array:24 [
  "pii" => "S0870255113000760"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2012.10.014"
  "estado" => "S300"
  "fechaPublicacion" => "2013-05-01"
  "aid" => "276"
  "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;32:443-5"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 5966
    "formatos" => array:3 [
      "EPUB" => 200
      "HTML" => 4895
      "PDF" => 871
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S087025511300053X"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2013.01.003"
    "estado" => "S300"
    "fechaPublicacion" => "2013-05-01"
    "aid" => "269"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "ssu"
    "cita" => "Rev Port Cardiol. 2013;32:447-57"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4028
      "formatos" => array:3 [
        "EPUB" => 197
        "HTML" => 2978
        "PDF" => 853
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editors&#8217; Network</span>"
      "titulo" => "Almanac 2012&#58; Interventional cardiology"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "447"
          "paginaFinal" => "457"
        ]
      ]
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pascal Meier, Adam Timmis"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Pascal"
              "apellidos" => "Meier"
            ]
            1 => array:2 [
              "nombre" => "Adam"
              "apellidos" => "Timmis"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087025511300053X?idApp=UINPBA00004E"
    "url" => "/08702551/0000003200000005/v1_201308021350/S087025511300053X/v1_201308021350/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0870255113000772"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2012.10.015"
    "estado" => "S300"
    "fechaPublicacion" => "2013-05-01"
    "aid" => "277"
    "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;32:441-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4831
      "formatos" => array:3 [
        "EPUB" => 208
        "HTML" => 3716
        "PDF" => 907
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>"
      "titulo" => "Giant left ventricular aneurysm after myocardial infarction"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "441"
          "paginaFinal" => "442"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Aneurisma do ventr&#237;culo esquerdo gigante ap&#243;s enfarte do mioc&#225;rdio"
        ]
      ]
      "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" => 1621
              "Ancho" => 2161
              "Tamanyo" => 653184
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Surgical view of large aneurysm of the left ventricular posterolateral wall&#46; &#40;B&#41; Neck of left ventricular aneurysm&#46; The fibrous wall of the aneurysm&#44; the endocardium and the papillary muscles of the mitral valve can be seen&#46; &#40;C&#41; Exclusion of the aneurysm using a bovine pericardial patch sutured to the edges of the myocardium&#46; &#40;D&#41; Occlusion and reinforcement of sutures with Teflon bands&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Elena Arn&#225;iz-Garc&#237;a, Ana M&#46; Arn&#225;iz-Garc&#237;a, Ashesh D&#46; Patel, Francisco J&#46; Guti&#233;rrez-Diez, Juan F&#46; Nistal-Herrera, Javier Arn&#225;iz"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "M&#46; Elena"
              "apellidos" => "Arn&#225;iz-Garc&#237;a"
            ]
            1 => array:2 [
              "nombre" => "Ana M&#46;"
              "apellidos" => "Arn&#225;iz-Garc&#237;a"
            ]
            2 => array:2 [
              "nombre" => "Ashesh D&#46;"
              "apellidos" => "Patel"
            ]
            3 => array:2 [
              "nombre" => "Francisco J&#46;"
              "apellidos" => "Guti&#233;rrez-Diez"
            ]
            4 => array:2 [
              "nombre" => "Juan F&#46;"
              "apellidos" => "Nistal-Herrera"
            ]
            5 => array:2 [
              "nombre" => "Javier"
              "apellidos" => "Arn&#225;iz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255113000772?idApp=UINPBA00004E"
    "url" => "/08702551/0000003200000005/v1_201308021350/S0870255113000772/v1_201308021350/en/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>"
    "titulo" => "A case of coronary-vertebral subclavian steal syndrome"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "443"
        "paginaFinal" => "445"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Paulo G&#46; Pedro, Berta Car&#244;la, Rui Conduto, Isabel Bar&#227;o, Rui Cruz Ferreira, Manuel Pedro Magalh&#227;es"
        "autores" => array:6 [
          0 => array:4 [
            "nombre" => "Paulo G&#46;"
            "apellidos" => "Pedro"
            "email" => array:1 [
              0 => "ppedro&#64;netcabo&#46;pt"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Berta"
            "apellidos" => "Car&#244;la"
          ]
          2 => array:2 [
            "nombre" => "Rui"
            "apellidos" => "Conduto"
          ]
          3 => array:2 [
            "nombre" => "Isabel"
            "apellidos" => "Bar&#227;o"
          ]
