que se leu este artigo
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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" => 1066 "Ancho" => 1624 "Tamanyo" => 136553 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram showing a large apical aneurysm of the left ventricle and a pseudoaneurysm in the right ventricle.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "André Viveiros Monteiro, Ana Galrinho, Luísa Moura Branco, José Fragata, Rui Cruz Ferreira" "autores" => array:5 [ 0 => array:2 [ "nombre" => "André" "apellidos" => "Viveiros Monteiro" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Galrinho" ] 2 => array:2 [ "nombre" => "Luísa" "apellidos" => "Moura Branco" ] 3 => array:2 [ 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Alvo de intervenção terapêutica?" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "201" "paginaFinal" => "208" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Galectin‐3, a prognostic marker – and a therapeutic target?" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1387 "Ancho" => 1493 "Tamanyo" => 56745 ] ] "descripcion" => array:1 [ "pt" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Concentrações médias de Galectina‐3 de indivíduos que faleceram durante 60 dias de acompanhamento e que sobreviveram em igual período – resultados da subanálise PRIDE<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">3</span></a>.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Rita Pereira, Luiz Menezes Falcão" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Ana Rita" "apellidos" => "Pereira" ] 1 => array:2 [ "nombre" => "Luiz" "apellidos" => "Menezes Falcão" ] ] ] ] ] "idiomaDefecto" => "pt" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204915000525" "doi" => "10.1016/j.repce.2014.10.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915000525?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115000359?idApp=UINPBA00004E" "url" => 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"cor0005" ] ] ] 1 => array:3 [ "nombre" => "Ana" "apellidos" => "Galrinho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Luísa" "apellidos" => "Moura Branco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "José" "apellidos" => "Fragata" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Rui" "apellidos" => "Cruz Ferreira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Cardiology Department, Hospital of Santa Marta, Lisbon, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cardiothoracic Surgery Department, Hospital of Santa Marta, Lisbon, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Enfarte agudo do miocárdio com supradesnivelamento de ST com múltiplas complicações mecânicas e artérias coronárias angiograficamente normais" ] ] "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" => 684 "Ancho" => 975 "Tamanyo" => 73422 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">4-chamber triple inversion recovery fast spin echo and delayed enhancement images showing communication between a left ventricular aneurysm and a right ventricular pseudoaneurysm.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">In the contemporary era of primary angioplasty, mechanical complications after ST-segment elevation myocardial infarction (STEMI) such as ventricular septal defect (VSD) and ventricular aneurysm are increasingly only found in anecdotal reports. Nevertheless, the outcome remains extremely poor without prompt surgical intervention.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1–5</span></a> Total occlusion of the infarct-related artery with minimal collaterals is the common underlying angiographic pattern.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1,2</span></a> Only 1–12% of all acute coronary events have normal coronary arteries or non-significant coronary disease on angiography. Prognosis in this population is usually favorable without mechanical complications. Absence of coronary artery disease in postinfarction mechanical complications is extremely rare and very few cases have been reported in the literature.