Estatísticas

 array:23 [
  "pii" => "S0870255119305463"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2018.09.015"
  "estado" => "S300"
  "fechaPublicacion" => "2019-09-01"
  "aid" => "1447"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2019"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Cardiol. 2019;38:677-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 347
    "formatos" => array:3 [
      "EPUB" => 54
      "HTML" => 239
      "PDF" => 54
    ]
  ]
  "itemAnterior" => array:20 [
    "pii" => "S0870255119304822"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2018.01.014"
    "estado" => "S300"
    "fechaPublicacion" => "2019-09-01"
    "aid" => "1424"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Rev Port Cardiol. 2019;38:675.e1-675.e5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 341
      "formatos" => array:3 [
        "EPUB" => 52
        "HTML" => 215
        "PDF" => 74
      ]
    ]
    "pt" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
      "titulo" => "Electrocat&#233;ter como causa iatrog&#233;nica de insufici&#234;ncia card&#237;aca direita &#8211; relato de um caso"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "675&#46;e1"
          "paginaFinal" => "675&#46;e5"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Pacemaker lead as an iatrogenic cause of right heart failure&#58; Case report"
        ]
      ]
      "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" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 2438
              "Ancho" => 2917
              "Tamanyo" => 659703
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">A&#46; Vista bidimensional &#40;esquerda&#41; e tridimensional &#40;direita&#41; apical de 4 c&#226;maras demonstrando interfer&#234;ncia do eletrocat&#233;ter no folheto septal com regurgita&#231;&#227;o tric&#250;spide&#59; B&#46; Vista tridimensional da perspetiva ventricular direita com n&#227;o coapta&#231;&#227;o dos folhetos valvulares e regurgita&#231;&#227;o grave com electrocat&#233;teres <span class="elsevierStyleItalic">in situ</span>&#59; C&#46; Vista tridimensional da perspetiva ventricular direita evidenciando dois eletrocat&#233;teres atrav&#233;s da v&#225;lvula tric&#250;spide com regurgita&#231;&#227;o moderada&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Manuel Toscano, Z&#233;lia Neves, Carla Matias, Madalena Carvalho, Regina Ribeiras, Francisco Morgado, &#194;ngelo Nobre"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Manuel"
              "apellidos" => "Toscano"
            ]
            1 => array:2 [
              "nombre" => "Z&#233;lia"
              "apellidos" => "Neves"
            ]
            2 => array:2 [
              "nombre" => "Carla"
              "apellidos" => "Matias"
            ]
            3 => array:2 [
              "nombre" => "Madalena"
              "apellidos" => "Carvalho"
            ]
            4 => array:2 [
              "nombre" => "Regina"
              "apellidos" => "Ribeiras"
            ]
            5 => array:2 [
              "nombre" => "Francisco"
              "apellidos" => "Morgado"
            ]
            6 => array:2 [
              "nombre" => "&#194;ngelo"
              "apellidos" => "Nobre"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2174204919302442"
        "doi" => "10.1016/j.repce.2018.01.012"
        "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/S2174204919302442?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255119304822?idApp=UINPBA00004E"
    "url" => "/08702551/0000003800000009/v2_202001221225/S0870255119304822/v2_202001221225/pt/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
    "titulo" => "Functional assessment of coronary disease using workstation-based computed tomography-derived fractional flow reserve"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "677"
        "paginaFinal" => "679"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Nuno Dias Ferreira, Ricardo Ladeiras-Lopes, Gustavo Pires de Morais, Vasco Gama, Pedro Braga"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "Nuno"
            "apellidos" => "Dias Ferreira"
            "email" => array:1 [
              0 => "ferreira.nmd@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Ricardo"
            "apellidos" => "Ladeiras-Lopes"
          ]
          2 => array:2 [
            "nombre" => "Gustavo"
            "apellidos" => "Pires de Morais"
          ]
          3 => array:2 [
            "nombre" => "Vasco"
            "apellidos" => "Gama"
          ]
          4 => array:2 [
            "nombre" => "Pedro"
            "apellidos" => "Braga"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servi&#231;o de Cardiologia&#44; Centro Hospitalar de Vila Nova de Gaia&#47;Espinho&#44; Vila Nova de Gaia&#44; Portugal"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Avalia&#231;&#227;o funcional de doen&#231;a coron&#225;ria utilizando FFR derivado de TC"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0020"
        "etiqueta" => "Figure 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
            "Alto" => 706
            "Ancho" => 1255
            "Tamanyo" => 85455
