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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o</span><p id="par0005" class="elsevierStylePara elsevierViewall">At&#233; h&#225; poucos anos&#44; as limita&#231;&#245;es da tecnologia ent&#227;o existente restringiam a resson&#226;ncia magn&#233;tica &#40;RM&#41; card&#237;aca a uma avalia&#231;&#227;o essencialmente anat&#243;mica&#46; O desenvolvimento de novas sequ&#234;ncias e a melhoria da resolu&#231;&#227;o espacial e temporal da t&#233;cnica resultaram num alargamento das indica&#231;&#245;es para este exame<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; A RM card&#237;aca tornou-se uma modalidade de imagem vers&#225;til que permite a avalia&#231;&#227;o da anatomia&#44; fun&#231;&#227;o&#44; perfus&#227;o&#44; fluxos e caracter&#237;sticas tecidulares do cora&#231;&#227;o e grandes vasos num &#250;nico exame capaz de responder &#224; grande maioria das necessidades de imagiologia card&#237;aca&#46; As imagens podem ser adquiridas de forma reprodut&#237;vel&#44; independentemente da janela ac&#250;stica&#44; de forma relativamente r&#225;pida&#44; n&#227;o invasiva e sem exposi&#231;&#227;o a radia&#231;&#227;o ionizante ou contraste iodado&#46; O corol&#225;rio desta evolu&#231;&#227;o tem sido a crescente aceita&#231;&#227;o da t&#233;cnica e um crescimento sustentado ao longo da &#250;ltima d&#233;cada<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#46; No nosso pa&#237;s&#44; um dos obst&#225;culos a uma utiliza&#231;&#227;o mais frequente e apropriada da RM card&#237;aca tem sido a aus&#234;ncia de c&#243;digos espec&#237;ficos que descrevam adequadamente os exames tal como s&#227;o efetuados atualmente&#46; A codifica&#231;&#227;o de procedimentos&#44; pr&#225;tica corrente na Medicina moderna&#44; &#233; utilizada para fins estat&#237;sticos&#44; para planeamento e avalia&#231;&#227;o das necessidades de uma popula&#231;&#227;o&#44; para marca&#231;&#227;o dos exames e respetiva fatura&#231;&#227;o e reembolso&#46; Entre n&#243;s&#44; a codifica&#231;&#227;o utilizada pela maior parte das entidades est&#225; desatualizada e &#233; demasiado generalista&#44; exce&#231;&#227;o feita aos exames efetuados no Servi&#231;o Nacional de Sa&#250;de&#44; codificados e regulados pela Portaria n&#46;&#176; 132&#47;2009 de 30 de janeiro &#40;cujos c&#243;digos relevantes para a RM card&#237;aca se encontram resumidos na <a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#41; e que serve de refer&#234;ncia &#224; maioria das recomenda&#231;&#245;es deste documento&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">&#201; importante compreender que a designa&#231;&#227;o gen&#233;rica de &#171;RM card&#237;aca&#187; engloba um grande n&#250;mero de t&#233;cnicas diferentes&#44; complementares entre si&#46; Cabe ao m&#233;dico respons&#225;vel a individualiza&#231;&#227;o do protocolo de cada exame de acordo com a suspeita cl&#237;nica e as particularidades de cada doente&#44; escolhendo as t&#233;cnicas&#47;sequ&#234;ncias e planos de corte mais adequados a cada situa&#231;&#227;o&#46; Da&#237; resultam exames t&#227;o diversos no que diz respeito aos aspetos avaliados&#44; &#224;s sequ&#234;ncias empregues e &#224; sua dura&#231;&#227;o&#44; que dificilmente podem ser enquadrados num &#250;nico c&#243;digo&#46; O objetivo deste documento&#44; elaborado por m&#233;dicos com experi&#234;ncia em RM card&#237;aca&#44; &#233; fazer recomenda&#231;&#245;es que permitam a atualiza&#231;&#227;o e uniformiza&#231;&#227;o dos c&#243;digos empregues nesta modalidade de imagem&#46; Fazem-se igualmente recomenda&#231;&#245;es quanto &#224;s t&#233;cnicas e c&#243;digos a empregar nas indica&#231;&#245;es cl&#237;nicas mais frequentes&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Codifica&#231;&#227;o dos exames de resson&#226;ncia magn&#233;tica card&#237;aca</span><p id="par0015" class="elsevierStylePara elsevierViewall">Os c&#243;digos propostos encontram-se resumidos na <a