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">4,5</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Case report</span><p id="par0010" class="elsevierStylePara elsevierViewall">In this report, we describe the case of an 82-year-old man, with a previous aortic valve replacement with a bioprosthesis four years previously. He was admitted for anterior STEMI with normal coronary arteries on angiography and apical ballooning. At this time the transthoracic echocardiogram (TTE) revealed a normally functioning aortic prosthesis and the apex was akinetic. He was followed at another institution where, at the first month follow-up visit, he complained of fatigue and dyspnea. TTE showed a VSD and an apical aneurysm of the left ventricle (LV) and the patient was transferred to our institution. In our department a complete TTE displayed a dilated LV, with normal global systolic function and hyperkinesia of the basal and mid segments. A large apical aneurysm was visualized with a LV to right ventricle (RV) turbulent flow suggestive of a shunt with a gradient of 90–97 mmHg (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). Contrast TTE with Sonovue<span class="elsevierStyleSup">®</span> (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>) and cardiac magnetic resonance imaging (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>) were performed for further characterization, both showing a large LV apical aneurysm with a thrombus and a VSD with two jets of a turbulent flow to an apical RV pseudoaneurysm, also with a thrombus inside. The patient underwent corrective surgery with a Dor procedure (endoventricular circular patch plasty) combined with VSD closure and resection of the RV pseudoaneurysm (<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>). The procedure was successful and the postoperative course was uneventful.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0015" class="elsevierStylePara elsevierViewall">Postinfarction VSD is usually associated with multivessel coronary artery disease with significant stenosis in all major vessels. In the case reported, although the angiographic pattern was completely normal, STEMI was complicated by a VSD, LV aneurysm and RV pseudoaneurysm. VSD usually occurs in the first two weeks after infarction, with a peak in the first 24 hours and between the third and fifth day post-infarction.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1–3</span></a> It is associated with signs of pulmonary congestion, biventricular failure, and hypotension, which were not observed in our patient during that period. Clinical features associated with an increased risk of VSD include lack of development of a collateral network, advanced age, hypertension, anterior wall infarction and possibly fibrinolysis.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> Medical treatment is usually not effective and early surgical closure of the rupture is recommended.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> The pathophysiology, clinical characteristics, and prognosis of STEMI with angiographically normal coronary arteries are still under investigation. Smoking, cocaine abuse, hypercoagulable states, myocardial bridging, trauma, endothelial dysfunction and vasospasm, together with acute myocarditis, are among the most frequently reported causes, but none were present in this patient. Nevertheless, the apparently normal coronary arteriogram could be explained by disruption with thrombosis of a plaque at a site of outward remodeling of the artery followed by spontaneous lysis or distal embolization of the thrombus into the microcirculation after fragmentation. The compensatory enlargement or positive remodeling maintained the lumen caliber of the coronary artery affected by atherosclerosis, explaining the normal angiographic pattern.</p><p id="par0020" class="elsevierStylePara elsevierViewall">STEMI with angiographically normal coronary arteries appears to be less severe, with fewer complications during the acute and late phases compared with infarction due to severe atherosclerotic disease.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> Although its incidence has decreased considerably since the advent of early mechanical reperfusion, STEMI complications are associated with a high rate of mortality and urgent need for early surgical repair. This case report discusses the unusual presentation of STEMI with normal coronary arteries and severe mechanical complications successfully treated with surgery.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Ethical disclosures</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Protection of human and animal subjects</span><p id="par0025" 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 (Declaration of Helsinki).