Images in cardiology
Pulmonary embolism with thromboembolus in transit
Embolia pulmonar com trombo-êmbolo em trânsito
Miguel Silva Vieira
, Diana Anjo, Nuno Antunes, Henrique Carvalho, Severo Torres
Autor para correspondência
Cardiology Department, Hospital Santo António – Centro Hospitalar do Porto, Porto, Portugal
Lido
8703
Vezesque se leu este artigo
2328
Total PDF
6375
Total HTML
Compartilhar estatísticas
array:24 [ "pii" => "S0870255112002600" "issn" => "08702551" "doi" => "10.1016/j.repc.2012.07.008" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "aid" => "189" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2012" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2013;32:71-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 5754 "formatos" => array:3 [ "EPUB" => 155 "HTML" => 4627 "PDF" => 972 ] ] "itemSiguiente" => array:18 [ "pii" => "S0870255112002636" "issn" => "08702551" "doi" => "10.1016/j.repc.2012.10.004" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "aid" => "192" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "ssu" "cita" => "Rev Port Cardiol. 2013;32:73-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4577 "formatos" => array:3 [ "EPUB" => 163 "HTML" => 3462 "PDF" => 952 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editors’ network</span>" "titulo" => "Almanac 2012: cardiovascular risk scores. The national society journals present selected research that has driven recent advances in clinical cardiology" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "73" "paginaFinal" => "79" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Almanac 2012: <span class="elsevierStyleItalic">Scores</span> de risco cardiovascular. As revistas das sociedades cardiológicas nacionais apresentam investigação selecionada que levou a avanços recentes na cardiologia clínica" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jill P. Pell" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Jill P." "apellidos" => "Pell" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255112002636?idApp=UINPBA00004E" "url" => "/08702551/0000003200000001/v1_201308021254/S0870255112002636/v1_201308021254/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0870255112002624" "issn" => "08702551" "doi" => "10.1016/j.repc.2012.05.022" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "aid" => "191" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2013;32:69-70" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4289 "formatos" => array:3 [ "EPUB" => 180 "HTML" => 3202 "PDF" => 907 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>" "titulo" => "Chest stab wound—A rare cause of late ventricular tachycardia" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "69" "paginaFinal" => "70" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Lesão miocárdica por ferimento de arma branca – uma causa rara de taquicardia ventricular tardia" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2680 "Ancho" => 2671 "Tamanyo" => 659208 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Admission ECG demonstrating a monomorphic ventricular tachycardia; B) CMR images in short axis, long axis and four-chambers views obtained after gadolinium injection demonstrating transmural gadolinium enhancement in mid-apical anterior and lateral segments; C) morphology of ventricular tachycardia during the electrophysiological study and left ventricular endocardial mapping.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sílvia Ribeiro, Nuno Salomé, Teresa Pinho, Helena Gonçalves, João Primo, Pedro Azevedo, Adelino Correia" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Sílvia" "apellidos" => "Ribeiro" ] 1 => array:2 [ "nombre" => "Nuno" "apellidos" => "Salomé" ] 2 => array:2 [ "nombre" => "Teresa" "apellidos" => "Pinho" ] 3 => array:2 [ "nombre" => "Helena" "apellidos" => "Gonçalves" ] 4 => array:2 [ "nombre" => "João" "apellidos" => "Primo" ] 5 => array:2 [ "nombre" => "Pedro" "apellidos" => "Azevedo" ] 6 => array:2 [ "nombre" => "Adelino" "apellidos" => "Correia" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255112002624?idApp=UINPBA00004E" "url" => "/08702551/0000003200000001/v1_201308021254/S0870255112002624/v1_201308021254/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in