          4 => array:2 [
            "nombre" => "Rui Cruz"
            "apellidos" => "Ferreira"
          ]
          5 => array:2 [
            "nombre" => "Manuel Pedro"
            "apellidos" => "Magalh&#227;es"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "SAMS Hospital&#44; Lisbon&#44; Portugal"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Um caso de s&#237;ndrome de roubo subcl&#225;vio coron&#225;rio-vertebral"
      ]
    ]
    "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" => 1666
            "Ancho" => 1667
            "Tamanyo" => 210297
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Antero-posterior&#44; volume rendering technique of the heart and great vessels&#44; depicting subclavian artery occlusion and patent LIMA&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 59-year-old woman with type 2 diabetes and two-vessel disease had undergone double coronary bypass grafting &#40;CABG&#41; five years previously&#44; with left internal mammary artery &#40;LIMA&#41; to left anterior descending &#40;LAD&#41; artery and free radial graft &#40;Y type&#41;&#44; from LIMA to obtuse marginal &#40;OM&#41;&#46; Three months ago&#44; the patient began to suffer angina and episodes of dizziness after upper limb exercise&#44; followed by a lateral wall myocardial infarction one month ago&#46; Urgent femoral catheterization revealed thrombotic occlusion of the circumflex &#40;Cx&#41; artery&#59; the LAD had an old occlusion and the LIMA could not be catheterized&#46; The right coronary artery &#40;RCA&#41; was normal&#46; Primary angioplasty of the culprit Cx was performed and two bare-metal stents were deployed&#46; The acute chest pain resolved&#44; but angina and dyspnea recurred one week later&#46; Physical examination revealed absent pulses in the left arm&#46; Cardiac CT angiography revealed abrupt occlusion of the left subclavian artery 1&#46;8<span class="elsevierStyleHsp" style=""></span>cm after its origin&#44; proximal to the LIMA and the ipsilateral vertebral artery&#46; Both these arteries supplied a scant flow to the axillary artery &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>&#41;&#44; but the LIMA was well contrasted&#44; with a good anastomosis to the mid LAD &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1&#44; 2 and 3a</a>&#41;&#46; The radial &#40;LIMA to OM&#41; anastomosis was totally occluded&#44; only the path of the metal clips being visible &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#46; The Cx stent was patent with no signs of restenosis&#44; and the RCA was normal &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>b and c&#41;&#46; The right brachiocephalic and left carotid arteries were normal &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>&#41;&#46; A triplex Doppler scan revealed reversal of left vertebral artery flow &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>&#41;&#46; A diagnosis of coronary-vertebral subclavian steal syndrome was made&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Discussion</span><p id="par0010" class="elsevierStylePara elsevierViewall">Coronary and&#47;or vertebral subclavian steal syndrome is a late complication of CABG&#44; occurring in patients with pre-existing subclavian atherosclerotic disease&#46; It is unclear whether the surgical procedure itself accelerates the development of lesions in the subclavian artery&#44; due to enhanced local flow and consequent endothelial shear stress&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> Systematic bilateral blood pressure measurement is mandatory prior to CABG&#44; to exclude subclavian stenosis&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In this case&#44; a large CT acquisition window was used&#44; ranging from the middle neck region to the diaphragm&#44; to ensure good anatomical coverage&#44; particularly of the proximal supra-aortic vessels&#44; in preparation for possible future surgery&#46; Since the left carotid artery was disease-free&#44; a carotid-left axillary shunt was proposed&#44; without further invasive investigations&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Ethical responsibilities</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Protection of human and animal subjects</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association &#40;Declaration of Helsinki&#41;&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Confidentiality of data</span><p id="par0025" 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&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Right to privacy and informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:5 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Case report"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Discussion"
        ]
        2 => array:3 [
          "identificador" => "sec0015"
          "titulo" => "Ethical responsibilities"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Conflicts of interest"
        ]
        4 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-09-24"
    "fechaAceptado" => "2012-10-22"
