que se leu este artigo
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"identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Murat" "apellidos" => "Celik" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Aksaz Military Hospital, Department of Cardiology, Mugla, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Gulhane Military Medical Faculty, Department of Cardiology, Ankara, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Ressonância magnética cardíaca nuclear em miocardiopatias parecidas" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the article by Mesquita et al.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> entitled “Cardiac amyloidosis: Diagnosis using delayed enhancement cardiac magnetic resonance imaging sequences”, recently published in the <span class="elsevierStyleItalic">Portuguese Journal of Cardiology</span>. The authors<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> presented 10 patients with the suspicion of a cardiomyopathy on echocardiography. Patients were diagnosed and managed with late gadolinium enhancement patterns on cardiac magnetic resonance (MR) imaging. Although we commend the authors for their valuable article and the management of the patients, some comments may be of interest.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Cardiac amyloidosis is characterized by diffuse global subendothelial late gadolinium enhancement.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a> Increased gadolinium washout from blood results in higher blood T1 over time, resulting in a dark blood pool, which does not occur in other cardiomyopathies.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,4</span></a> If cardiac wall thickness is increased, a decrease in QRS amplitude associated with dyssynchronous activation of atrophic myocytes is an important finding.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Fabry disease is characterized by symmetrical hypertrophy, and men are commonly affected due to X-linked inheritance. Progressive diastolic dysfunction is generally observed without a restrictive filling pattern on echocardiography.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Hypertrophic cardiomyopathy is characterized by asymmetrical hypertrophy which can result in ventricular outflow obstruction.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Although cardiac myocytes are hypertrophic, they do not contribute significantly to effective contraction. Tagged MR images can show the disordered and ineffective contraction patterns in cardiomyopathies accompanied by septal hypertrophy, thereby distinguishing hypertensive cardiomyopathy.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In conclusion, cardiomyopathies accompanied by increased wall thickness are characterized by impeded ventricular filling and progressive diastolic dysfunction.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2–4</span></a> They are relatively rare and usually tend to be overlooked or misdiagnosed. Comprehensive assessment of patients, including clinical manifestations, electrocardiography, and echocardiography in addition to MR imaging, play an important role in instituting appropriate management and therapy.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cardiac amyloidosis: diagnosis using delayed enhancement cardiac magnetic resonance imaging sequences" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "D. Mesquita" 1 => "C. Nobre" 2 => "B. Thomas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.repc.2013.04.011" "Revista" => array:6 [ "tituloSerie" => "Rev Port Cardiol" "fecha" => "2013" "volumen" => "32" "paginaInicial" => "941" "paginaFinal" => "945" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24238891" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Infiltrative cardiovascular diseases: cardiomyopathies that look alike" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.B. Seward" 1 => "G. 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Brito" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.repc.2013.02.011" "Revista" => array:6 [ "tituloSerie" => "Rev Port Cardiol" "fecha" => "2013" "volumen" => "32" "paginaInicial" => "729" "paginaFinal" => "733" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23993291" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cardiovascular magnetic resonance in cardiac amyloidosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A.M. Maceira" 1 => "J. Joshi" 2 => "S.K. Prasad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/01.CIR.0000152819.97857.9D" "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "2005" "volumen" => "111" "paginaInicial" => "186" "paginaFinal" => "193" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15630027" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Differential diagnosis of cardiomyopathies: utility of cardiac magnetic resonance imaging" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "E. Yalçınkaya" 1 => "B. Bugan" 2 => "M. Celik" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Anadolu Kardiyol Derg" "fecha" => "2013" "volumen" => "13" "paginaInicial" => "722" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24404573" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003300000078/v4_201411060056/S0870255114001589/v4_201411060056/en/main.assets" "Apartado" => array:4 [ "identificador" => "29267" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Cartas ao Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003300000078/v4_201411060056/S0870255114001589/v4_201411060056/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114001589?idApp=UINPBA00004E" ]
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2019 Julho | 35 | 15 | 50 |
2019 Junho | 24 | 5 | 29 |
2019 Maio | 21 | 15 | 36 |
2019 Abril | 20 | 7 | 27 |
2019 Maro | 15 | 11 | 26 |
2019 Fevereiro | 48 | 12 | 60 |
2019 Janeiro | 16 | 5 | 21 |
2018 Dezembro | 25 | 9 | 34 |
2018 Novembro | 48 | 11 | 59 |
2018 Outubro | 141 | 14 | 155 |
2018 Setembro | 48 | 10 | 58 |
2018 Agosto | 84 | 15 | 99 |
2018 Julho | 46 | 4 | 50 |
2018 Junho | 54 | 8 | 62 |
2018 Maio | 71 | 13 | 84 |
2018 Abril | 59 | 4 | 63 |
2018 Maro | 63 | 16 | 79 |
2018 Fevereiro | 43 | 2 | 45 |
2018 Janeiro | 32 | 12 | 44 |
2017 Dezembro | 65 | 14 | 79 |
2017 Novembro | 27 | 14 | 41 |
2017 Outubro | 25 | 9 | 34 |
2017 Setembro | 34 | 10 | 44 |
2017 Agosto | 36 | 9 | 45 |
2017 Julho | 23 | 7 | 30 |
2017 Junho | 34 | 9 | 43 |
2017 Maio | 29 | 11 | 40 |
2017 Abril | 17 | 6 | 23 |
2017 Maro | 31 | 12 | 43 |
2017 Fevereiro | 21 | 3 | 24 |
2017 Janeiro | 24 | 3 | 27 |
2016 Dezembro | 24 | 7 | 31 |
2016 Novembro | 5 | 4 | 9 |
2016 Outubro | 17 | 4 | 21 |
2016 Setembro | 11 | 5 | 16 |
2016 Agosto | 8 | 3 | 11 |
2016 Julho | 5 | 4 | 9 |
2016 Junho | 1 | 0 | 1 |
2016 Maio | 3 | 8 | 11 |
2016 Abril | 19 | 2 | 21 |
2016 Maro | 23 | 10 | 33 |
2016 Fevereiro | 42 | 14 | 56 |
2016 Janeiro | 26 | 8 | 34 |
2015 Dezembro | 24 | 16 | 40 |
2015 Novembro | 22 | 7 | 29 |
2015 Outubro | 25 | 5 | 30 |
2015 Setembro | 25 | 7 | 32 |
2015 Agosto | 33 | 11 | 44 |
2015 Julho | 14 | 5 | 19 |
2015 Junho | 14 | 5 | 19 |
2015 Maio | 22 | 5 | 27 |
2015 Abril | 24 | 9 | 33 |
2015 Maro | 15 | 3 | 18 |
2015 Fevereiro | 25 | 8 | 33 |
2015 Janeiro | 12 | 10 | 22 |
2014 Dezembro | 32 | 11 | 43 |
2014 Novembro | 22 | 7 | 29 |
2014 Outubro | 35 | 16 | 51 |
2014 Setembro | 31 | 5 | 36 |