class="elsevierStyleCrossRef" href="#tbl0010">Tabela 2</a>&#46; Uma breve descri&#231;&#227;o das t&#233;cnicas e da respetiva utilidade cl&#237;nica &#233; apresentada de seguida&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resson&#226;ncia magn&#233;tica card&#237;aca morfol&#243;gica e funcional</span><p id="par0020" class="elsevierStylePara elsevierViewall">Este c&#243;digo &#171;base&#187; compreende a avalia&#231;&#227;o morfol&#243;gica e funcional imprescind&#237;vel num exame de RM card&#237;aca&#46; Esta avalia&#231;&#227;o deve ser feita com recurso a sequ&#234;ncias <span class="elsevierStyleItalic">cine balanced steady-state free precession</span> &#40;b-SSFP&#41; ou <span class="elsevierStyleItalic">gradient recalled echo</span> &#40;GRE&#41; e a sequ&#234;ncias que produzem imagens est&#225;ticas&#44; como <span class="elsevierStyleItalic">turbo spin echo</span> &#40;TSE&#41; ou <span class="elsevierStyleItalic">short-tau inversion recovery</span> &#40;STIR&#41;&#46; A informa&#231;&#227;o assim obtida inclui a quantifica&#231;&#227;o de volumes e fun&#231;&#227;o ventriculares&#44; a avalia&#231;&#227;o da cin&#233;tica segmentar&#44; a quantifica&#231;&#227;o da massa ventricular esquerda e a caracteriza&#231;&#227;o tecidular sem recurso a contraste&#44; &#250;til na identifica&#231;&#227;o e diagn&#243;stico diferencial de v&#225;rias patologias card&#237;acas&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resson&#226;ncia magn&#233;tica card&#237;aca - pesquisa de realce tardio</span><p id="par0025" class="elsevierStylePara elsevierViewall">A possibilidade de detetar de forma n&#227;o invasiva a presen&#231;a&#44; extens&#227;o e padr&#227;o de fibrose mioc&#225;rdica &#233; uma das principais vantagens da RM card&#237;aca&#46; Esta avalia&#231;&#227;o &#233; feita com recurso a sequ&#234;ncias de invers&#227;o-recupera&#231;&#227;o ponderadas em T1&#44; com aquisi&#231;&#227;o das imagens cerca de 10 min ap&#243;s a administra&#231;&#227;o de contraste paramagn&#233;tico&#46; A pesquisa de realce tardio est&#225; indicada na avalia&#231;&#227;o de miocardiopatias e miocardites&#44; na cardiopatia isqu&#233;mica &#40;avalia&#231;&#227;o de viabilidade mioc&#225;rdica e dete&#231;&#227;o de enfartes subcl&#237;nicos&#41;&#44; bem como na avalia&#231;&#227;o de massas card&#237;acas e doen&#231;as do peric&#225;rdio&#44; entre outros&#46; As m&#250;ltiplas aplica&#231;&#245;es cl&#237;nicas desta t&#233;cnica fazem com que seja utilizada na maioria dos exames de RM card&#237;aca&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resson&#226;ncia magn&#233;tica card&#237;aca - quantifica&#231;&#227;o de fluxos por t&#233;cnica de contraste de fase</span><p id="par0030" class="elsevierStylePara elsevierViewall">A RM card&#237;aca permite a avalia&#231;&#227;o do fluxo sangu&#237;neo atrav&#233;s da t&#233;cnica de contraste de fase&#44; sendo particularmente &#250;til na avalia&#231;&#227;o de doen&#231;a valvular e de cardiopatias cong&#233;nitas&#46; A avalia&#231;&#227;o quantitativa de fluxos requer <span class="elsevierStyleItalic">software</span> de p&#243;s-processamento espec&#237;fico&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resson&#226;ncia magn&#233;tica card&#237;aca - estudo da perfus&#227;o mioc&#225;rdica sob <span class="elsevierStyleItalic">stress</span> farmacol&#243;gico</span><p id="par0035" class="elsevierStylePara elsevierViewall">O estudo da perfus&#227;o mioc&#225;rdica &#233; habitualmente realizado atrav&#233;s da avalia&#231;&#227;o da din&#226;mica de 1&#46;&#170; passagem de um b&#243;lus de contraste paramagn&#233;tico&#44; com recurso a sequ&#234;ncias r&#225;pidas ponderadas em T1&#46; O termo <span class="elsevierStyleItalic">stress</span> aqui empregue refere-se &#224; administra&#231;&#227;o de um agente vasodilatador coron&#225;rio &#40;habitualmente adenosina ou dipiridamol&#41;&#44; por forma a induzir um estado de hiper&#233;mia m&#225;ximo&#46; Na presen&#231;a de les&#245;es