    "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" => 1666
            "Ancho" => 1667
            "Tamanyo" => 210297
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Antero-posterior&#44; volume rendering technique of the heart and great vessels&#44; depicting subclavian artery occlusion and patent LIMA&#46;</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" => 1674
            "Ancho" => 1667
            "Tamanyo" => 243766
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cranial left anterior oblique view&#44; volume rendering technique of the heart and great vessels&#44; depicting subclavian artery occlusion&#44; circunflex artery stents and occluded radial graft&#46;</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" => 2080
            "Ancho" => 2500
            "Tamanyo" => 251153
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Curved multiplanar reconstructions of &#40;a&#41; LIMA to LAD&#44; &#40;b&#41; Cx with stents and &#40;c&#41; RCA&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "fig0020"
        "etiqueta" => "Figure 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
            "Alto" => 2040
            "Ancho" => 2500
            "Tamanyo" => 279990
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Triplex Doppler scan&#44; revealing reversal of left vertebral artery flow &#40;arrow&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:2 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Myocardial thievery&#58; the coronary-subclavian steal syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "T&#46;J&#46; Takach"
                            1 => "G&#46;J&#46; Reul"
                            2 => "D&#46;A&#46; Cooley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.athoracsur.2005.05.071"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "2006"
                        "volumen" => "81"
                        "paginaInicial" => "386"
                        "paginaFinal" => "392"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16368420"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Simultaneous coronary-subclavian and vertebral-subclavian steal syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46;R&#46; Lee"
                            1 => "M&#46;H&#46; Jeong"
                            2 => "J&#46;Y&#46; Rhew"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Circ J"
                        "fecha" => "2003"
                        "volumen" => "67"
                        "paginaInicial" => "464"
                        "paginaFinal" => "466"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12736489"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000003200000005/v1_201308021350/S0870255113000760/v1_201308021350/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/08702551/0000003200000005/v1_201308021350/S0870255113000760/v1_201308021350/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255113000760?idApp=UINPBA00004E"
]
Partilhar
Informação da revista

Estatísticas

Siga este link para acessar o texto completo do artigo

Image in cardiology
A case of coronary-vertebral subclavian steal syndrome
Um caso de síndrome de roubo subclávio coronário-vertebral
Paulo G. Pedro
Autor para correspondência
ppedro@netcabo.pt

Corresponding author.
, Berta Carôla, Rui Conduto, Isabel Barão, Rui Cruz Ferreira, Manuel Pedro Magalhães
SAMS Hospital, Lisbon, Portugal
Lido
10254
Vezes
que se leu este artigo
2190
Total PDF
8064
Total HTML
Compartilhar estatísticas
 array:24 [
  "pii" => "S0870255113000760"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2012.10.014"
  "estado" => "S300"
  "fechaPublicacion" => "2013-05-01"
  "aid" => "276"
  "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;32:443-5"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 5966
    "formatos" => array:3 [
      "EPUB" => 200
      "HTML" => 4895
      "PDF" => 871
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S087025511300053X"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2013.01.003"
    "estado" => "S300"
    "fechaPublicacion" => "2013-05-01"
    "aid" => "269"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "ssu"
    "cita" => "Rev Port Cardiol. 2013;32:447-57"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4028
      "formatos" => array:3 [
        "EPUB" => 197
        "HTML" => 2978
        "PDF" => 853
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editors&#8217; Network</span>"
      "titulo" => "Almanac 2012&#58; Interventional cardiology"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "447"
          "paginaFinal" => "457"
        ]
      ]
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pascal Meier, Adam Timmis"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Pascal"
              "apellidos" => "Meier"
            ]
            1 => array:2 [
              "nombre" => "Adam"
              "apellidos" => "Timmis"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087025511300053X?idApp=UINPBA00004E"
