que se leu este artigo
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array:2 [ "nombre" => "Francisco" "apellidos" => "Costa" ] 5 => array:2 [ "nombre" => "Francisco" "apellidos" => "Morgado" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Centro Hospitalar de Lisboa Ocidental, Hospital de Santa Cruz, Carnaxide, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Pacemaker</span> sem elétrodos: uma mudança no paradigma" ] ] "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" => 765 "Ancho" => 771 "Tamanyo" => 73141 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Advancing the catheter system into the right atrium.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present images of a leadless pacemaker – Micra™ (Medtronic, Inc.) – implanted in the right ventricle through femoral access. We believe it is important for cardiologists to be aware of these radiological images, since the traditional elements of conventional pacing (leads and generators) are absent in these devices.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient, an 87-year-old man with permanent atrial fibrillation, normal LV function, and a history of more than 30 years of pacing with leads and generators implanted on both sides of the chest and explanted due to infection, had been fitted with a single-chamber epicardial system with a very high capture threshold.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The leadless pacemaker is delivered through a 27F catheter system, inserted through the femoral vein. Once inside the right ventricle, the catheter system is placed against the septum and the pacemaker is released after obtaining a good position. The pacemaker is secured in the ventricular trabeculae with flexible tines (<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1–3</a>). An external programmer is then used to test and program the leadless pacemaker. After adequate parameters are confirmed, the catheter system is removed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Leadless pacemakers represent a paradigm change in pacing. This patient is among the first group of patients implanted with a Micra system in Portugal (<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1–3</a>).</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0035" 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="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-10-14" "fechaAceptado" => "2015-12-20" "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 765 "Ancho" => 771 "Tamanyo" => 73141 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Advancing the catheter system into the right atrium.</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" => 766 "Ancho" => 766 "Tamanyo" => 70912 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Placing the system against the right ventricular septum and assessing its position with dye.</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" => 765 "Ancho" => 768 "Tamanyo" => 67225 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Final position of the leadless pacemaker.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003500000011/v1_201610280519/S0870255116301883/v1_201610280519/en/main.assets" "Apartado" => array:4 [ "identificador" => "29264" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imagens em Cardiologia" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003500000011/v1_201610280519/S0870255116301883/v1_201610280519/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116301883?idApp=UINPBA00004E" ]
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2023 Setembro | 49 | 24 | 73 |
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2022 Dezembro | 44 | 23 | 67 |
2022 Novembro | 55 | 27 | 82 |
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2022 Maio | 32 | 60 | 92 |
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2021 Outubro | 57 | 43 | 100 |
2021 Setembro | 63 | 27 | 90 |
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2021 Julho | 34 | 34 | 68 |
2021 Junho | 57 | 18 | 75 |
2021 Maio | 56 | 41 | 97 |
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2021 Fevereiro | 113 | 27 | 140 |
2021 Janeiro | 51 | 14 | 65 |
2020 Dezembro | 46 | 14 | 60 |
2020 Novembro | 34 | 22 | 56 |
2020 Outubro | 27 | 12 | 39 |
2020 Setembro | 62 | 18 | 80 |
2020 Agosto | 36 | 7 | 43 |
2020 Julho | 54 | 11 | 65 |
2020 Junho | 35 | 14 | 49 |
2020 Maio | 46 | 5 | 51 |
2020 Abril | 47 | 10 | 57 |
2020 Maro | 37 | 16 | 53 |
2020 Fevereiro | 72 | 14 | 86 |
2020 Janeiro | 36 | 6 | 42 |
2019 Dezembro | 34 | 7 | 41 |
2019 Novembro | 29 | 7 | 36 |
2019 Outubro | 27 | 4 | 31 |
2019 Setembro | 33 | 7 | 40 |
2019 Agosto | 40 | 11 | 51 |
2019 Julho | 41 | 6 | 47 |
2019 Junho | 46 | 11 | 57 |
2019 Maio | 56 | 13 | 69 |
2019 Abril | 38 | 17 | 55 |
2019 Maro | 51 | 10 | 61 |
2019 Fevereiro | 45 | 12 | 57 |
2019 Janeiro | 43 | 12 | 55 |
2018 Dezembro | 53 | 21 | 74 |
2018 Novembro | 61 | 12 | 73 |
2018 Outubro | 74 | 23 | 97 |
2018 Setembro | 43 | 20 | 63 |
2018 Agosto | 31 | 15 | 46 |
2018 Julho | 24 | 4 | 28 |
2018 Junho | 30 | 3 | 33 |
2018 Maio | 35 | 6 | 41 |
2018 Abril | 30 | 10 | 40 |
2018 Maro | 56 | 11 | 67 |
2018 Fevereiro | 30 | 2 | 32 |
2018 Janeiro | 33 | 9 | 42 |
2017 Dezembro | 39 | 6 | 45 |
2017 Novembro | 46 | 11 | 57 |
2017 Outubro | 35 | 9 | 44 |
2017 Setembro | 39 | 9 | 48 |
2017 Agosto | 34 | 12 | 46 |
2017 Julho | 36 | 11 | 47 |
2017 Junho | 37 | 12 | 49 |
2017 Maio | 33 | 18 | 51 |
2017 Abril | 27 | 7 | 34 |
2017 Maro | 26 | 12 | 38 |
2017 Fevereiro | 24 | 13 | 37 |
2017 Janeiro | 27 | 10 | 37 |
2016 Dezembro | 59 | 30 | 89 |
2016 Novembro | 66 | 63 | 129 |
2016 Outubro | 30 | 31 | 61 |