Image in Cardiology
Inferior wall acute myocardial infarction or something else?
Enfarte agudo do miocárdio da parede inferior ou algo mais?
Leandro Rassi
, Rita Rodrigues, Catarina Sá, Tatiana Duarte, Ricardo Santos, Rui Caria
Corresponding author
São Bernardo Hospital, Department of Cardiology, Setúbal, Portugal
Read
4343
Timeswas read the article
1500
Total PDF
2843
Total HTML
Share statistics
array:25 [ "pii" => "S2174204916000581" "issn" => "21742049" "doi" => "10.1016/j.repce.2015.11.016" "estado" => "S300" "fechaPublicacion" => "2016-03-01" "aid" => "777" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2016;35:191-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1798 "formatos" => array:3 [ "EPUB" => 145 "HTML" => 1304 "PDF" => 349 ] ] "Traduccion" => array:1 [ "en" => array:20 [ "pii" => "S0870255116000202" "issn" => "08702551" "doi" => "10.1016/j.repc.2015.11.007" "estado" => "S300" "fechaPublicacion" => "2016-03-01" "aid" => "777" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2016;35:191-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2410 "formatos" => array:3 [ "EPUB" => 164 "HTML" => 1694 "PDF" => 552 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Inferior wall acute myocardial infarction or something else?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "191" "paginaFinal" => "193" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Enfarte agudo do miocárdio da parede inferior ou algo mais?" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 748 "Ancho" => 800 "Tamanyo" => 49710 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Successful primary angioplasty of the right coronary artery.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Leandro Rassi, Rita Rodrigues, Catarina Sá, Tatiana Duarte, Ricardo Santos, Rui Caria" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Leandro" "apellidos" => "Rassi" ] 1 => array:2 [ "nombre" => "Rita" "apellidos" => "Rodrigues" ] 2 => array:2 [ "nombre" => "Catarina" "apellidos" => "Sá" ] 3 => array:2 [ "nombre" => "Tatiana" "apellidos" => "Duarte" ] 4 => array:2 [ "nombre" => "Ricardo" "apellidos" => "Santos" ] 5 => array:2 [ "nombre" => "Rui" "apellidos" => "Caria" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204916000581" "doi" => "10.1016/j.repce.2015.11.016" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916000581?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116000202?idApp=UINPBA00004E" "url" => "/08702551/0000003500000003/v1_201603080050/S0870255116000202/v1_201603080050/en/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S2174204916000593" "issn" => "21742049" "doi" => "10.1016/j.repce.2016.03.001" "estado" => "S300" "fechaPublicacion" => "2016-03-01" "aid" => "730" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Port Cardiol. 2016;35:195" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1681 "formatos" => array:3 [ "EPUB" => 143 "HTML" => 1127 "PDF" => 411 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "We need more data to determine the significance of NT-proBNP and troponin I levels in high-risk patients" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "195" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Precisamos de mais dados para determinar a importância dos níveis de NT-proBNP e de troponina em pacientes de alto risco" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mehmet Eyuboglu" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Mehmet" "apellidos" => "Eyuboglu" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255115003029" "doi" => "10.1016/j.repc.2015.09.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115003029?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916000593?idApp=UINPBA00004E" "url" => "/21742049/0000003500000003/v1_201603180035/S2174204916000593/v1_201603180035/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S217420491600057X" "issn" => "21742049" "doi" => "10.1016/j.repce.2015.09.017" "estado" => "S300" "fechaPublicacion" => "2016-03-01" "aid" => "776" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2016;35:189-90" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1769 "formatos" => array:3 [ "EPUB" => 168 "HTML" => 1261 "PDF" => 340 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "A rare aortic wall vegetation" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "189" "paginaFinal" => "190" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Uma localização rara de vegetação na parede da aorta" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figures 1 and 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1v2.jpeg" "Alto" => 1260 "Ancho" => 975 "Tamanyo" => 124858 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Transesophageal echocardiogram showing a 14 mm pedunculated and highly mobile mass attached to the intima, at the level of the sinotubular junction.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Rita Ferreira, Rui Baptista, Sílvia Monteiro, Mariano Pego" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Ana Rita" "apellidos" => "Ferreira" ] 1 => array:2 [ "nombre" => "Rui" "apellidos" => "Baptista" ] 2 => array:2 [ "nombre" => "Sílvia" "apellidos" => "Monteiro" ] 3 => array:2 [ "nombre" => "Mariano" "apellidos" => "Pego" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255116000196" "doi" => "10.1016/j.repc.2015.09.025" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116000196?