    "url" => "/08702551/0000003200000005/v1_201308021350/S087025511300053X/v1_201308021350/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0870255113000772"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2012.10.015"
    "estado" => "S300"
    "fechaPublicacion" => "2013-05-01"
    "aid" => "277"
    "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;32:441-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4831
      "formatos" => array:3 [
        "EPUB" => 208
        "HTML" => 3716
        "PDF" => 907
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>"
      "titulo" => "Giant left ventricular aneurysm after myocardial infarction"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "441"
          "paginaFinal" => "442"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Aneurisma do ventr&#237;culo esquerdo gigante ap&#243;s enfarte do mioc&#225;rdio"
        ]
      ]
      "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" => 1621
              "Ancho" => 2161
              "Tamanyo" => 653184
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Surgical view of large aneurysm of the left ventricular posterolateral wall&#46; &#40;B&#41; Neck of left ventricular aneurysm&#46; The fibrous wall of the aneurysm&#44; the endocardium and the papillary muscles of the mitral valve can be seen&#46; &#40;C&#41; Exclusion of the aneurysm using a bovine pericardial patch sutured to the edges of the myocardium&#46; &#40;D&#41; Occlusion and reinforcement of sutures with Teflon bands&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Elena Arn&#225;iz-Garc&#237;a, Ana M&#46; Arn&#225;iz-Garc&#237;a, Ashesh D&#46; Patel, Francisco J&#46; Guti&#233;rrez-Diez, Juan F&#46; Nistal-Herrera, Javier Arn&#225;iz"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "M&#46; Elena"
              "apellidos" => "Arn&#225;iz-Garc&#237;a"
            ]
            1 => array:2 [
              "nombre" => "Ana M&#46;"
              "apellidos" => "Arn&#225;iz-Garc&#237;a"
            ]
            2 => array:2 [
              "nombre" => "Ashesh D&#46;"
              "apellidos" => "Patel"
            ]
            3 => array:2 [
              "nombre" => "Francisco J&#46;"
              "apellidos" => "Guti&#233;rrez-Diez"
            ]
            4 => array:2 [
              "nombre" => "Juan F&#46;"
              "apellidos" => "Nistal-Herrera"
            ]
            5 => array:2 [
              "nombre" => "Javier"
              "apellidos" => "Arn&#225;iz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255113000772?idApp=UINPBA00004E"
    "url" => "/08702551/0000003200000005/v1_201308021350/S0870255113000772/v1_201308021350/en/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>"
    "titulo" => "A case of coronary-vertebral subclavian steal syndrome"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "443"
        "paginaFinal" => "445"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Paulo G&#46; Pedro, Berta Car&#244;la, Rui Conduto, Isabel Bar&#227;o, Rui Cruz Ferreira, Manuel Pedro Magalh&#227;es"
        "autores" => array:6 [
          0 => array:4 [
            "nombre" => "Paulo G&#46;"
            "apellidos" => "Pedro"
            "email" => array:1 [
              0 => "ppedro&#64;netcabo&#46;pt"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Berta"
            "apellidos" => "Car&#244;la"
          ]
          2 => array:2 [
            "nombre" => "Rui"
            "apellidos" => "Conduto"
          ]
          3 => array:2 [
            "nombre" => "Isabel"
            "apellidos" => "Bar&#227;o"
          ]
          4 => array:2 [
            "nombre" => "Rui Cruz"
            "apellidos" => "Ferreira"
          ]
          5 => array:2 [
            "nombre" => "Manuel Pedro"
            "apellidos" => "Magalh&#227;es"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "SAMS Hospital&#44; Lisbon&#44; Portugal"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Um caso de s&#237;ndrome de roubo subcl&#225;vio coron&#225;rio-vertebral"
      ]
    ]
    "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" => 1666
            "Ancho" => 1667
            "Tamanyo" => 210297
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Antero-posterior&#44; volume rendering technique of the heart and great vessels&#44; depicting subclavian artery occlusion and patent LIMA&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 59-year-old woman with type 2 diabetes and two-vessel disease had undergone double coronary bypass grafting &#40;CABG&#41; five years previously&#44; with left internal mammary artery &#40;LIMA&#41; to left anterior descending &#40;LAD&#41; artery and free radial graft &#40;Y type&#41;&#44; from LIMA to obtuse marginal &#40;OM&#41;&#46; Three months ago&#44; the patient began to suffer angina and episodes of dizziness after upper limb exercise&#44; followed by a lateral wall myocardial infarction one month ago&#46; Urgent femoral catheterization revealed thrombotic occlusion of the circumflex &#40;Cx&#41; artery&#59; the LAD had an old occlusion and the LIMA could not be catheterized&#46; The right coronary artery &#40;RCA&#41; was normal&#46; Primary angioplasty