Case report
Inappropriate tachycardia at rest as a consequence of atrial preference pacing algorithm
Taquicardia inapropriada em repouso secundária a algoritmo de pacing auricular preferencial
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array:24 [ "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" "copyrightAnyo" => "2020" "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 ] "itemSiguiente" => array:19 [ "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" "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 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Bayés syndrome" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "731" "paginaFinal" => "732" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Síndrome de Bayés" ] ] "contieneTextoCompleto" => array:1 [ "en" => 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" => 2352 "Ancho" => 2167 "Tamanyo" => 1383370 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Sinus rhythm at 66 bpm with a prolonged and +/- biphasic P wave in the inferior leads (red arrow: + component; blue arrow: - component), which meets the criteria of advanced interatrial block and a right bundle branch block. (B) Regular wide QRS complex tachycardia at 171 bpm. The absence of AV dissociation or precordial concordance, RS interval <100 ms and typical right bundle branch block morphology (identical to the baseline ECG) suggests a supraventricular origin. An adenosine test was performed, unmasking atrial flutter (not shown).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Kinán Rajjoub Al-Mahdi, Ez Alddin Rajjoub Al-Mahdi, Gonzalo Luis Alonso Salinas" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Kinán" "apellidos" => "Rajjoub Al-Mahdi" ] 1 => array:2 [ "nombre" => "Ez Alddin" "apellidos" => "Rajjoub Al-Mahdi" ] 2 => array:2 [ "nombre" => "Gonzalo Luis" "apellidos" => "Alonso Salinas" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255120304091?idApp=UINPBA00004E" "url" => "/08702551/0000003900000012/v1_202012220636/S0870255120304091/v1_202012220636/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0870255120304108" "issn" => "08702551" "doi" => "10.1016/j.repc.2020.07.009" "estado" => "S300" "fechaPublicacion" => "2020-12-01" "aid" => "1612" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "rev" "cita" => "Rev Port Cardiol. 2020;39:723-8" "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">Review article</span>" "titulo" => "Increased serum interleukin-6 level as a predictive biomarker for atrial fibrillation: A systematic review and meta-analysis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "723" "paginaFinal" => "728" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Nível sérico elevado de Interleucina-6 como biomarcador preditivo de fibrilhação auricular: uma revisão sistemática e meta-análise" ] ] "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" => 1847 "Ancho" => 2508 "Tamanyo" => 474152 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Association of IL-6 and other adverse events in atrial fibrillation (AF). (A) Forest plots of risk ratio (RR) and CI 95% for the association between IL-6 and major bleeding events in AF. (B) Forest plots of RR and CI 95% for the association between IL-6 and acute coronary syndrome events in AF. (C) Forest plots of RR and CI 95% for the association between IL-6 and all-cause mortality in AF.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Peng Zhou, Maieryemu Waresi, Yikai Zhao, Hung-Chen Lin, Bangwei Wu, Nanqing Xiong, Huiyang Li, Qingyu Huang, Xinping Luo, Jian Li" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Peng" "apellidos" => "Zhou" ] 1 => array:2 [ "nombre" => "Maieryemu" "apellidos" => "Waresi" ] 2 => array:2 [ "nombre" => "Yikai" "apellidos" => "Zhao" ] 3 => array:2 [ "nombre" => "Hung-Chen" "apellidos" => "Lin" ] 4 => array:2 [ "nombre" => "Bangwei" "apellidos" => "Wu" ] 5 => array:2 [ "nombre" => "Nanqing" "apellidos" => "Xiong" ] 6 => array:2 [ "nombre" => "Huiyang" "apellidos" => "Li" ] 7 => array:2 [ "nombre" => "Qingyu" "apellidos" => "Huang" ] 8 => array:2 [ "nombre" => "Xinping" "apellidos" => "Luo" ] 9 => array:2 [ "nombre" => "Jian" "apellidos" => "Li" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255120304108?idApp=UINPBA00004E" "url" => "/08702551/0000003900000012/v1_202012220636/S0870255120304108/v1_202012220636/en/main.assets" ] "en" => array:19 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Inappropriate tachycardia at rest as a consequence of atrial preference pacing algorithm" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "729.e1" "paginaFinal" => "729.e4" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Baris Akdemir" "autores" => array:1 [ 0 => array:4 [ "nombre" => "Baris" "apellidos" => "Akdemir" "email" => array:1 [ 0 => "akdem002@umn.edu" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Division of Cardiology, Department of Electrophysiology, University of Minnesota, Minneapolis, MN, USA" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Division of Cardiology, Department of Electrophysiology, Bahcesehir University, Istanbul, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Taquicardia inapropriada em repouso secundária a algoritmo de <span class="elsevierStyleItalic">pacing</span> auricular preferencial" ] ] "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.