ateroscler&#243;ticas obstrutivas&#44; a resposta ao est&#237;mulo vasodilatador encontra-se diminu&#237;da&#44; da&#237; resultando uma assimetria regional na perfus&#227;o mioc&#225;rdica&#46; O diagn&#243;stico de diminui&#231;&#227;o da reserva de fluxo coron&#225;rio baseia-se&#44; assim&#44; na compara&#231;&#227;o da perfus&#227;o entre os v&#225;rios territ&#243;rios vasculares&#44; e entre a aquisi&#231;&#227;o de <span class="elsevierStyleItalic">stress</span> e de repouso&#46; Nalguns pa&#237;ses&#44; o estudo da perfus&#227;o mioc&#225;rdica sob <span class="elsevierStyleItalic">stress</span> farmacol&#243;gico &#233; j&#225; uma das principais indica&#231;&#245;es para realiza&#231;&#227;o de RM card&#237;aca<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>&#46; As indica&#231;&#245;es para realiza&#231;&#227;o desta t&#233;cnica s&#227;o semelhantes &#224;s indica&#231;&#245;es para cintigrafia de perfus&#227;o mioc&#225;rdica &#40;CPM&#41;&#44; sendo que a RM apresenta como vantagens uma superior resolu&#231;&#227;o espacial e a aus&#234;ncia de radia&#231;&#227;o ionizante&#46; Um estudo recente mostrou superior acuidade diagn&#243;stica da RM card&#237;aca versus CPM na dete&#231;&#227;o de doen&#231;a coron&#225;ria obstrutiva<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#44; sendo de esperar que o n&#250;mero de RM card&#237;acas para dete&#231;&#227;o de isquemia aumente significativamente nos pr&#243;ximos anos&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resson&#226;ncia magn&#233;tica card&#237;aca - estudo da perfus&#227;o mioc&#225;rdica em repouso</span><p id="par0040" class="elsevierStylePara elsevierViewall">O estudo da perfus&#227;o mioc&#225;rdica em repouso &#233; utilizado para efeitos comparativos nos exames com estudo da perfus&#227;o mioc&#225;rdica sob <span class="elsevierStyleItalic">stress</span> farmacol&#243;gico &#40;avalia&#231;&#227;o da reversibilidade de defeitos de perfus&#227;o&#41; e&#44; ainda&#44; no estudo de massas card&#237;acas&#44; para avalia&#231;&#227;o do seu grau de vasculariza&#231;&#227;o&#46; As sequ&#234;ncias empregues s&#227;o id&#234;nticas &#224;s do estudo da perfus&#227;o mioc&#225;rdica sob <span class="elsevierStyleItalic">stress</span>&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resson&#226;ncia magn&#233;tica card&#237;aca - estudo da cin&#233;tica segmentar sob dobutamina</span><p id="par0045" class="elsevierStylePara elsevierViewall">Esta t&#233;cnica consiste na pesquisa de altera&#231;&#245;es da contratilidade segmentar indut&#237;veis pela dobutamina&#44; de uma forma semelhante ao ecocardiograma de sobrecarga&#46; A dobutamina &#233; administrada em veia perif&#233;rica em dose crescente at&#233; um m&#225;ximo de 40<span class="elsevierStyleHsp" style=""></span>&#956;g&#47;kg&#47;min em 4 ou 5 estadios de 3 a 5&#160;min cada&#44; podendo ser suplementada com administra&#231;&#227;o de atropina para atingir a frequ&#234;ncia card&#237;aca alvo&#46; Em cada estadio&#44; a cin&#233;tica segmentar &#233; avaliada com recurso a sequ&#234;ncias cine b-SSFP&#46; O uso de dobutamina requer monitoriza&#231;&#227;o cuidada da press&#227;o arterial&#44; ritmo card&#237;aco e sintomas&#46; O m&#233;dico deve estar preparado para tratar eventuais complica&#231;&#245;es que possam surgir&#44; nomeadamente disritmias ou sintomas de isquemia mioc&#225;rdica&#46; A RM card&#237;aca sob dobutamina em baixa dose &#40;at&#233; 10<span class="elsevierStyleHsp" style=""></span>&#956;g&#47;kg&#47;min&#41; pode tamb&#233;m ser utilizada para avalia&#231;&#227;o da viabilidade mioc&#225;rdica e integridade do aparelho contr&#225;til mioc&#225;rdico&#44; em alternativa &#224;s t&#233;cnicas de realce tardio ou nos casos em que a transmuralidade do realce tardio em um ou mais segmentos &#233; interm&#233;dia ou duvidosa&#46; As t&#233;cnicas com administra&#231;&#227;o de dobutamina s&#227;o atualmente menos frequentemente utilizadas do que as suas alternativas para