Estatísticas

 array:24 [
  "pii" => "S0870255116301688"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2016.08.001"
  "estado" => "S300"
  "fechaPublicacion" => "2016-10-01"
  "aid" => "861"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2016"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "prv"
  "cita" => "Rev Port Cardiol. 2016;35:557-8"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2211
    "formatos" => array:3 [
      "EPUB" => 172
      "HTML" => 1563
      "PDF" => 476
    ]
  ]
  "Traduccion" => array:1 [
    "pt" => array:20 [
      "pii" => "S2174204916301659"
      "issn" => "21742049"
      "doi" => "10.1016/j.repce.2016.09.004"
      "estado" => "S300"
      "fechaPublicacion" => "2016-10-01"
      "aid" => "861"
      "copyright" => "Sociedade Portuguesa de Cardiologia"
      "documento" => "simple-article"
      "crossmark" => 0
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "prv"
      "cita" => "Rev Port Cardiol. 2016;35:557-8"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1568
        "formatos" => array:3 [
          "EPUB" => 134
          "HTML" => 988
          "PDF" => 446
        ]
      ]
      "pt" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Artigo recomendado do m&#234;s</span>"
        "titulo" => "Coment&#225;rio a &#171;CAD&#8208;RADS<span class="elsevierStyleSup">TM</span><span class="elsevierStyleItalic">Coronary Artery Disease &#8211; Reporting and Data System</span>&#46; Um documento de consenso da Sociedade de Tomografia Computadorizada Cardiovascular &#40;SCCT&#41;&#44; do Col&#233;gio Americano de Radiologia &#40;ACR&#41; e da Sociedade Norte&#8208;Americana para a Imagem Cardiovascular &#40;NASI&#41;&#46; Endossado pelo <span class="elsevierStyleItalic">American College of Cardiology</span>&#187;"
        "tienePdf" => "pt"
        "tieneTextoCompleto" => "pt"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "557"
            "paginaFinal" => "558"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Comment on &#8220;CAD&#8208;RADS <span class="elsevierStyleSup">TM</span> Coronary Artery Disease &#8211; Reporting and Data System&#46; An expert consensus document of the Society of Cardiovascular Computed Tomography &#40;SCCT&#41;&#44; the American College of Radiology &#40;ACR&#41; and the North American Society for Cardiovascular Imaging &#40;NASCI&#41;&#46; Endorsed by the American College of Cardiology&#8221;"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "pt" => true
        ]
        "contienePdf" => array:1 [
          "pt" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Nuno Bettencourt"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "Nuno"
                "apellidos" => "Bettencourt"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "pt"
      "Traduccion" => array:1 [
        "pt" => array:9 [
          "pii" => "S0870255116301688"
          "doi" => "10.1016/j.repc.2016.08.001"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "pt"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116301688?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916301659?idApp=UINPBA00004E"
      "url" => "/21742049/0000003500000010/v1_201610140050/S2174204916301659/v1_201610140050/pt/main.assets"
    ]
  ]
  "itemAnterior" => array:20 [
    "pii" => "S0870255116301810"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2016.08.002"
    "estado" => "S300"
    "fechaPublicacion" => "2016-10-01"
    "aid" => "872"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Rev Port Cardiol. 2016;35:555-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2207
      "formatos" => array:3 [
        "EPUB" => 189
        "HTML" => 1586
        "PDF" => 432
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Reply to the letter &#8220;The relation between inflammation and coronary artery ectasia&#8221;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "555"
          "paginaFinal" => "556"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Resposta &#224; carta &#171;A rela&#231;&#227;o entre a inflama&#231;&#227;o e a ectasia arterial coron&#225;ria&#187;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Abdullah Dogan, Akif Arslan"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Abdullah"
              "apellidos" => "Dogan"
            ]
            1 => array:2 [
              "nombre" => "Akif"
              "apellidos" => "Arslan"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2174204916301647"
        "doi" => "10.1016/j.repce.2016.09.003"
        "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/S2174204916301647?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116301810?idApp=UINPBA00004E"
    "url" => "/08702551/0000003500000010/v1_201609231322/S0870255116301810/v1_201609231322/en/main.assets"
