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      "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
      "titulo" => "Pacman heart&#58; An unexpected finding"
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            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Transthoracic echocardiogram &#40;TTE&#41; showing a partial loss of myocardial tissue in the mid segment of the interventricular septum&#59; &#40;B&#41; contrast-enhanced TTE revealing a serpentine route through the septum to a small contained cavity&#59; &#40;C&#41; three-dimensional TTE en face view of the half-moon shaped septal defect&#59; &#40;D&#41; thoracic computed tomography conducted three years before&#44; showing the partial ventricular septal defect&#46;</p>"
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        "titulo" => "<span class="elsevierStyleItalic">Entrainment</span>&#44; uma obra prima do museu da eletrofisiologia"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Most people probably do not remember the slide rule&#44; yet for years this tool was systematically used for calculations&#46; However&#44; the electronic calculator has completely replaced it in the world of mathematics&#46; Similarly&#44; we believe that we are evolving toward a new electrophysiology paradigm&#44; guided by automatic computer-guided detection&#44; localization&#44; and diagnosis of cardiac arrhythmias&#44; enabling personalized non-invasive and invasive treatments&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Entrainment is particularly troublesome for atypical atrial flutter since it can often provide misleading information or terminate the clinical arrhythmia&#46; While entrainment still has a role in the diagnosis of atypical atrial flutter&#44; we do not believe this is crucial for an effective ablation procedure&#46; In our study&#44; none of our patients underwent entrainment maneuvers for critical isthmus localization&#44; yet all arrhythmias were effectively treated&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">We thank the authors of the editorial<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> for recognizing our three-dimensional electrophysiological triad as a new tool that identifies the atypical atrial flutter isthmus&#44; and we expect that it will prove to be useful and be acknowledged as a new step toward safer&#44; faster and more successful electrophysiology in all scar-related macroreentrant tachycardias&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare&#46;</p></span></span>"
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