</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Confidentiality of data</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Right to privacy and informed consent</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conflicts of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:10 [ 0 => array:3 [ "identificador" => "xres458079" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec481080" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres458080" "titulo" => "Resumo" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0010" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec481081" "titulo" => "Palavras-chave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Case report" ] 6 => array:2 [ "identificador" => "sec0015" "titulo" => "Discussion" ] 7 => array:3 [ "identificador" => "sec0020" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0025" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0030" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0035" "titulo" => "Right to privacy and informed consent" ] ] ] 8 => array:2 [ "identificador" => "sec0040" "titulo" => "Conflicts of interest" ] 9 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-07-11" "fechaAceptado" => "2014-08-16" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec481080" "palabras" => array:4 [ 0 => "Ventricular septal defect" 1 => "Ventricular aneurysm" 2 => "Myocardial infarction" 3 => "Normal coronary arteries" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec481081" "palabras" => array:4 [ 0 => "Rutura interventricular" 1 => "Aneurisma ventricular" 2 => "Enfarte do miocárdio" 3 => "Artérias coronárias normais" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This case report discusses an unusual presentation of ST-segment elevation myocardial infarction (STEMI) with normal coronary arteries and severe mechanical complications successfully treated with surgery. An 82-year-old man presented STEMI with angiographically normal coronary arteries and no major echocardiographic alterations at discharge. At the first month follow-up, he complained of fatigue and dyspnea, and contrast echocardiography complemented by cardiac magnetic resonance imaging revealed a large left ventricular apical aneurysm with a thrombus communicating by two jets of a turbulent flow to an aneurysmatic formation of the right ventricular apex. The patient underwent a Dor procedure, which was successful.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Ventricular septal defects and ventricular aneurysms are rare but devastating complications of STEMI, with almost all patients presenting multivessel coronary artery disease. Interestingly in this case, the angiographic pattern was normal.</p></span>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">O presente caso clínico discute a apresentação incomum de um enfarte agudo do miocárdio com supradesnivelamento de ST (EAMCST) com complicações mecânicas graves e artérias coronárias normais tratado cirurgicamente com sucesso. Um homem de 82 anos sofreu um EAMCST com artérias coronárias angiograficamente normais e sem alterações ecocardiográficas de relevo aquando da alta. Na consulta do primeiro mês pós enfarte, por queixas de cansaço e dispneia, realizou um ecocardiograma complementado por uma ressonância magnética cardíaca que revelaram um grande aneurisma apical do ventrículo esquerdo, com trombo, comunicando através de dois jatos de fluxo turbulento com uma formação aneurismática do ápice do ventrículo direito. O paciente foi submetido a um procedimento de Dor com sucesso.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A rutura do septo interventricular e os aneurismas ventriculares permanecem eventos raros mas devastadores com a quase maioria dos pacientes apresentado doença coronária multivaso. Curiosamente neste caso, o padrão angiográfico era normal.</p></span>" ] ] "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" => 639 "Ancho" => 974 "Tamanyo" => 66120 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram showing a large apical aneurysm of the left ventricle and a pseudoaneurysm in the right ventricle.</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" => 695 "Ancho" => 975 "Tamanyo" => 67684 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram with SonoVue<span class="elsevierStyleSup">®</span> contrast showing a ventricular septal defect connecting a large apical aneurysm of the left ventricle with a pseudoaneurysm in the right ventricle.