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 34-year-old female with a past medical history of atrial tachycardia ablations (five different foci were ablated in two different procedures) and sick sinus syndrome possibly due to secondary injury during ablation procedures, which required placement of a single chamber (atrial) permanent pacemaker (Medtronic, Minneapolis, MN, USA) at a different hospital. One year after pacemaker implantation, the patient reported exercise intolerance and palpitation at rest. Device was programed with a lower rate of 70 bpm, however on her resting electrocardiogram, rhythm was atrial paced, ventricular sensed with a heart rate of 94 bpm. Device interrogation (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>) during clinic visit revealed 99% atrial pacing and high atrial rate episodes (EGM<span class="elsevierStyleInf">1</span> and EGM<span class="elsevierStyleInf">2</span>; <a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a> and <a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>). What is the mechanism for high atrial rate episodes which is causing exercise intolerance and palpitation at rest?</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Discussion</span><p id="par0010" class="elsevierStylePara elsevierViewall">After careful examination of device interrogation (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>), which shows that the atrial preference pacing (APP) feature was turned on with an internal decrement of 100 ms, which is nominally off. This feature was designed to suppress atrial arrhythmias, but in this case, interrogation of electrograms revealed that high atrial rate episodes as a consequence of APP were causing palpitation at rest and exercise (EGM<span class="elsevierStyleInf">1</span> and EGM<span class="elsevierStyleInf">2</span>; <a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Atrial tachycardia is not a life-threatening arrhythmia and usually patients present with symptoms such as shortness of breath and palpitation, etc. In patients with permanent pacemakers, some studies have shown that atrial pacing reduces the incidence of atrial tachyarrhythmias.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1–3</span></a> It has been described that an increased number of premature atrial contractions, by causing a dispersion of atrial refractoriness and conduction velocities, may play a role in initiation of atrial tachyarrhythmias.<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">4–7</span></a> The APP algorithm developed by Medtronic Inc. (Minneapolis, MN, USA) allows the pacemaker to maintain the pacing rates slightly higher than the sinus rates and was designed to achieve a high percentage of atrial pacing to prevent atrial ectopic activity and premature atrial contractions. Several studies have assessed the efficacy of the APP algorithm but did not reveal consistent results and in some patients, APP activation is associated with a reduction in atrial tachyarrhythmias, but not in others not.<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">8,9</span></a> In another study, APP off with APP on with three different search interval settings was compared and demonstrated that APP search interval setting should be tailored to the individual to obtain the greatest benefit from the algorithm to suppress atrial tachyarrhythmias instead of using nominal numbers.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> A case report also showed the onset of a life-threatening monomorphic ventricular tachycardia due to the APP algorithm.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> In our case, high atrial rate episodes, APP, as a consequence of APP were causing palpitation at rest and exercise intolerance. Symptoms were resolved by turning the APP algorithm off.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conclusion</span><p id="par0020" class="elsevierStylePara elsevierViewall">APP algorithm is a promising method for preventing atrial tachyarrhythmia in patients with an implanted pacemaker. However, instead of using nominal search interval settings, which may not benefit patients, we should individually tailor the programming, identifying the most effective search interval and also be aware of any possible pro-arrhythmic effects such as, high atrial rates, life-threatening arrhythmia ventricular arrhythmias, etc.