  ]
  "pt" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Artigo recomendado do m&#234;s</span>"
    "titulo" => "Coment&#225;rio a &#171;CAD&#8208;RADS<span class="elsevierStyleSup">TM</span><span class="elsevierStyleItalic">Coronary Artery Disease &#8211; Reporting and Data System</span>&#46; Um documento de consenso da Sociedade de Tomografia Computadorizada Cardiovascular &#40;SCCT&#41;&#44; do Col&#233;gio Americano de Radiologia &#40;ACR&#41; e da Sociedade Norte&#8208;Americana para a Imagem Cardiovascular &#40;NASI&#41;&#46; Endossado pelo <span class="elsevierStyleItalic">American College of Cardiology</span>&#187;"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "557"
        "paginaFinal" => "558"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Nuno Bettencourt"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "Nuno"
            "apellidos" => "Bettencourt"
            "email" => array:1 [
              0 => "bettencourt&#46;n&#64;gmail&#46;com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidade de Investiga&#231;&#227;o e Desenvolvimento Cardiovascular&#44; Faculdade de Medicina&#44; Universidade do Porto&#44; Porto&#44; Portugal"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Comment on &#8220;CAD&#8208;RADS <span class="elsevierStyleSup">TM</span> Coronary Artery Disease &#8211; Reporting and Data System&#46; An expert consensus document of the Society of Cardiovascular Computed Tomography &#40;SCCT&#41;&#44; the American College of Radiology &#40;ACR&#41; and the North American Society for Cardiovascular Imaging &#40;NASCI&#41;&#46; Endorsed by the American College of Cardiology&#8221;"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="tb0005"></elsevierMultimedia></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Abstract</span><p id="par0015" class="elsevierStylePara elsevierViewall">The intent of CAD&#8208;RADS Coronary Artery Disease Reporting and Data System is to create a standardized method to communicate findings of coronary CT angiography &#40;coronary CTA&#41; in order to facilitate decision&#8208;making regarding further patient management&#46; The suggested CAD&#8208;RADS classification is applied on a per&#8208;patient basis and represents the highest&#8208;grade coronary artery lesion documented by coronary CTA&#46; It ranges from CAD&#8208;RADS 0 &#40;Zero&#41; for the complete absence of stenosis and plaque to CAD&#8208;RADS 5 for the presence of at least one totally occluded coronary artery and should always be interpreted in conjunction with the impression found in the report&#46; Specific recommendations are provided for further management of patients with stable or acute chest pain based on the CAD&#8208;RADS classification&#46; The main goal of CAD&#8208;RADS is to standardize reporting of coronary CTA results and to facilitate communication of test results to referring physicians along with suggestions for subsequent patient management&#46; In addition&#44; CAD&#8208;RADS will provide a framework of standardization that may benefit education&#44; research&#44; peer&#8208;review and quality assurance with the potential to ultimately result in improved quality of care&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Coment&#225;rio</span><p id="par0020" class="elsevierStylePara elsevierViewall">Na &#250;ltima d&#233;cada&#44; a coronariografia por tomografia computadorizada &#40;AngioTC coron&#225;ria&#41; imp&#244;s&#8208;se no armament&#225;rio diagn&#243;stico ao dispor do cardiologista&#46; A sua elevada sensibilidade e excelente valor preditivo negativo transformaram&#8208;na no principal m&#233;todo de escolha para exclus&#227;o de doen&#231;a coron&#225;ria em pacientes com probabilidade interm&#233;dia&#8208;baixa&#44; nomeadamente ap&#243;s uma prova de esfor&#231;o eletricamente positiva ou ap&#243;s testes funcionais discordantes com a cl&#237;nica&#46; V&#225;rios grandes estudos demonstraram a utilidade cl&#237;nica da AngioTC coron&#225;ria&#44; incluindo os recentes estudos prospetivos multic&#234;ntricos PROMISE e SCOT&#8208;HEART e quatro ensaios cl&#237;nicos aleatorizados&#58; CT&#8208;STAT&#44; ACRIN&#8208;PA&#44; ROMICAT II&#44; e CT&#8208;COMPARE&#46; No entanto&#44; at&#233; &#224; data&#44; n&#227;o havia uma refer&#234;ncia estandardizada de comunica&#231;&#227;o dos resultados de um exame de AngioTC coron&#225;rio&#44; o que potencia uma certa subjetividade de interpreta&#231;&#227;o e&#44; para o m&#233;dico referenciador&#44; dificuldades acrescidas em termos de orienta&#231;&#227;o cl&#237;nica p&#243;s&#8208;teste&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Baseando&#8208;se em casos de sucesso de outras &#225;reas da medicina&#44; como a mamografia e a imagiologia do