of the culprit Cx was performed and two bare-metal stents were deployed&#46; The acute chest pain resolved&#44; but angina and dyspnea recurred one week later&#46; Physical examination revealed absent pulses in the left arm&#46; Cardiac CT angiography revealed abrupt occlusion of the left subclavian artery 1&#46;8<span class="elsevierStyleHsp" style=""></span>cm after its origin&#44; proximal to the LIMA and the ipsilateral vertebral artery&#46; Both these arteries supplied a scant flow to the axillary artery &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>&#41;&#44; but the LIMA was well contrasted&#44; with a good anastomosis to the mid LAD &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1&#44; 2 and 3a</a>&#41;&#46; The radial &#40;LIMA to OM&#41; anastomosis was totally occluded&#44; only the path of the metal clips being visible &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#46; The Cx stent was patent with no signs of restenosis&#44; and the RCA was normal &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>b and c&#41;&#46; The right brachiocephalic and left carotid arteries were normal &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>&#41;&#46; A triplex Doppler scan revealed reversal of left vertebral artery flow &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>&#41;&#46; A diagnosis of coronary-vertebral subclavian steal syndrome was made&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Discussion</span><p id="par0010" class="elsevierStylePara elsevierViewall">Coronary and&#47;or vertebral subclavian steal syndrome is a late complication of CABG&#44; occurring in patients with pre-existing subclavian atherosclerotic disease&#46; It is unclear whether the surgical procedure itself accelerates the development of lesions in the subclavian artery&#44; due to enhanced local flow and consequent endothelial shear stress&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> Systematic bilateral blood pressure measurement is mandatory prior to CABG&#44; to exclude subclavian stenosis&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In this case&#44; a large CT acquisition window was used&#44; ranging from the middle neck region to the diaphragm&#44; to ensure good anatomical coverage&#44; particularly of the proximal supra-aortic vessels&#44; in preparation for possible future surgery&#46; Since the left carotid artery was disease-free&#44; a carotid-left axillary shunt was proposed&#44; without further invasive investigations&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Ethical responsibilities</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Protection of human and animal subjects</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association &#40;Declaration of Helsinki&#41;&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Confidentiality of data</span><p id="par0025" 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&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Right to privacy and informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:5 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Case report"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Discussion"
        ]
        2 => array:3 [
          "identificador" => "sec0015"
          "titulo" => "Ethical responsibilities"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Conflicts of interest"
        ]
        4 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-09-24"
    "fechaAceptado" => "2012-10-22"
    "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" => 1666
            "Ancho" => 1667
            "Tamanyo" => 210297
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Antero-posterior&#44; volume rendering technique of the heart and great vessels&#44; depicting subclavian artery occlusion and patent LIMA&#46;</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" => 1674
            "Ancho" => 1667
            "Tamanyo" => 243766
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cranial left anterior oblique view&#44; volume rendering technique of the heart and great vessels&#44; depicting subclavian artery occlusion&#44; circunflex artery stents and occluded radial graft&#46;</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" => 2080
            "Ancho" => 2500
            "Tamanyo" => 251153
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Curved multiplanar reconstructions of &#40;a&#41; LIMA to LAD&#44; &#40;b&#41; Cx with stents and &#40;c&#41; RCA&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "fig0020"
        "etiqueta" => "Figure 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
            "Alto" => 2040
            "Ancho" => 2500
            "Tamanyo" => 279990
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Triplex Doppler scan&#44; revealing reversal of left vertebral artery flow &#40;arrow&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:2 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Myocardial thievery&#58; the coronary-subclavian steal syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "T&#46;J&#46; Takach"