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:9 [ 0 => array:3 [ "identificador" => "xres1438454" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1313050" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres1438453" "titulo" => "Resumo" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0010" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec1313051" "titulo" => "Palavras-chave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Case report" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Discussion" ] 6 => array:2 [ "identificador" => "sec0015" "titulo" => "Conclusion" ] 7 => array:2 [ "identificador" => "sec0020" "titulo" => "Conflicts of interest" ] 8 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-06-03" "fechaAceptado" => "2020-05-05" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1313050" "palabras" => array:3 [ 0 => "Preferential headset pacing" 1 => "Permanent pacemaker" 2 => "Ear tachyarrhythmias" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec1313051" "palabras" => array:3 [ 0 => "<span class="elsevierStyleItalic">Pacing</span> auricular preferencial" 1 => "<span class="elsevierStyleItalic">Pacemaker</span> permanente" 2 => "Taquiarritmias auriculares" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A 34-year-old female with a past medical history of sick sinus syndrome which requiring placement of single chamber (atrial) permanent pacemaker (Medtronic, Minneapolis, MN, USA). One year after pacemaker implantation, the patient reported exercise intolerance and palpitation at rest. Device interrogation during clinic visit revealed 99% atrial pacing and high atrial rate episodes. What is the mechanism for high atrial rate episodes? Atrial preference pacing (algorithm is a promising method for preventing atrial tachyarrhythmia in patients with an implanted pacemaker. However, instead of using nominal search interval settings, which may not benefit patients, we should individually tailor the programming, identifying the most effective search interval and be aware of possible pro-arrhythmic effects.</p></span>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Mulher de 34 anos com história de doença do nódulo sinusal com implantação de <span class="elsevierStyleItalic">pacemaker</span> definitivo de câmara única (auricular) (Medtronic, Minneapolis, EUA). Um ano após a implantação do <span class="elsevierStyleItalic">pacemaker</span>, inicia queixas de intolerância ao esforço e palpitações em repouso. A análise ao equipamento durante a visita clínica revelou 99% de <span class="elsevierStyleItalic">pacing</span> auricular e episódios de frequência auricular rápida. Qual o mecanismo destes ritmos auriculares rápidos? O algoritmo de <span class="elsevierStyleItalic">pacing</span> auricular preferencial (EAP) é um método promissor para a prevenção da taquiarritmias auriculares em doentes com <span class="elsevierStyleItalic">pacemaker</span>. No entanto, em vez de aceitar as definições nominais dos intervalos de pesquisa destes algoritmos, que poderão não beneficiar os doentes, devemos individualizar a programação, identificando o intervalo de pesquisa mais eficaz e estando atentos a possíveis efeitos pró-arrítmicos.</p></span>" ] ] "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" => 1794 "Ancho" => 2500 "Tamanyo" => 372007 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Device interrogation, AAIR 70/140 bpm, atrial pacing 99%, atrial pacing preference on with an internal decrement of 100 ms.</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" => 1853 "Ancho" => 2500 "Tamanyo" => 192141 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">EGM1. During searching period device detected a PAC at CL of 732 msec and initiate APP.</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" => 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.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Long-term follow-up of patients from a randomized trial of atrial versus ventricular pacing for sick-sinus syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "H.R. 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| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 7 | 6 | 13 |
| 2024 Outubro | 37 | 33 | 70 |
| 2024 Setembro | 49 | 41 | 90 |
| 2024 Agosto | 42 | 41 | 83 |
| 2024 Julho | 53 | 38 | 91 |
| 2024 Junho | 32 | 30 | 62 |
| 2024 Maio | 33 | 24 | 57 |
| 2024 Abril | 30 | 28 | 58 |
| 2024 Maro | 48 | 21 | 69 |
| 2024 Fevereiro | 35 | 25 | 60 |
| 2024 Janeiro | 29 | 25 | 54 |
| 2023 Dezembro | 30 | 22 | 52 |
| 2023 Novembro | 32 | 31 | 63 |
| 2023 Outubro | 40 | 14 | 54 |
| 2023 Setembro | 32 | 22 | 54 |
| 2023 Agosto | 24 | 25 | 49 |
| 2023 Julho | 36 | 8 | 44 |
| 2023 Junho | 30 | 17 | 47 |
| 2023 Maio | 33 | 29 | 62 |
| 2023 Abril | 20 | 2 | 22 |
| 2023 Maro | 51 | 21 | 72 |
| 2023 Fevereiro | 36 | 17 | 53 |
| 2023 Janeiro | 33 | 19 | 52 |
| 2022 Dezembro | 36 | 23 | 59 |
| 2022 Novembro | 43 | 26 | 69 |
| 2022 Outubro | 43 | 31 | 74 |
| 2022 Setembro | 26 | 32 | 58 |
| 2022 Agosto | 38 | 25 | 63 |
| 2022 Julho | 37 | 50 | 87 |
| 2022 Junho | 30 | 33 | 63 |
| 2022 Maio | 28 | 25 | 53 |
| 2022 Abril | 40 | 40 | 80 |
| 2022 Maro | 47 | 44 | 91 |
| 2022 Fevereiro | 31 | 33 | 64 |
| 2022 Janeiro | 22 | 25 | 47 |
| 2021 Dezembro | 28 | 32 | 60 |
| 2021 Novembro | 35 | 39 | 74 |
| 2021 Outubro | 36 | 54 | 90 |
| 2021 Setembro | 24 | 35 | 59 |
| 2021 Agosto | 18 | 34 | 52 |
| 2021 Julho | 7 | 34 | 41 |
| 2021 Junho | 30 | 26 | 56 |
| 2021 Maio | 46 | 39 | 85 |
| 2021 Abril | 83 | 55 | 138 |
| 2021 Maro | 64 | 30 | 94 |
| 2021 Fevereiro | 44 | 33 | 77 |
| 2021 Janeiro | 67 | 46 | 113 |
| 2020 Dezembro | 124 | 64 | 188 |
| 2020 Novembro | 10 | 6 | 16 |
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