avalia&#231;&#227;o de isquemia e viabilidade &#40;RM de perfus&#227;o sob <span class="elsevierStyleItalic">stress</span> vasodilatador e pesquisa de realce tardio&#44; respetivamente&#41; por serem logisticamente mais complexas&#44; morosas e n&#227;o isentas de risco&#46; Por estes motivos&#44; o seu uso &#233; geralmente restrito aos casos com contraindica&#231;&#227;o para administra&#231;&#227;o de contraste paramagn&#233;tico&#46; Apesar destas limita&#231;&#245;es&#44; esta t&#233;cnica parece ter uma acuidade diagn&#243;stica superior &#224; da ecocardiografia de sobrecarga<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#44; sobretudo na presen&#231;a de janela ac&#250;stica inadequada&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Angiografia por resson&#226;ncia magn&#233;tica dos vasos tor&#225;cicos &#40;tridimensional&#41;</span><p id="par0050" class="elsevierStylePara elsevierViewall">A angiografia dos grandes vasos &#233; habitualmente realizada com recurso &#224; administra&#231;&#227;o de um b&#243;lus de contraste paramagn&#233;tico&#44; sendo o tempo de aquisi&#231;&#227;o das imagens definido por forma a coincidir com a passagem do contraste na zona de interesse&#46; &#201; poss&#237;vel realizar com acuidade angiografias tridimensionais da aorta&#44; art&#233;ria pulmonar e seus ramos principais&#44; veias pulmonares&#44; entre outros&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Angiografia por resson&#226;ncia magn&#233;tica das art&#233;rias coron&#225;rias &#40;tridimensional&#41;</span><p id="par0055" class="elsevierStylePara elsevierViewall">A utilidade cl&#237;nica desta t&#233;cnica &#233; relativamente limitada&#44; estando a avalia&#231;&#227;o das art&#233;rias coron&#225;rias geralmente confinada aos segmentos proximais devido a limita&#231;&#245;es de resolu&#231;&#227;o espacial e temporal&#46; A sua principal aplica&#231;&#227;o &#233; a exclus&#227;o de origem ou trajeto an&#243;malo das art&#233;rias coron&#225;rias e a avalia&#231;&#227;o de aneurismas coron&#225;rios na doen&#231;a de Kawasaki&#44; n&#227;o estando habitualmente indicada na avalia&#231;&#227;o da doen&#231;a coron&#225;ria ateroscler&#243;tica&#46;</p></span></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Associa&#231;&#227;o de c&#243;digos</span><p id="par0060" class="elsevierStylePara elsevierViewall">A complexidade da RM card&#237;aca e a pouca familiaridade que a maioria dos m&#233;dicos tem com este m&#233;todo torna geralmente impratic&#225;vel que o requisitante do exame defina <span class="elsevierStyleItalic">a priori</span> os componentes necess&#225;rios para esclarecimento das d&#250;vidas cl&#237;nicas que pretende clarificar&#46; Assim sendo&#44; e &#224; semelhan&#231;a do inscrito nas recomenda&#231;&#245;es internacionais<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#44; os autores prop&#245;em na <a class="elsevierStyleCrossRef" href="#tbl0015">Tabela 3</a> os componentes e c&#243;digos que consideram necess&#225;rios nas indica&#231;&#245;es cl&#237;nicas mais frequentes&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Orienta&#231;&#245;es para a defini&#231;&#227;o dos custos</span><p id="par0065" class="elsevierStylePara elsevierViewall">Est&#225; fora do &#226;mbito deste documento o estabelecimento de pre&#231;os a praticar nos exames de RM card&#237;aca&#44; que ser&#227;o alvo de negocia&#231;&#227;o entre as v&#225;rias entidades pagadoras e prestadoras&#46; No entanto&#44; alguns princ&#237;pios orientadores dever&#227;o ser tidos em conta para que a RM card&#237;aca seja um exame simultaneamente acess&#237;vel para os pagadores e financeiramente vi&#225;vel para os prestadores desse servi&#231;o&#46; Os autores sugerem que os valores definidos pela Portaria n&#46;&#176; 132&#47;2009 de 30 de janeiro sejam tidos como refer&#234;ncia e que eventuais ajustes tenham em conta os seguintes fatores&#58;</p><p id="par0070" class="elsevierStylePara elsevierViewall">&#8226; Dura&#231;&#227;o e