Estatísticas

 array:23 [
  "pii" => "S0870255120304091"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2020.06.015"
  "estado" => "S300"
  "fechaPublicacion" => "2020-12-01"
  "aid" => "1611"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Cardiol. 2020;39:731-2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0870255120304571"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2020.05.014"
    "estado" => "S300"
    "fechaPublicacion" => "2020-12-01"
    "aid" => "1639"
    "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. 2020;39:729.e1-729.e4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Inappropriate tachycardia at rest as a consequence of atrial preference pacing algorithm"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "729&#46;e1"
          "paginaFinal" => "729&#46;e4"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Taquicardia inapropriada em repouso secund&#225;ria a algoritmo de <span class="elsevierStyleItalic">pacing</span> auricular preferencial"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 1862
              "Ancho" => 2500
              "Tamanyo" => 176223
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">EGM2 after P wave amplitude test device detected a PAC at CL of 752 ms and initiate APP&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Baris Akdemir"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Baris"
              "apellidos" => "Akdemir"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255120304571?idApp=UINPBA00004E"
    "url" => "/08702551/0000003900000012/v1_202012220636/S0870255120304571/v1_202012220636/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
    "titulo" => "Bay&#233;s syndrome"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "731"
        "paginaFinal" => "732"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Kin&#225;n Rajjoub Al-Mahdi, Ez Alddin Rajjoub Al-Mahdi, Gonzalo Luis Alonso Salinas"
        "autores" => array:3 [
          0 => array:3 [
            "nombre" => "Kin&#225;n"
            "apellidos" => "Rajjoub Al-Mahdi"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:4 [
            "nombre" => "Ez Alddin"
            "apellidos" => "Rajjoub Al-Mahdi"
            "email" => array:1 [
              0 => "erajal2010@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0010"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Gonzalo Luis"
            "apellidos" => "Alonso Salinas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "School of Medicine&#44; Complutense University&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "University Hospital 12 de Octubre&#44; Madrid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0005"
          ]
          2 => array:3 [
            "entidad" => "Cardiology Department&#44; University Hospital Ramon y Cajal&#44; Madrid 28034&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "S&#237;ndrome de Bay&#233;s"
      ]
    ]
    "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" => 2352
            "Ancho" => 2167
            "Tamanyo" => 1383370
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Sinus rhythm at 66 bpm with a prolonged and &#43;&#47;- biphasic P wave in the inferior leads &#40;red arrow&#58; &#43; component&#59; blue arrow&#58; - component&#41;&#44; which meets the criteria of advanced interatrial block and a right bundle branch block&#46; &#40;B&#41; Regular wide QRS complex tachycardia at 171 bpm&#46; The absence of AV dissociation or precordial concordance&#44; RS interval &#60;100 ms and typical right bundle branch block morphology &#40;identical to the baseline ECG&#41; suggests a supraventricular origin&#46; An adenosine test was performed&#44; unmasking atrial flutter &#40;not shown&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 79-year-old man with hypertension who reported episodes of palpitations without other symptoms and whose cardiopulmonary examination was normal&#46; The ECG &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A&#41; revealed sinus rhythm at 66 bpm with an advanced interatrial block &#40;A-IAB&#41; and a right bundle branch block&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">One hour later&#44; palpitations recurred&#46; The ECG &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B&#41; showed regular wide QRS complex tachycardia at 171 bpm&#46; Adenosine administration unmasked a 2&#58;1 atypical atrial flutter&#46; Bay&#233;s syndrome <span class="elsevierStyleItalic">&#40;BS&#41;</span> was diagnosed&#46; Electrical cardioversion was performed after ruling out atrial thrombi in a transesophageal echocardiogram&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Bachmann bundle &#40;BB&#41; is the preferential pathway driving sinus impulse from the right to left atrium&#46; When it is blocked&#44; P wave is prolonged &#62;120 ms with a biphasic &#43;&#47;- morphology in the inferior leads &#40;A-IAB pattern&#41;&#46; If suspected&#44; we suggest increasing the voltage and the speed of the ECG for better characterization&#46; The anatomic substrate of A-IAB is atrial fibrosis involving BB&#44; which explains why A-IAB is a marker of atriopathy with high specificity for the identification of left atria enlargement&#46; BS is the association between A-IAB and atrial fibrillation&#47;flutter&#46; A-IAB is an easily identifiable and underestimated pattern that may encourage the clinician to look for runs of atrial fibrillation&#47;flutter&#46; A-IAB has been reported to be more prevalent among patients with embolic stroke&#46; As we found atrial flutter in our patient&#44; we began anticoagulation&#46; We have still no evidence to prescribe anticoagulation for patients with A-IAB without atrial fibrillation&#47;flutter and the results of prospective studies will be needed to design a randomized trial to assess the effect of anticoagulation in this population&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" 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" => "2019-11-12"
    "fechaAceptado" => "2020-06-11"
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2352
            "Ancho" => 2167
            "Tamanyo" => 1383370
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Sinus rhythm at 66 bpm with a prolonged and &#43;&#47;- biphasic P wave in the inferior leads &#40;red arrow&#58; &#43; component&#59; blue arrow&#58; - component&#41;&#44; which meets the criteria of advanced interatrial block and a right bundle branch block&#46; &#40;B&#41; Regular wide QRS complex tachycardia at 171 bpm&#46; The absence of AV dissociation or precordial concordance&#44; RS interval &#60;100 ms and typical right bundle branch block morphology &#40;identical to the baseline ECG&#41; suggests a supraventricular origin&#46; An adenosine test was performed&#44; unmasking atrial flutter &#40;not shown&#41;&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000003900000012/v1_202012220636/S0870255120304091/v1_202012220636/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/08702551/0000003900000012/v1_202012220636/S0870255120304091/v1_202012220636/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255120304091?idApp=UINPBA00004E"
]