cardiology</span>" "titulo" => "Pulmonary embolism with thromboembolus in transit" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "71" "paginaFinal" => "72" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Silva Vieira, Diana Anjo, Nuno Antunes, Henrique Carvalho, Severo Torres" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Miguel" "apellidos" => "Silva Vieira" "email" => array:1 [ 0 => "zemiguelvieira@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Diana" "apellidos" => "Anjo" ] 2 => array:2 [ "nombre" => "Nuno" "apellidos" => "Antunes" ] 3 => array:2 [ "nombre" => "Henrique" "apellidos" => "Carvalho" ] 4 => array:2 [ "nombre" => "Severo" "apellidos" => "Torres" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Cardiology Department, Hospital Santo António – Centro Hospitalar do Porto, Porto, Portugal" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Embolia pulmonar com trombo-êmbolo em trânsito" ] ] "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" => 424 "Ancho" => 1265 "Tamanyo" => 79180 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A central bilateral intraluminal filling defect (arrows) is seen, consistent with pulmonary emboli (A – transaxial view; B and C – sagittal views). A thromboembolus (arrowhead) is also seen in the right atrium (C). IVC: inferior vena cava; LV: left ventricle; RA: right atrium; RV: right ventricle; SVC: superior vena cava.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 88-year-old woman was admitted with syncope and rapidly evolved with shock. Her medical history was notable for recent orthopedic surgery. The electrocardiogram showed ST-segment depression in the precordial and inferior leads (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). Rapid troponin I assay was positive. Bedside echocardiography revealed a dilated and dysfunctional right ventricle, with akinesia of the lateral wall and paradoxical interventricular septal motion (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>A). Remarkably, a large, worm-like, mobile, free-floating right atrial mass was noted, insinuating through the tricuspid valve during systole (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>B–D). Acute pulmonary embolism (PE) with right heart thromboembolus was strongly suspected, so prompt resuscitation and anticoagulant therapy were started, while emergency thoracic computed tomography angiography confirmed bilateral central emboli (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>A–C). Despite the high bleeding risk, thrombolysis was undertaken, given the life-threatening condition, with gradual improvement in clinical status and no major bleeding complications. No right heart thromboembolus was found in the follow-up echocardiogram and the patient had an uneventful hospital course.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Right heart thromboemboli in transit are an incidental finding in up to 20% of patients with acute high-risk PE, and are associated with hemodynamic compromise and worse prognosis, especially with mobile, worm-like type A thromboembolus. Bedside echocardiography is particularly helpful in making a rapid presumptive diagnosis, avoiding unnecessary delay in treatment. Their management remains controversial, with concerns of bleeding complications, fragmentation and new embolization with readily available thrombolytic therapy. Even so, their natural history should be borne in mind when evaluating bleeding risk, particularly in elderly patients, whose perceived risk could exclude them from a potentially life-saving therapy.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Protection of human and animal subjects</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this investigation.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidentiality of data</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data and that all the patients included in the study received sufficient information and gave their written informed consent to participate in the study.