2021 August | 45 | 33 | 78 |
2021 July | 41 | 26 | 67 |
2021 June | 28 | 18 | 46 |
2021 May | 36 | 41 | 77 |
2021 April | 56 | 81 | 137 |
2021 March | 42 | 21 | 63 |
2021 February | 65 | 23 | 88 |
2021 January | 84 | 12 | 96 |
2020 December | 58 | 11 | 69 |
2020 November | 53 | 22 | 75 |
2020 October | 24 | 15 | 39 |
2020 September | 53 | 8 | 61 |
2020 August | 27 | 8 | 35 |
2020 July | 47 | 12 | 59 |
2020 June | 39 | 7 | 46 |
2020 May | 42 | 8 | 50 |
2020 April | 41 | 10 | 51 |
2020 March | 48 | 6 | 54 |
2020 February | 107 | 22 | 129 |
2020 January | 41 | 5 | 46 |
2019 December | 28 | 10 | 38 |
2019 November | 35 | 2 | 37 |
2019 October | 39 | 7 | 46 |
2019 September | 27 | 11 | 38 |
2019 August | 26 | 10 | 36 |
2019 July | 44 | 13 | 57 |
2019 June | 20 | 8 | 28 |
2019 May | 38 | 14 | 52 |
2019 April | 32 | 32 | 64 |
2019 March | 53 | 19 | 72 |
2019 February | 66 | 12 | 78 |
2019 January | 28 | 9 | 37 |
2018 December | 61 | 14 | 75 |
2018 November | 115 | 9 | 124 |
2018 October | 286 | 18 | 304 |
2018 September | 66 | 8 | 74 |
2018 August | 88 | 6 | 94 |
2018 July | 41 | 6 | 47 |
2018 June | 61 | 7 | 68 |
2018 May | 61 | 8 | 69 |
2018 April | 56 | 12 | 68 |
2018 March | 58 | 7 | 65 |
2018 February | 45 | 3 | 48 |
2018 January | 31 | 6 | 37 |
2017 December | 59 | 13 | 72 |
2017 November | 41 | 11 | 52 |
2017 October | 52 | 13 | 65 |
2017 September | 47 | 9 | 56 |
2017 August | 45 | 15 | 60 |
2017 July | 44 | 15 | 59 |
2017 June | 35 | 7 | 42 |
2017 May | 37 | 3 | 40 |
2017 April | 41 | 7 | 48 |
2017 March | 43 | 9 | 52 |
2017 February | 58 | 9 | 67 |
2017 January | 33 | 4 | 37 |
2016 December | 51 | 9 | 60 |
2016 November | 35 | 1 | 36 |
2016 October | 32 | 3 | 35 |
2016 September | 21 | 4 | 25 |
2016 August | 11 | 0 | 11 |
2016 July | 18 | 2 | 20 |
2016 June | 20 | 2 | 22 |
2016 May | 8 | 2 | 10 |
2016 April | 40 | 1 | 41 |
2016 March | 51 | 6 | 57 |
2016 February | 49 | 9 | 58 |
2016 January | 36 | 7 | 43 |
2015 December | 34 | 5 | 39 |
2015 November | 42 | 4 | 46 |
2015 October | 44 | 7 | 51 |
2015 September | 29 | 8 | 37 |
2015 August | 38 | 4 | 42 |
2015 July | 23 | 12 | 35 |
2015 June | 24 | 7 | 31 |
2015 May | 28 | 4 | 32 |
2015 April | 26 | 6 | 32 |
2015 March | 26 | 3 | 29 |
2015 February | 31 | 6 | 37 |
2015 January | 27 | 6 | 33 |
2014 December | 45 | 11 | 56 |
2014 November | 28 | 5 | 33 |
2014 October | 25 | 2 | 27 |
2014 September | 30 | 6 | 36 |
2014 August | 31 | 7 | 38 |
2014 July | 49 | 4 | 53 |
2014 June | 63 | 8 | 71 |
2014 May | 77 | 7 | 84 |
2014 April | 89 | 9 | 98 |
2014 March | 83 | 18 | 101 |
2014 February | 45 | 10 | 55 |
2014 January | 37 | 12 | 49 |
2013 December | 39 | 4 | 43 |
2013 November | 44 | 15 | 59 |
2013 October | 55 | 14 | 69 |
2013 September | 69 | 14 | 83 |
2013 August | 83 | 12 | 95 |
2013 July | 48 | 19 | 67 |
2013 June | 40 | 11 | 51 |
2013 May | 40 | 8 | 48 |
2013 April | 51 | 20 | 71 |
2013 March | 40 | 11 | 51 |
2013 February | 67 | 18 | 85 |
2013 January | 45 | 20 | 65 |
2012 December | 36 | 18 | 54 |
2012 November | 36 | 13 | 49 |
2012 October | 6 | 3 | 9 |
2012 September | 7 | 4 | 11 |