                            1 => "G&#46;J&#46; Reul"
                            2 => "D&#46;A&#46; Cooley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.athoracsur.2005.05.071"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "2006"
                        "volumen" => "81"
                        "paginaInicial" => "386"
                        "paginaFinal" => "392"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16368420"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Simultaneous coronary-subclavian and vertebral-subclavian steal syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46;R&#46; Lee"
                            1 => "M&#46;H&#46; Jeong"
                            2 => "J&#46;Y&#46; Rhew"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Circ J"
                        "fecha" => "2003"
                        "volumen" => "67"
                        "paginaInicial" => "464"
                        "paginaFinal" => "466"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12736489"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000003200000005/v1_201308021350/S0870255113000760/v1_201308021350/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/08702551/0000003200000005/v1_201308021350/S0870255113000760/v1_201308021350/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255113000760?idApp=UINPBA00004E"
]
Informação do artigo
ISSN: 08702551
Idioma original: Inglês
Dados atualizados diariamente
Ano/Mês Html Pdf Total
2024 Novembro 14 6 20
2024 Outubro 58 31 89
2024 Setembro 64 24 88
2024 Agosto 65 30 95
2024 Julho 51 41 92
2024 Junho 65 33 98
2024 Maio 59 25 84
2024 Abril 48 31 79
2024 Maro 55 19 74
2024 Fevereiro 58 24 82
2024 Janeiro 41 19 60
2023 Dezembro 36 28 64
2023 Novembro 56 27 83
2023 Outubro 35 19 54
2023 Setembro 42 17 59
2023 Agosto 42 22 64
2023 Julho 45 9 54
2023 Junho 44 15 59
2023 Maio 62 24 86
2023 Abril 42 8 50
2023 Maro 38 15 53
2023 Fevereiro 36 15 51
2023 Janeiro 41 13 54
2022 Dezembro 47 18 65
2022 Novembro 54 28 82
2022 Outubro 51 22 73
2022 Setembro 49 35 84
2022 Agosto 65 30 95
2022 Julho 48 33 81
2022 Junho 51 28 79
2022 Maio 57 37 94
2022 Abril 66 29 95
2022 Maro 58 39 97
2022 Fevereiro 63 17 80
2022 Janeiro 49 25 74
2021 Dezembro 32 23 55
2021 Novembro 43 37 80
2021 Outubro 107 37 144
2021 Setembro 40 26 66
2021 Agosto 60 30 90
2021 Julho 39 25 64
2021 Junho 64 26 90
2021 Maio 59 27 86
2021 Abril 84 59 143
2021 Maro 73 13 86
2021 Fevereiro 110 24 134
2021 Janeiro 54 15 69
2020 Dezembro 57 18 75
2020 Novembro 46 13 59
2020 Outubro 56 18 74
2020 Setembro 69 20 89
2020 Agosto 54 11 65
2020 Julho 60 13 73
2020 Junho 92 11 103
2020 Maio 60 5 65
2020 Abril 72 16 88
2020 Maro 59 14 73
2020 Fevereiro 102 21 123
2020 Janeiro 48 8 56
2019 Dezembro 59 11 70
2019 Novembro 37 6 43
2019 Outubro 73 8 81
2019 Setembro 32 12 44
2019 Agosto 29 5 34
2019 Julho 52 10 62
2019 Junho 31 8 39
2019 Maio 45 10 55
2019 Abril 21 12 33
2019 Maro 40 10 50
2019 Fevereiro 52 17 69
2019 Janeiro 26 4 30
2018 Dezembro 37 18 55
2018 Novembro 93 13 106
2018 Outubro 142 19 161
2018 Setembro 57 10 67
2018 Agosto 58 12 70
2018 Julho 46 11 57
2018 Junho 62 9 71
2018 Maio 74 13 87
2018 Abril 47 11 58
2018 Maro 74 11 85
2018 Fevereiro 44 6 50
2018 Janeiro 26 6 32
2017 Dezembro 50 11 61
2017 Novembro 35 7 42
2017 Outubro 27 13 40
2017 Setembro 42 10 52
2017 Agosto 48 20 68
2017 Julho 24 12 36
2017 Junho 43 10 53
2017 Maio 40 15 55
2017 Abril 19 11 30
2017 Maro 29 19 48
2017 Fevereiro 23 7 30
2017 Janeiro 25 5 30
2016 Dezembro 24 5 29
2016 Novembro 26 9 35
2016 Outubro 41 13 54
2016 Setembro 9 5 14
2016 Agosto 20 3 23
2016 Julho 9 5 14
2016 Junho 0 7 7
2016 Maio 10 8 18
2016 Abril 31 4 35
2016 Maro 56 10 66
2016 Fevereiro 78 16 94
2016 Janeiro 52 13 65
2015 Dezembro 59 7 66
2015 Novembro 50 4 54
2015 Outubro 64 9 73
2015 Setembro 81 10 91
2015 Agosto 73 10 83
2015 Julho 72 5 77
2015 Junho 46 6 52
2015 Maio 67 6 73
2015 Abril 57 6 63
2015 Maro 61 11 72
2015 Fevereiro 66 8 74
2015 Janeiro 54 8 62
2014 Dezembro 70 12 82
2014 Novembro 44 5 49
2014 Outubro 104 10 114
2014 Setembro 89 8 97
2014 Agosto 98 8 106
2014 Julho 107 11 118
2014 Junho 104 4 108
2014 Maio 115 14 129
2014 Abril 105 5 110
2014 Maro 133 11 144
2014 Fevereiro 118 19 137
2014 Janeiro 133 9 142
2013 Dezembro 142 14 156
2013 Novembro 115 17 132
2013 Outubro 115 11 126
2013 Setembro 115 20 135
2013 Agosto 139 21 160
2013 Julho 91 35 126
2013 Junho 64 30 94
Mostrar tudo

Siga este link para acessar o texto completo do artigo

Idiomas
Revista Portuguesa de Cardiologia
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Ao assinalar que é «Profissional de Saúde», declara conhecer e aceitar que a responsável pelo tratamento dos dados pessoais dos utilizadores da página de internet da Revista Portuguesa de Cardiologia (RPC), é esta entidade, com sede no Campo Grande, n.º 28, 13.º, 1700-093 Lisboa, com os telefones 217 970 685 e 217 817 630, fax 217 931 095 e com o endereço de correio eletrónico revista@spc.pt. Declaro para todos os fins, que assumo inteira responsabilidade pela veracidade e exatidão da afirmação aqui fornecida.