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Right to privacy and informed consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have obtained the informed consent of the patients and/or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflicts of interest</span><p id="par0030" 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" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-06-10" "fechaAceptado" => "2012-07-02" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:2 [ 0 => array:4 [ "apendice" => "<p id="par0035" class="elsevierStylePara elsevierViewall">Supplementary material associated with this article can be found in the online version available at <span class="elsevierStyleInterRef" href="doi:10.1016/j.repc.2012.07.008">doi:10.1016/j.repc.2012.07.008</span>.</p>" "etiqueta" => "Appendix" "titulo" => "Supplementary material" "identificador" => "sec0030" ] 1 => array:4 [ "apendice" => "<p id="par0040" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0035" ] ] ] ] "multimedia" => array:5 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1047 "Ancho" => 2146 "Tamanyo" => 615012 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Electrocardiogram (ECG) showing ST-segment depression and T-wave inversion in the precordial and inferior leads. Importantly, detailed retrospective analysis of the admission ECG reveals a shift of the frontal QRS to the right, with a prominent S wave in lead I and an inverted T wave in lead III, as well as low QRS voltage in the right precordial leads and a pseudoinfarction pattern (Qr in V1 with poor R-wave progression/excessive clockwise rotation with rS up to V6), an indication of right ventricular overload/injury.</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" => 565 "Ancho" => 1291 "Tamanyo" => 120658 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram in left parasternal short-axis view depicting a dilated right ventricle with leftward septal shift, suggestive of right ventricular pressure overload (A). Parasternal short-axis view of the basal right ventricle (RV) (B) and RV modified apical 4-chamber view (C and D) showing a dilated right ventricle and a free-floating right atrial mass (about 4.01 × 1.96 cm). Severe tricuspid regurgitation due to annular dilatation (E) and dilated inferior vena cava with no respiratory variation (F) are also shown; estimated systolic pulmonary pressure was 54 mmHg (not shown). The findings were highly suggestive of acute pulmonary embolism with incidental right heart thromboembolus in transit.</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" => 424 "Ancho" => 1265 "Tamanyo" => 79180 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A central bilateral intraluminal filling defect (arrows) is seen, consistent with pulmonary emboli (A – transaxial view; B and C – sagittal views). A thromboembolus (arrowhead) is also seen in the right atrium (C). IVC: inferior vena cava; LV: left ventricle; RA: right atrium; RV: right ventricle; SVC: superior vena cava.</p>" ] ] 3 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.avi" "ficheroTamanyo" => 560370 "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" ] ] ] ] 4 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:2 [ "fichero" => "mmc2.doc" "ficheroTamanyo" => 419328 ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003200000001/v1_201308021254/S0870255112002600/v1_201308021254/en/main.assets" "Apartado" => array:4 [ "identificador" => "357" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Imagens em cardiologia" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003200000001/v1_201308021254/S0870255112002600/v1_201308021254/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255112002600?idApp=UINPBA00004E" ]
| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 8 | 7 | 15 |
| 2024 Outubro | 38 | 36 | 74 |
| 2024 Setembro | 44 | 30 | 74 |
| 2024 Agosto | 51 | 34 | 85 |
| 2024 Julho | 34 | 33 | 67 |
| 2024 Junho | 36 | 36 | 72 |
| 2024 Maio | 35 | 15 | 50 |
| 2024 Abril | 34 | 43 | 77 |
| 2024 Maro | 50 | 26 | 76 |
| 2024 Fevereiro | 34 | 31 | 65 |