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Images from invasive coronary angiography before &#40;A&#41; and after &#40;B&#41; percutaneous coronary intervention in the proximal left anterior descending artery&#44; with successful implantation of a drug-eluting stent&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 55-year-old man presented to our outpatient clinic reporting a six-month history of exertional dyspnea and intermittent atypical chest pain&#46; His medical history included essential hypertension&#46; The baseline electrocardiogram and echocardiogram were normal&#46; The patient underwent treadmill exercise stress testing under the Bruce protocol&#46; During stage 3&#44; the patient developed 1&#46;5-mm horizontal ST depression in V3-V6 and the inferior leads&#46; The test was interrupted at 9 min due to fatigue&#44; with no chest pain&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Due to intermediate risk findings on the treadmill test&#44; coronary computed tomography angiography &#40;CCTA&#41; was requested for further assessment&#46; The coronary calcium score was 105&#46;2 Agatston units and an intermediate stenosis was identified in the proximal left anterior descending artery &#40;LAD&#41; due to non-calcified plaque &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A and D&#44; arrow&#41;&#46; Because the physiologic significance of the lesion was unclear&#44; computed tomography-derived fractional flow reserve &#40;CT-FFR&#41; was determined using a workstation-based software prototype &#40;cFFR&#44; Siemens AG Healthcare&#44; Forchheim&#44; Germany&#41;&#46; The value of CT-FFR just beyond the proximal LAD stenosis was 0&#46;75 &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#46; The patient was referred for invasive coronary angiography &#40;ICA&#41; which confirmed a 75&#37; stenosis in the proximal LAD &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>B and Supplementary Video S1&#41;&#46; Invasive FFR assessed in the LAD showed a similar result &#40;0&#46;76&#41; to that observed on CCTA &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figures 3</a>A and 3C&#41;&#46; The patient successfully underwent percutaneous coronary intervention with a drug-eluting stent &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>&#41; and was asymptomatic after the procedure&#46; This case illustrates the value of CT-FFR as a gatekeeper prior to ICA&#44; to appropriately select patients and vessels for revascularization&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-08-12"
    "fechaAceptado" => "2018-09-10"
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0025" class="elsevierStylePara elsevierViewall">The following are the supplementary material to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary material"
            "identificador" => "sec0015"
          ]
        ]
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1258
            "Ancho" => 1255
            "Tamanyo" => 174191
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronary computed tomography angiography images&#46; Curved multiplanar reformats of the left anterior descending artery &#40;LAD&#41; &#40;A&#41;&#44; left circumflex artery &#40;B&#41; and right coronary artery &#40;C&#41;&#59; three-dimensional volume rendering image of the heart &#40;D&#41;&#46; Note the presence of significant stenosis in the proximal LAD due to non-calcified plaque &#40;arrows&#41;&#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" => 680
            "Ancho" => 905
            "Tamanyo" => 38286
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Computed tomography &#40;CT&#41;-derived fractional flow reserve &#40;FFR&#41; imaging showing an intermediate stenosis in the proximal left anterior descending artery&#46; The computed value of CT-derived FFR was 0&#46;75&#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" => 1263
            "Ancho" => 1255
            "Tamanyo" => 147217
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Correlation between invasive coronary angiography and coronary computed tomography &#40;CT&#41; angiography&#46; &#40;A&#41; CT-derived fractional flow reserve &#40;FFR&#41; imaging showing an intermediate stenosis in the proximal left anterior descending artery &#40;LAD&#41; with a computed FFR of 0&#46;75&#59; &#40;B&#41; invasive coronary angiography confirming a 75&#37; stenosis in the proximal LAD&#59; &#40;C&#41; the measured value of invasive FFR was 0&#46;76&#44; which showed a good agreement with the CT-derived value &#40;A&#41;&#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" => 706
            "Ancho" => 1255
            "Tamanyo" => 85455
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Images from invasive coronary angiography before &#40;A&#41; and after &#40;B&#41; percutaneous coronary intervention in the proximal left anterior descending artery&#44; with successful implantation of a drug-eluting stent&#46;</p>"
        ]
      ]
      4 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 3420733
          "Video" => array:2 [
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "mp4" => array:5 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000003800000009/v2_202001221225/S0870255119305463/v2_202001221225/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "75834"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Imagem em Cardiologia"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003800000009/v2_202001221225/S0870255119305463/v2_202001221225/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255119305463?idApp=UINPBA00004E"
]