f&#237;gado ou do pulm&#227;o&#44; em que a implementa&#231;&#227;o de um sistema padronizado melhorou muito a comunicabilidade entre cl&#237;nicos e a ado&#231;&#227;o de medidas p&#243;s&#8208;teste adequadas&#44; as tr&#234;s principais sociedade m&#233;dicas da &#225;rea &#40;<span class="elsevierStyleItalic">Society for Cardiovascular Computed Tomography</span> &#91;SCCT&#93;&#44; <span class="elsevierStyleItalic">American College of Radiology</span> &#91;ACR&#93; e <span class="elsevierStyleItalic">North American Society for Cardiovascular Imaging</span> &#91;NASI&#93;&#41; desenvolveram um documento de consenso que viria a ser endossado pelo <span class="elsevierStyleItalic">American College of Cardiology</span> e que visa a padroniza&#231;&#227;o de relat&#243;rios para a angiografia coron&#225;ria &#40;CCTA&#41;&#44; como forma a melhorar a interpreta&#231;&#227;o dos resultados e a orienta&#231;&#227;o terap&#234;utica subsequente&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">A classifica&#231;&#227;o CAD&#8208;RADS segue uma l&#243;gica de aplica&#231;&#227;o &#171;por paciente&#187; e representa a les&#227;o coron&#225;ria com maior grau de estenose documentada pela AngioTC coron&#225;ria&#44; apresentando &#171;modificadores&#187; que facilitam a descri&#231;&#227;o da coronariografia de pacientes com <span class="elsevierStyleItalic">stents</span> e&#47;ou revasculariza&#231;&#227;o cir&#250;rgica pr&#233;via&#46; Os autores recomendam que a classifica&#231;&#227;o seja anunciada como parte integrante da conclus&#227;o do relat&#243;rio de AngioTC coron&#225;rio&#44; fornecendo recomenda&#231;&#245;es espec&#237;ficas de orienta&#231;&#227;o p&#243;s&#8208;teste&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Espera&#8208;se que este documento contribua para uma melhor utiliza&#231;&#227;o da t&#233;cnica e rentabiliza&#231;&#227;o de todas as suas potencialidades&#44; pelo que &#233; imprescind&#237;vel que seja adotado de forma generalizada&#44; e que os cl&#237;nicos se familiarizem com a nova classifica&#231;&#227;o e as suas implica&#231;&#245;es em termos de orienta&#231;&#227;o cl&#237;nica&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflito de interesses</span><p id="par0040" class="elsevierStylePara elsevierViewall">O autor declara n&#227;o haver conflito de interesses&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Abstract"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Coment&#225;rio"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Conflito de interesses"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Nota&#58; O artigo completo pode ser obtido de forma gratuita atrav&#233;s do portal da <span class="elsevierStyleItalic">Society for Cardiovascular Computed Tomography</span> &#40;<span class="elsevierStyleItalic">Journal of Cardiovascular Computed Tomography</span>&#41;&#44; ou atrav&#233;s da publica&#231;&#227;o <span class="elsevierStyleItalic">online</span> do <span class="elsevierStyleItalic">Journal of the American College of Radiology</span>&#44; e do <span class="elsevierStyleItalic">J Am Col Cardiol Cardiovascular Imaging&#46;</span></p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:5 [
        "identificador" => "tb0005"
        "tipo" => "MULTIMEDIATEXTO"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "texto" => array:1 [
          "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0010" class="elsevierStylePara elsevierViewall">Ricardo C&#46; Cury&#44; Suhny Abbara&#44; Stephan Achenbach&#44; Arthur Agatston&#44; Daniel S&#46; Berman&#44; Matthew J&#46; Budoff&#44; Karin E&#46; Dill&#44; Jill E&#46; Jacobs&#44; Christopher D&#46; Maroules&#44; Geoffrey D&#46; Rubin&#44; Frank J&#46; Rybicki&#44; U&#46; Joseph Schoepf&#44; Leslee J&#46; Shaw&#44; Arthur E&#46; Stillman&#44; Charles S&#46; White&#44; Pamela K&#46; Woodard&#44; Jonathon A&#46; Leipsic&#44; Edi&#231;&#227;o simult&#226;nea &#40;publica&#231;&#227;o <span class="elsevierStyleItalic">online</span> a 15 de junho de 2015&#41; em&#58; Journal of Cardiovascular Computed Tomography &#8208; JCCT 10 &#40;2016&#41; 269e281&#46; JACC Cardiov Imaging&#46; DOI&#58;10&#46;1016&#47;j&#46;jcmg&#46;2016&#46;05&#46;005&#46; JACR DOI&#58; 10&#46;1016&#47;j&#46;jacr&#46;2016&#46;04&#46;024</p></span>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08702551/0000003500000010/v1_201609231322/S0870255116301688/v1_201609231322/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "29266"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Artigo Recomendado do M&#234;s"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003500000010/v1_201609231322/S0870255116301688/v1_201609231322/pt/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116301688?idApp=UINPBA00004E"
]