| 2024 Janeiro | 24 | 41 | 65 |
| 2023 Dezembro | 30 | 28 | 58 |
| 2023 Novembro | 33 | 38 | 71 |
| 2023 Outubro | 34 | 35 | 69 |
| 2023 Setembro | 29 | 37 | 66 |
| 2023 Agosto | 27 | 31 | 58 |
| 2023 Julho | 28 | 25 | 53 |
| 2023 Junho | 25 | 20 | 45 |
| 2023 Maio | 34 | 28 | 62 |
| 2023 Abril | 16 | 7 | 23 |
| 2023 Maro | 27 | 22 | 49 |
| 2023 Fevereiro | 24 | 22 | 46 |
| 2023 Janeiro | 18 | 15 | 33 |
| 2022 Dezembro | 28 | 22 | 50 |
| 2022 Novembro | 28 | 21 | 49 |
| 2022 Outubro | 25 | 21 | 46 |
| 2022 Setembro | 31 | 28 | 59 |
| 2022 Agosto | 27 | 34 | 61 |
| 2022 Julho | 31 | 28 | 59 |
| 2022 Junho | 17 | 29 | 46 |
| 2022 Maio | 19 | 27 | 46 |
| 2022 Abril | 25 | 29 | 54 |
| 2022 Maro | 17 | 35 | 52 |
| 2022 Fevereiro | 19 | 18 | 37 |
| 2022 Janeiro | 25 | 17 | 42 |
| 2021 Dezembro | 11 | 29 | 40 |
| 2021 Novembro | 20 | 39 | 59 |
| 2021 Outubro | 28 | 44 | 72 |
| 2021 Setembro | 24 | 30 | 54 |
| 2021 Agosto | 32 | 31 | 63 |
| 2021 Julho | 24 | 29 | 53 |
| 2021 Junho | 22 | 24 | 46 |
| 2021 Maio | 27 | 32 | 59 |
| 2021 Abril | 25 | 14 | 39 |
| 2021 Maro | 76 | 17 | 93 |
| 2021 Fevereiro | 74 | 15 | 89 |
| 2021 Janeiro | 41 | 8 | 49 |
| 2020 Dezembro | 38 | 1 | 39 |
| 2020 Novembro | 34 | 12 | 46 |
| 2020 Outubro | 16 | 11 | 27 |
| 2020 Setembro | 41 | 10 | 51 |
| 2020 Agosto | 27 | 9 | 36 |
| 2020 Julho | 31 | 7 | 38 |
| 2020 Junho | 36 | 9 | 45 |
| 2020 Maio | 43 | 0 | 43 |
| 2020 Abril | 30 | 23 | 53 |
| 2020 Maro | 38 | 7 | 45 |
| 2020 Fevereiro | 59 | 51 | 110 |
| 2020 Janeiro | 18 | 13 | 31 |
| 2019 Dezembro | 28 | 11 | 39 |
| 2019 Novembro | 24 | 4 | 28 |
| 2019 Outubro | 24 | 11 | 35 |
| 2019 Setembro | 36 | 10 | 46 |
| 2019 Agosto | 36 | 6 | 42 |
| 2019 Julho | 31 | 15 | 46 |
| 2019 Junho | 27 | 16 | 43 |
| 2019 Maio | 45 | 17 | 62 |
| 2019 Abril | 23 | 22 | 45 |
| 2019 Maro | 74 | 27 | 101 |
| 2019 Fevereiro | 81 | 18 | 99 |
| 2019 Janeiro | 58 | 5 | 63 |
| 2018 Dezembro | 70 | 13 | 83 |
| 2018 Novembro | 70 | 9 | 79 |
| 2018 Outubro | 61 | 23 | 84 |
| 2018 Setembro | 38 | 12 | 50 |
| 2018 Agosto | 26 | 33 | 59 |
| 2018 Julho | 20 | 5 | 25 |
| 2018 Junho | 34 | 7 | 41 |
| 2018 Maio | 35 | 12 | 47 |
| 2018 Abril | 30 | 4 | 34 |
| 2018 Maro | 65 | 6 | 71 |
| 2018 Fevereiro | 39 | 10 | 49 |
| 2018 Janeiro | 27 | 5 | 32 |
| 2017 Dezembro | 57 | 10 | 67 |
| 2017 Novembro | 20 | 12 | 32 |
| 2017 Outubro | 31 | 11 | 42 |
| 2017 Setembro | 28 | 7 | 35 |
| 2017 Agosto | 35 | 7 | 42 |
| 2017 Julho | 42 | 7 | 49 |
| 2017 Junho | 80 | 15 | 95 |
| 2017 Maio | 40 | 8 | 48 |
| 2017 Abril | 31 | 5 | 36 |
| 2017 Maro | 24 | 9 | 33 |
| 2017 Fevereiro | 30 | 7 | 37 |
| 2017 Janeiro | 33 | 5 | 38 |
| 2016 Dezembro | 44 | 4 | 48 |
| 2016 Novembro | 23 | 3 | 26 |
| 2016 Outubro | 18 | 18 | 36 |
| 2016 Setembro | 17 | 7 | 24 |
| 2016 Agosto | 14 | 4 | 18 |
| 2016 Julho | 8 | 6 | 14 |
| 2016 Junho | 1 | 5 | 6 |
| 2016 Maio | 17 | 0 | 17 |
| 2016 Abril | 25 | 3 | 28 |
| 2016 Maro | 36 | 9 | 45 |
| 2016 Fevereiro | 52 | 20 | 72 |
| 2016 Janeiro | 46 | 10 | 56 |
| 2015 Dezembro | 42 | 9 | 51 |
| 2015 Novembro | 54 | 9 | 63 |
| 2015 Outubro | 37 | 9 | 46 |
| 2015 Setembro | 56 | 14 | 70 |
| 2015 Agosto | 57 | 15 | 72 |
| 2015 Julho | 63 | 8 | 71 |
| 2015 Junho | 28 | 3 | 31 |
| 2015 Maio | 37 | 4 | 41 |
| 2015 Abril | 96 | 12 | 108 |
| 2015 Maro | 85 | 5 | 90 |
| 2015 Fevereiro | 81 | 4 | 85 |
| 2015 Janeiro | 103 | 5 | 108 |
| 2014 Dezembro | 98 | 9 | 107 |
| 2014 Novembro | 82 | 8 | 90 |
| 2014 Outubro | 104 | 10 | 114 |
| 2014 Setembro | 92 | 7 | 99 |
| 2014 Agosto | 92 | 12 | 104 |
| 2014 Julho | 100 | 13 | 113 |
| 2014 Junho | 79 | 5 | 84 |
| 2014 Maio | 84 | 14 | 98 |
| 2014 Abril | 93 | 7 | 100 |
| 2014 Maro | 114 | 11 | 125 |
| 2014 Fevereiro | 108 | 9 | 117 |
| 2014 Janeiro | 121 | 9 | 130 |
| 2013 Dezembro | 108 | 15 | 123 |
| 2013 Novembro | 80 | 14 | 94 |
| 2013 Outubro | 106 | 8 | 114 |
| 2013 Setembro | 94 | 14 | 108 |
| 2013 Agosto | 100 | 11 | 111 |
| 2013 Julho | 57 | 19 | 76 |
| 2013 Junho | 46 | 10 | 56 |
| 2013 Maio | 55 | 13 | 68 |
| 2013 Abril | 80 | 33 | 113 |
| 2013 Maro | 71 | 26 | 97 |
| 2013 Fevereiro | 63 | 29 | 92 |
| 2013 Janeiro | 35 | 18 | 53 |
Mostrar tudo