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217420491600057X?idApp=UINPBA00004E" "url" => "/21742049/0000003500000003/v1_201603180035/S217420491600057X/v1_201603180035/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Inferior wall acute myocardial infarction or something else?" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "191" "paginaFinal" => "193" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Leandro Rassi, Rita Rodrigues, Catarina Sá, Tatiana Duarte, Ricardo Santos, Rui Caria" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Leandro" "apellidos" => "Rassi" "email" => array:1 [ 0 => "leandrorassi6@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Rita" "apellidos" => "Rodrigues" ] 2 => array:2 [ "nombre" => "Catarina" "apellidos" => "Sá" ] 3 => array:2 [ "nombre" => "Tatiana" "apellidos" => "Duarte" ] 4 => array:2 [ "nombre" => "Ricardo" "apellidos" => "Santos" ] 5 => array:2 [ "nombre" => "Rui" "apellidos" => "Caria" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "São Bernardo Hospital, Department of Cardiology, Setúbal, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Enfarte agudo do miocárdio da parede inferior ou algo mais?" ] ] "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" => 824 "Ancho" => 800 "Tamanyo" => 63673 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Contrast retention image on coronary angiography (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0030" class="elsevierStylePara elsevierViewall">The authors present the case of an 83-year-old male with a history of hypertension, appendectomy and cervical spine surgery who presented at the emergency department with epigastric pain and dyspnea at rest for six hours. The physical examination was compatible with refractory acute pulmonary edema requiring endotracheal intubation and ventilation. The electrocardiogram showed sinus rhythm with ST-segment elevation in the inferior leads. The emergent coronary angiography revealed three-vessel disease with distal occlusion of the right coronary artery (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>, Videos 1 and 2). Primary angioplasty was performed successfully (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>, Video 3). During the procedure a contrast retention image was observed apparently synchronous with the cardiac/respiratory cycle (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>, Video 4). The first possibility that came to mind was an aortic dissection, which was excluded by an anteroposterior projection, which showed that the image was in the midline (<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>, Videos 5 and 6). A chest computed tomography scan was then requested to rule out the presence of a fistula (esophageal or bronchial), which revealed that the image corresponded to retention of contrast in the medullary canal from myelography performed in the 1980s (<a class="elsevierStyleCrossRef" href="#fig0025">Figure 5</a>A and B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">Myelography is still used in the study of patients with suspected atrophic or degenerative changes in the spinal cord. Current soluble contrast agents have less acute and chronic neurotoxicity than previously used agents and do not need to be removed. In the case presented it was not possible to obtain information as to why the contrast agent was not removed after the procedure.</p><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:3 [ "identificador" => "sec0020" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0025" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0030" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0035" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-07-21" "fechaAceptado" => "2015-11-21" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0025" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia><elsevierMultimedia ident="upi0015"></elsevierMultimedia><elsevierMultimedia ident="upi0020"></elsevierMultimedia><elsevierMultimedia ident="upi0025"></elsevierMultimedia><elsevierMultimedia ident="upi0030"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary material" "identificador" => "sec0015" ] ] ] ] "multimedia" => array:11 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 940 "Ancho" => 700 "Tamanyo" => 51819 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Distal occlusion of the right coronary artery (arrow).</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" => 748 "Ancho" => 800 "Tamanyo" => 47154 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Successful primary angioplasty of the right coronary artery.</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" => 824 "Ancho" => 800 "Tamanyo" => 63673 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Contrast retention image on coronary angiography (arrow).</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" => 906 "Ancho" => 750 "Tamanyo" => 57422 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Coronary angiography, anteroposterior projection, showing the contrast retention image in the midline (arrow).</p>" ] ] 4 => array:7 [ "identificador" => "fig0025" "etiqueta" => "Figure 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 684 "Ancho" => 1309 "Tamanyo" => 72777 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography scan showing contrast retention in the medullary canal (arrows).