was read the article
array:24 [ "pii" => "S2174204918303118" "issn" => "21742049" "doi" => "10.1016/j.repce.2017.07.014" "estado" => "S300" "fechaPublicacion" => "2018-09-01" "aid" => "1254" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2018" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2018;37:793-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 646 "formatos" => array:3 [ "EPUB" => 102 "HTML" => 331 "PDF" => 213 ] ] "itemSiguiente" => array:18 [ "pii" => "S2174204918303234" "issn" => "21742049" "doi" => "10.1016/j.repce.2018.09.006" "estado" => "S300" "fechaPublicacion" => "2018-09-01" "aid" => "1298" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "prv" "cita" => "Rev Port Cardiol. 2018;37:797" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 474 "formatos" => array:3 [ "EPUB" => 97 "HTML" => 209 "PDF" => 168 ] ] "pt" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">ARTIGO RECOMENDADO DO MÊS</span>" "titulo" => "Breve Comentário Vídeo ao Artigo Recomendado do Mês" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "797" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Brief Comment Video to the Recommended Article of the Month" ] ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918303234?idApp=UINPBA00004E" "url" => "/21742049/0000003700000009/v2_201911291446/S2174204918303234/v2_201911291446/pt/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2174204918303076" "issn" => "21742049" "doi" => "10.1016/j.repce.2017.04.015" "estado" => "S300" "fechaPublicacion" => "2018-09-01" "aid" => "1212" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Rev Port Cardiol. 2018;37:791.e1-791.e4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 736 "formatos" => array:3 [ "EPUB" => 100 "HTML" => 321 "PDF" => 315 ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Acute coronary syndrome in the oncology patient: An avoidable event?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "791.e1" "paginaFinal" => "791.e4" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "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" => 923 "Ancho" => 2334 "Tamanyo" => 223301 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">(A) Left anterior descending artery with 80% stenosis; (B) distal circumflex artery with 90% stenosis; (C) final result of angioplasty on the circumflex artery; (D) right coronary artery with 90% stenosis in the mid segment; (E) final result of angioplasty on the right coronary artery.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Afonso Félix-Oliveira, Nélson Vale, Sérgio Madeira, Miguel Mendes" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Afonso" "apellidos" => "Félix-Oliveira" ] 1 => array:2 [ "nombre" => "Nélson" "apellidos" => "Vale" ] 2 => array:2 [ "nombre" => "Sérgio" "apellidos" => "Madeira" ] 3 => array:2 [ "nombre" => "Miguel" "apellidos" => "Mendes" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S0870255117300021" "doi" => "10.1016/j.repc.2017.04.010" "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/S0870255117300021?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918303076?idApp=UINPBA00004E" "url" => "/21742049/0000003700000009/v2_201911291446/S2174204918303076/v2_201911291446/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Left pericardial defect: A rare cause of chest pain" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "793" "paginaFinal" => "795" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana Rita Pereira, Ana Rita Almeida, Inês Cruz, Luís Rocha Lopes, Isabel João, Hélder Pereira" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Ana Rita" "apellidos" => "Pereira" "email" => array:1 [ 0 => "pereira.anaritaf@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Ana Rita" "apellidos" => "Almeida" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Inês" "apellidos" => "Cruz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Luís Rocha" "apellidos" => "Lopes" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "Isabel" "apellidos" => "João" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Hélder" "apellidos" => "Pereira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Cardiology Department, Hospital Garcia de Orta, Almada, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Institute of Cardiovascular Science, University College London, London, United Kingdom" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Centro Cardiovascular, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Defeito do pericárdio esquerdo: uma causa rara de dor torácica" ] ] "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" => 2503 "Ancho" => 1867 "Tamanyo" => 368140 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Cardiac MRI images. (A-D) Steady-state free precession images. (A) Axial image showing left and posterior heart displacement. (B) Axial image displaying non-visualization of the pericardium and pericardial fat around the left ventricle (between the white arrows). (C) Coronal image showing absence of the pericardium and pericardial fat around the left ventricle and great vessels (between the white arrows), with lung tissue interposition in the several recesses where the pericardium is usually found. (D) Axial image showing lung tissue in the aorto-pulmonary window (white arrow), which is considered a pathognomonic sign of this condition. (E) T1-weighted axial image with no abnormalities, particularly, fat tissue deposition. (F) Delayed gadolinium-enhanced axial image with no macroscopic areas of myocardial fibrosis/necrosis.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Congenital pericardial defects are extremely rare with a reported incidence of <1 in 10<span class="elsevierStyleHsp" style=""></span>000 and a male:female ratio of 3:1. Most patients are asymptomatic and diagnosis is usually incidental. Symptomatic patients present a range of non-specific symptoms, meaning that imaging is crucial for diagnosis.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 46-year-old woman was referred to our department with symptoms of palpitations and atypical chest pain. Clinical examination found a palpable apical impulse on the midaxillary line. Electrocardiogram revealed sinus rhythm with a heart rate of 90 bpm, left anterior fascicular block and incomplete right bundle branch block. Chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>) revealed levoposition and a “teardrop” appearance of the heart, superimposition of the right cardiac border over the spine, a prominent main pulmonary artery and a translucent area between the heart and the diaphragm.