complexidade do exame&#44; comparativamente a outros exames de RM &#40;a dura&#231;&#227;o m&#233;dia de uma RM card&#237;aca &#233; habitualmente cerca de 2-3 vezes superior &#224; dura&#231;&#227;o m&#233;dia de uma RM de joelho ou de cr&#226;nio&#41;&#46; Para uma an&#225;lise comparativa da dura&#231;&#227;o e complexidade destes exames sugere-se a consulta da proposta conjunta da <span class="elsevierStyleItalic">British Society of Cardiovascular Imaging</span> e da <span class="elsevierStyleItalic">British Society of Cardiovascular Magnetic Resonance</span> sobre codifica&#231;&#227;o e reembolso da RM card&#237;aca &#40;dispon&#237;vel em <a href="http://www.bsci.org.uk/ct-cmr-tariffs">http&#58;&#47;&#47;www&#46;bsci&#46;org&#46;uk&#47;ct-cmr-tariffs</a>&#41;&#59;</p><p id="par0075" class="elsevierStylePara elsevierViewall">&#8226; Necessidade de sequ&#234;ncias de aquisi&#231;&#227;o espec&#237;ficas&#46; Para efetuar exames de RM de acordo com o estado da arte&#44; s&#227;o necess&#225;rias sequ&#234;ncias cuja licen&#231;a de uso implica custos para os centros que disponibilizam esse servi&#231;o&#59;</p><p id="par0080" class="elsevierStylePara elsevierViewall">&#8226; Necessidade de p&#243;s-processamento &#40;nomeadamente c&#225;lculo de volumes e fun&#231;&#227;o ventriculares&#41;&#44; para o qual &#233; necess&#225;rio <span class="elsevierStyleItalic">software</span> espec&#237;fico&#46; Este p&#243;s-processamento dever&#225; ser efetuado por um m&#233;dico&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">&#8226; Compara&#231;&#227;o com outros exames de imagiologia card&#237;aca n&#227;o invasiva &#40;ecocardiograma transesof&#225;gico&#44; cintigrafia de perfus&#227;o mioc&#225;rdica&#44; angio-TC card&#237;aca&#44; etc&#46;&#41;&#46; Por exemplo&#44; no entender dos autores&#44; o custo total de uma RM card&#237;aca para avalia&#231;&#227;o de isquemia mioc&#225;rdica dever&#225; ser superior ao de uma angio-TC card&#237;aca mas n&#227;o significativamente superior ao de uma cintigrafia de perfus&#227;o mioc&#225;rdica com avalia&#231;&#227;o em sobrecarga e repouso&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="par0090" class="elsevierStylePara elsevierViewall">O presente documento de consenso fornece recomenda&#231;&#245;es para a atualiza&#231;&#227;o e uniformiza&#231;&#227;o dos c&#243;digos empregues em RM card&#237;aca&#46; S&#227;o igualmente feitas recomenda&#231;&#245;es quanto &#224;s t&#233;cnicas e c&#243;digos a empregar nas indica&#231;&#245;es cl&#237;nicas mais frequentes&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Responsabilidades &#233;ticas</span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Prote&#231;&#227;o de pessoas e animais</span><p id="par0095" class="elsevierStylePara elsevierViewall">Os autores declaram que para esta investiga&#231;&#227;o n&#227;o se realizaram experi&#234;ncias em seres humanos e&#47;ou animais&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidencialidade dos dados</span><p id="par0100" class="elsevierStylePara elsevierViewall">Os autores declaram que n&#227;o aparecem dados de pacientes neste artigo&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Direito &#224; privacidade e consentimento escrito</span><p id="par0105" class="elsevierStylePara elsevierViewall">Os autores declaram ter recebido consentimento escrito dos pacientes e&#47;ou sujeitos mencionados no artigo&#46; O autor para correspond&#234;ncia deve estar na posse deste documento&#46;</p></span></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflito de interesses</span><p id="par0110" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflito de interesses&#46;</p></span></span>"
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                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Angio-RM dos vasos tor&#225;cicos &#40;3D&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Angio-RM das art&#233;rias coron&#225;rias &#40;3D&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab354706.png"