</p>" ] ] 5 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 775770 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" ] ] ] ] 6 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc2.mp4" "ficheroTamanyo" => 1054098 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc2.flv" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc2.m4v" "poster" => "mmc2.jpg" ] ] ] ] 7 => array:5 [ "identificador" => "upi0015" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc3.mp4" "ficheroTamanyo" => 578865 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc3.flv" "poster" => "mmc3.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc3.m4v" "poster" => "mmc3.jpg" ] ] ] ] 8 => array:5 [ "identificador" => "upi0020" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc4.mp4" "ficheroTamanyo" => 620999 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc4.flv" "poster" => "mmc4.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc4.m4v" "poster" => "mmc4.jpg" ] ] ] ] 9 => array:5 [ "identificador" => "upi0025" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc5.mp4" "ficheroTamanyo" => 591002 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc5.flv" "poster" => "mmc5.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc5.m4v" "poster" => "mmc5.jpg" ] ] ] ] 10 => array:5 [ "identificador" => "upi0030" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc6.mp4" "ficheroTamanyo" => 592454 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc6.flv" "poster" => "mmc6.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc6.m4v" "poster" => "mmc6.jpg" ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003500000003/v1_201603180035/S2174204916000581/v1_201603180035/en/main.assets" "Apartado" => array:4 [ "identificador" => "9915" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003500000003/v1_201603180035/S2174204916000581/v1_201603180035/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916000581?idApp=UINPBA00004E" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 7 | 12 |
| 2024 October | 33 | 29 | 62 |
| 2024 September | 49 | 25 | 74 |
| 2024 August | 45 | 26 | 71 |
| 2024 July | 36 | 26 | 62 |
| 2024 June | 24 | 23 | 47 |
| 2024 May | 43 | 23 | 66 |
| 2024 April | 19 | 28 | 47 |
| 2024 March | 36 | 26 | 62 |
| 2024 February | 30 | 26 | 56 |
| 2024 January | 23 | 32 | 55 |
| 2023 December | 28 | 25 | 53 |
| 2023 November | 31 | 26 | 57 |
| 2023 October | 22 | 12 | 34 |
| 2023 September | 32 | 23 | 55 |
| 2023 August | 23 | 18 | 41 |
| 2023 July | 29 | 13 | 42 |
| 2023 June | 17 | 9 | 26 |
| 2023 May | 41 | 33 | 74 |
| 2023 April | 21 | 7 | 28 |
| 2023 March | 22 | 24 | 46 |
| 2023 February | 19 | 16 | 35 |
| 2023 January | 14 | 14 | 28 |
| 2022 December | 19 | 24 | 43 |
| 2022 November | 23 | 22 | 45 |
| 2022 October | 13 | 14 | 27 |
| 2022 September | 22 | 40 | 62 |
| 2022 August | 27 | 30 | 57 |
| 2022 July | 26 | 26 | 52 |
| 2022 June | 30 | 19 | 49 |
| 2022 May | 23 | 31 | 54 |
| 2022 April | 26 | 21 | 47 |
| 2022 March | 27 | 28 | 55 |
| 2022 February | 19 | 20 | 39 |
| 2022 January | 34 | 15 | 49 |
| 2021 December | 13 | 28 | 41 |
| 2021 November | 30 | 29 | 59 |
| 2021 October | 34 | 31 | 65 |
| 2021 September | 16 | 23 | 39 |
| 2021 August | 23 | 27 | 50 |
| 2021 July | 24 | 20 | 44 |
| 2021 June | 11 | 18 | 29 |
| 2021 May | 24 | 33 | 57 |
| 2021 April | 31 | 36 | 67 |
| 2021 March | 55 | 15 | 70 |
| 2021 February | 45 | 13 | 58 |
| 2021 January | 25 | 11 | 36 |
| 2020 December | 24 | 13 | 37 |
| 2020 November | 27 | 12 | 39 |
| 2020 October | 18 | 17 | 35 |
| 2020 September | 33 | 8 | 41 |
| 2020 August | 15 | 7 | 22 |
| 2020 July | 24 | 6 | 30 |
| 2020 June | 36 | 6 | 42 |
| 2020 May | 32 | 2 | 34 |
| 2020 April | 22 | 9 | 31 |
| 2020 March | 39 | 6 | 45 |
| 2020 February | 53 | 15 | 68 |
| 2020 January | 27 | 7 | 34 |
| 2019 December | 34 | 5 | 39 |
| 2019 November | 20 | 5 | 25 |
| 2019 October | 20 | 4 | 24 |
| 2019 September | 16 | 5 | 21 |
| 2019 August | 16 | 4 | 20 |
| 2019 July | 38 | 13 | 51 |
| 2019 June | 21 | 6 | 27 |
| 2019 May | 24 | 2 | 26 |
| 2019 April | 25 | 15 | 40 |
| 2019 March | 30 | 11 | 41 |
| 2019 February | 37 | 7 | 44 |
| 2019 January | 14 | 7 | 21 |
| 2018 December | 22 | 9 | 31 |
| 2018 November | 42 | 11 | 53 |
| 2018 October | 63 | 10 | 73 |
| 2018 September | 32 | 12 | 44 |
| 2018 August | 25 | 5 | 30 |
| 2018 July | 26 | 2 | 28 |
| 2018 June | 42 | 1 | 43 |
| 2018 May | 37 | 6 | 43 |
| 2018 April | 38 | 3 | 41 |
| 2018 March | 40 | 10 | 50 |
| 2018 February | 21 | 10 | 31 |
| 2018 January | 25 | 10 | 35 |
| 2017 December | 39 | 8 | 47 |
| 2017 November | 13 | 10 | 23 |
| 2017 October | 22 | 7 | 29 |
| 2017 September | 20 | 12 | 32 |
| 2017 August | 25 | 15 | 40 |
| 2017 July | 22 | 12 | 34 |
| 2017 June | 28 | 7 | 35 |
| 2017 May | 26 | 6 | 32 |
| 2017 April | 12 | 5 | 17 |
| 2017 March | 28 | 4 | 32 |
| 2017 February | 39 | 5 | 44 |
| 2017 January | 46 | 1 | 47 |
| 2016 December | 37 | 6 | 43 |
| 2016 November | 38 | 3 | 41 |
| 2016 October | 35 | 6 | 41 |
| 2016 September | 23 | 5 | 28 |
| 2016 August | 7 | 1 | 8 |
| 2016 July | 12 | 6 | 18 |
| 2016 June | 11 | 12 | 23 |
| 2016 May | 11 | 12 | 23 |
| 2016 April | 12 | 1 | 13 |
| 2016 March | 17 | 10 | 27 |
Show all