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Unusual transthoracic echocardiographic windows were required, which showed paradoxical ventricular septal motion, cardiac hypermobility and apparent right ventricular dilation (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Systemic-to-pulmonary shunt, arrhythmogenic cardiomyopathy and congenital pericardial defect were considered as possible diagnoses.</p><p id="par0025" class="elsevierStylePara elsevierViewall">As the echocardiographic images were suboptimal, cardiac magnetic resonance imaging (MRI) was performed (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>), confirming leftward displacement of the heart (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>A) and hypermobility (Video 1). Absence of left ventricular pericardium and pericardial fat (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>B and C) and interposition of lung tissue between the great vessels (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>D) were also observed. This last finding is considered a specific diagnostic sign (for some authors even a pathognomonic sign) of congenital pericardial defect.</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">Therefore, our patient was diagnosed with complete defect of the left pericardium, which is the most common type described in the literature. As it is a form with good prognosis, no treatment was given and the patient was kept under regular follow-up.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2017-04-28" "fechaAceptado" => "2017-07-24" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0045" class="elsevierStylePara elsevierViewall">The following are the supplementary material to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary material" "identificador" => "sec0015" ] ] ] ] "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" => 1181 "Ancho" => 1200 "Tamanyo" => 296755 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray showing marked levoposition and a “teardrop” appearance (dashed white line) of the cardiac silhouette, loss of right heart border due to superimposition over the spine (A), prominent main pulmonary artery (B) and translucent area between the diaphragm and the heart (C).</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" => 601 "Ancho" => 2333 "Tamanyo" => 157000 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram images. (A) Parasternal long-axis view, bi-dimensional mode. (B) Parasternal long-axis view, M-mode, showing paradoxical septal motion. (C) Parasternal short-axis view of the base, showing apparent right ventricular dilation.</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" => 2503 "Ancho" => 1867 "Tamanyo" => 368140 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Cardiac MRI images. (A-D) Steady-state free precession images. (A) Axial image showing left and posterior heart displacement. (B) Axial image displaying non-visualization of the pericardium and pericardial fat around the left ventricle (between the white arrows). (C) Coronal image showing absence of the pericardium and pericardial fat around the left ventricle and great vessels (between the white arrows), with lung tissue interposition in the several recesses where the pericardium is usually found. (D) Axial image showing lung tissue in the aorto-pulmonary window (white arrow), which is considered a pathognomonic sign of this condition. (E) T1-weighted axial image with no abnormalities, particularly, fat tissue deposition. (F) Delayed gadolinium-enhanced axial image with no macroscopic areas of myocardial fibrosis/necrosis.</p>" ] ] 3 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 1730007 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003700000009/v2_201911291446/S2174204918303118/v2_201911291446/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/21742049/0000003700000009/v2_201911291446/S2174204918303118/v2_201911291446/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918303118?idApp=UINPBA00004E" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 8 | 6 | 14 |
2024 October | 40 | 29 | 69 |
2024 September | 50 | 22 | 72 |
2024 August | 41 | 21 | 62 |
2024 July | 45 | 24 | 69 |
2024 June | 30 | 43 | 73 |
2024 May | 33 | 30 | 63 |
2024 April | 22 | 23 | 45 |
2024 March | 42 | 27 | 69 |
2024 February | 29 | 27 | 56 |
2024 January | 22 | 22 | 44 |
2023 December | 19 | 23 | 42 |
2023 November | 27 | 16 | 43 |
2023 October | 28 | 17 | 45 |
2023 September | 25 | 16 | 41 |
2023 August | 33 | 18 | 51 |
2023 July | 31 | 12 | 43 |
2023 June | 26 | 9 | 35 |
2023 May | 35 | 29 | 64 |
2023 April | 26 | 8 | 34 |
2023 March | 31 | 14 | 45 |
2023 February | 30 | 18 | 48 |
2023 January | 18 | 16 | 34 |
2022 December | 40 | 15 | 55 |
2022 November | 35 | 27 | 62 |
2022 October | 30 | 16 | 46 |
2022 September | 32 | 35 | 67 |
2022 August | 29 | 29 | 58 |
2022 July | 35 | 31 | 66 |
2022 June | 27 | 19 | 46 |
2022 May | 29 | 30 | 59 |
2022 April | 27 | 21 | 48 |
2022 March | 28 | 41 | 69 |
2022 February | 28 | 23 | 51 |
2022 January | 22 | 18 | 40 |
2021 December | 32 | 26 | 58 |
2021 November | 49 | 25 | 74 |
2021 October | 41 | 44 | 85 |
2021 September | 24 | 17 | 41 |
2021 August | 27 | 27 | 54 |
2021 July | 25 | 22 | 47 |
2021 June | 30 | 18 | 48 |
2021 May | 41 | 47 | 88 |
2021 April | 37 | 45 | 82 |
2021 March | 43 | 21 | 64 |
2021 February | 43 | 25 | 68 |
2021 January | 39 | 13 | 52 |
2020 December | 35 | 9 | 44 |
2020 November | 44 | 21 | 65 |
2020 October | 32 | 15 | 47 |
2020 September | 25 | 9 | 34 |
2020 August | 19 | 9 | 28 |
2020 July | 21 | 14 | 35 |
2020 June | 21 | 8 | 29 |
2020 May | 18 | 3 | 21 |
2020 April | 22 | 8 | 30 |
2020 March | 23 | 14 | 37 |
2020 February | 54 | 17 | 71 |
2020 January | 14 | 9 | 23 |
2019 December | 18 | 6 | 24 |
2019 November | 12 | 8 | 20 |
2019 October | 13 | 9 | 22 |
2019 September | 62 | 6 | 68 |
2019 August | 11 | 8 | 19 |
2019 July | 10 | 7 | 17 |
2019 June | 19 | 22 | 41 |
2019 May | 13 | 10 | 23 |
2019 April | 10 | 16 | 26 |
2019 March | 8 | 14 | 22 |
2019 February | 9 | 8 | 17 |
2019 January | 8 | 4 | 12 |
2018 December | 8 | 15 | 23 |
2018 November | 13 | 22 | 35 |
2018 October | 53 | 34 | 87 |