              ]
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        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Novos c&#243;digos propostos relativos &#224; RM card&#237;aca</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "tbl0015"
        "etiqueta" => "Tabela 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">1&#46; RM card&#237;aca morfol&#243;gica e funcional&#59; 2&#46; Pesquisa de realce tardio&#59; 3&#46; Quantifica&#231;&#227;o de fluxos por t&#233;cnica de contraste de fase&#59; 4&#46; Estudo da perfus&#227;o mioc&#225;rdica sob <span class="elsevierStyleItalic">stress</span> farmacol&#243;gico&#59; 5&#46; Estudo da perfus&#227;o mioc&#225;rdica em repouso&#59; 6&#46; Estudo da cin&#233;tica segmentar sob dobutamina&#59; 7&#46; Angio-RM dos vasos tor&#225;cicos &#40;3D&#41; com inje&#231;&#227;o de gadol&#237;nio&#59; 8&#46; Angio-RM das art&#233;rias coron&#225;rias &#40;3D&#41;&#46; &#8224; &#8211; opcional&#44; de acordo com o contexto cl&#237;nico&#59; &#167; &#8211; em alternativa ao c&#243;digo 2&#59; &#8225; &#8211; em alternativa aos c&#243;digos 4 e 5&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Avalia&#231;&#227;o de volumes e fun&#231;&#227;o ventricular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Miocardiopatias&#47;miocardite&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Exclus&#227;o de cardiopatia estrutural&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8224;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Avalia&#231;&#227;o de viabilidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#167;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Avalia&#231;&#227;o de isquemia mioc&#225;rdica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8225;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Valvulopatias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8224;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cardiopatias cong&#233;nitas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8224;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Doen&#231;as do peric&#225;rdio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Avalia&#231;&#227;o de massas card&#237;acas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Doen&#231;as dos grandes vasos tor&#225;cicos &#40;aorta&#44; art&#233;ria pulmonar&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Avalia&#231;&#227;o pr&#233;- ou p&#243;s-abla&#231;&#227;o de fibrilha&#231;&#227;o auricular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8224;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">¿&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Componentes da RM card&#237;aca e respetivos c&#243;digos a incluir nos exames efetuados pelas indica&#231;&#245;es cl&#237;nicas mais frequentes</p>"
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    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ACCF&#47;ACR&#47;AHA&#47;NASCI&#47;SCMR 2010 expert consensus document on cardiovascular magnetic resonance&#58; a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "W&#46;G&#46; Hundley"
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                    0 => array:2 [
                      "doi" => "10.1016/j.jacc.2009.11.011"
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                        "tituloSerie" => "J Am Coll Cardiol"
                        "fecha" => "2010"
                        "volumen" => "55"
                        "paginaInicial" => "2614"
                        "paginaFinal" => "2662"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20513610"
                            "web" => "Medline"
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            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cardiovascular magnetic resonance activity in the United Kingdom&#58; a survey on behalf of the British Society of Cardiovascular Magnetic Resonance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46; Antony"