</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" => 684 "Ancho" => 975 "Tamanyo" => 73422 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">4-chamber triple inversion recovery fast spin echo and delayed enhancement images showing communication between a left ventricular aneurysm and a right ventricular pseudoaneurysm.</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" => 750 "Ancho" => 976 "Tamanyo" => 98160 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Intraoperative photograph of ventricular septal defect closure and resection of the right ventricular pseudoaneurysm.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Survival after surgical repair of ischemic ventricular septal rupture" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "Y. 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Ano/Mês | Html | Total | |
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2024 Novembro | 13 | 6 | 19 |
2024 Outubro | 37 | 28 | 65 |
2024 Setembro | 60 | 21 | 81 |
2024 Agosto | 46 | 24 | 70 |
2024 Julho | 40 | 27 | 67 |
2024 Junho | 42 | 21 | 63 |
2024 Maio | 50 | 25 | 75 |
2024 Abril | 29 | 26 | 55 |
2024 Maro | 40 | 23 | 63 |
2024 Fevereiro | 41 | 27 | 68 |
2024 Janeiro | 30 | 20 | 50 |
2023 Dezembro | 24 | 22 | 46 |
2023 Novembro | 34 | 17 | 51 |
2023 Outubro | 21 | 12 | 33 |
2023 Setembro | 24 | 17 | 41 |
2023 Agosto | 36 | 20 | 56 |
2023 Julho | 35 | 11 | 46 |
2023 Junho | 23 | 9 | 32 |
2023 Maio | 39 | 19 | 58 |
2023 Abril | 21 | 3 | 24 |
2023 Maro | 20 | 24 | 44 |
2023 Fevereiro | 27 | 23 | 50 |
2023 Janeiro | 29 | 8 | 37 |
2022 Dezembro | 22 | 21 | 43 |
2022 Novembro | 42 | 23 | 65 |
2022 Outubro | 26 | 21 | 47 |
2022 Setembro | 25 | 26 | 51 |
2022 Agosto | 29 | 25 | 54 |
2022 Julho | 37 | 26 | 63 |
2022 Junho | 15 | 26 | 41 |
2022 Maio | 28 | 28 | 56 |
2022 Abril | 35 | 28 | 63 |
2022 Maro | 21 | 28 | 49 |
2022 Fevereiro | 16 | 19 | 35 |
2022 Janeiro | 27 | 17 | 44 |
2021 Dezembro | 12 | 24 | 36 |
2021 Novembro | 39 | 29 | 68 |
2021 Outubro | 36 | 30 | 66 |
2021 Setembro | 21 | 19 | 40 |
2021 Agosto | 26 | 29 | 55 |
2021 Julho | 20 | 20 | 40 |
2021 Junho | 27 | 18 | 45 |
2021 Maio | 26 | 19 | 45 |
2021 Abril | 41 | 29 | 70 |
2021 Maro | 58 | 17 | 75 |
2021 Fevereiro | 60 | 6 | 66 |
2021 Janeiro | 32 | 11 | 43 |
2020 Dezembro | 21 | 15 | 36 |
2020 Novembro | 41 | 8 | 49 |
2020 Outubro | 8 | 8 | 16 |
2020 Setembro | 51 | 16 | 67 |
2020 Agosto | 20 | 5 | 25 |
2020 Julho | 38 | 8 | 46 |
2020 Junho | 41 | 3 | 44 |
2020 Maio | 24 | 2 | 26 |
2020 Abril | 38 | 10 | 48 |
2020 Maro | 30 | 5 | 35 |
2020 Fevereiro | 92 | 14 | 106 |
2020 Janeiro | 41 | 5 | 46 |
2019 Dezembro | 29 | 6 | 35 |
2019 Novembro | 27 | 7 | 34 |
2019 Outubro | 32 | 3 | 35 |
2019 Setembro | 41 | 5 | 46 |
2019 Agosto | 28 | 7 | 35 |
2019 Julho | 23 | 10 | 33 |
2019 Junho | 40 | 4 | 44 |
2019 Maio | 29 | 9 | 38 |
2019 Abril | 28 | 19 | 47 |
2019 Maro | 134 | 12 | 146 |
2019 Fevereiro | 103 | 9 | 112 |
2019 Janeiro | 127 | 4 | 131 |
2018 Dezembro | 114 | 12 | 126 |
2018 Novembro | 105 | 14 | 119 |
2018 Outubro | 164 | 23 | 187 |
2018 Setembro | 57 | 11 | 68 |
2018 Agosto | 37 | 13 | 50 |
2018 Julho | 40 | 10 | 50 |
2018 Junho | 64 | 8 | 72 |
2018 Maio | 78 | 8 | 86 |
2018 Abril | 116 | 13 | 129 |
2018 Maro | 107 | 6 | 113 |
2018 Fevereiro | 64 | 3 | 67 |
2018 Janeiro | 99 | 2 | 101 |
2017 Dezembro | 173 | 12 | 185 |
2017 Novembro | 75 | 10 | 85 |
2017 Outubro | 36 | 9 | 45 |
2017 Setembro | 37 | 12 | 49 |
2017 Agosto | 47 | 10 | 57 |
2017 Julho | 33 | 6 | 39 |
2017 Junho | 51 | 13 | 64 |
2017 Maio | 51 | 5 | 56 |
2017 Abril | 20 | 3 | 23 |
2017 Maro | 36 | 4 | 40 |
2017 Fevereiro | 30 | 7 | 37 |
2017 Janeiro | 37 | 10 | 47 |
2016 Dezembro | 30 | 7 | 37 |
2016 Novembro | 23 | 8 | 31 |
2016 Outubro | 48 | 3 | 51 |
2016 Setembro | 150 | 6 | 156 |
2016 Agosto | 52 | 5 | 57 |
2016 Julho | 22 | 5 | 27 |
2016 Junho | 2 | 7 | 9 |
2016 Maio | 16 | 7 | 23 |
2016 Abril | 32 | 4 | 36 |
2016 Maro | 61 | 12 | 73 |
2016 Fevereiro | 83 | 24 | 107 |
2016 Janeiro | 67 | 32 | 99 |
2015 Dezembro | 49 | 12 | 61 |
2015 Novembro | 64 | 15 | 79 |
2015 Outubro | 61 | 25 | 86 |
2015 Setembro | 58 | 22 | 80 |
2015 Agosto | 50 | 19 | 69 |
2015 Julho | 37 | 4 | 41 |
2015 Junho | 51 | 10 | 61 |
2015 Maio | 79 | 23 | 102 |
2015 Abril | 95 | 62 | 157 |
2015 Maro | 140 | 73 | 213 |