                            1 => "M&#46; Daghem"
                            2 => "G&#46;P&#46; McCann"
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                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1532-429X-13-57"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Cardiovasc Magn Reson"
                        "fecha" => "2011"
                        "volumen" => "13"
                        "paginaInicial" => "57"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21978669"
                            "web" => "Medline"
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            2 => array:3 [
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              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "EuroCMR &#40;European Cardiovascular Magnetic Resonance&#41; registry&#58; results of the German pilot phase"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
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                            2 => "D&#46; Nothnagel"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jacc.2009.07.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Coll Cardiol"
                        "fecha" => "2009"
                        "volumen" => "54"
                        "paginaInicial" => "1457"
                        "paginaFinal" => "1466"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19682818"
                            "web" => "Medline"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cardiovascular magnetic resonance and single-photon emission computed tomography for diagnosis of coronary heart disease &#40;CE-MARC&#41;&#58; a prospective trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;P&#46; Greenwood"
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                            2 => "J&#46;F&#46; Younger"
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                    0 => array:2 [
                      "doi" => "10.1016/S0140-6736(11)61335-4"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
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                        "volumen" => "379"
                        "paginaInicial" => "453"
                        "paginaFinal" => "460"
                        "link" => array:1 [
                          0 => array:2 [
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                      "titulo" => "Noninvasive diagnosis of ischemia-induced wall motion abnormalities with the use of high-dose dobutamine stress MRI&#58; comparison with dobutamine stress echocardiography"
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                        "tituloSerie" => "Circulation"
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                        "paginaInicial" => "763"
                        "paginaFinal" => "770"
                        "link" => array:1 [
                          0 => array:2 [
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                  "contribucion" => array:1 [
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                      "titulo" => "Standardized cardiovascular magnetic resonance imaging &#40;CMR&#41; protocols&#44; society for cardiovascular magnetic resonance&#58; board of trustees task force on standardized protocols"
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                          "etal" => true
                          "autores" => array:3 [
                            0 => "C&#46;M&#46; Kramer"
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                    0 => array:2 [
                      "doi" => "10.1186/1532-429X-10-35"
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                        "tituloSerie" => "J Cardiovasc Magn Reson"
                        "fecha" => "2008"
                        "volumen" => "10"
                        "paginaInicial" => "35"
                        "link" => array:1 [
                          0 => array:2 [
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