Letter to the Editor
Author's reply
Respuesta de los autores
M. García-Delgado
, I. Navarrete-Sánchez
Corresponding author
Unidad de Cuidados Intensivos, Complejo Hospitalario Universitario de Granada, Granada, Spain
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"apellidos" => "García-Delgado" "email" => array:1 [ 0 => "mjgardel@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Navarrete-Sánchez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Cuidados Intensivos, Complejo Hospitalario Universitario de Granada, Granada, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta de los autores" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We appreciate both the interest of Dr. Madías in our article<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> and the interesting contributions made. Diabetic patients could have a lesser prevalence of Takotsubo syndrome in relation to secondary autonomic neuropathy and adrenal gland catecholamine hyposecretion.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> Our patient was diagnosed with diabetes mellitus approximately four years before her current admission, and her history revealed no secondary complications such as vascular disease or peripheral neuropathy. On the other hand, the lesser voltage or attenuation of the QRS complexes of the ECG-A (Fig. 2 in our article) has a range of possible causes that have been well described in the literature,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> such as myocardial and pulmonary edema, pericardial effusion, pneumomediastinum, hypoalbuminemia, water overload, etc.—all frequently present in the postoperative period of heart surgery. Attenuation of the QRS complexes gradually subsided with resolution of the clinical condition and over the days following surgery, as can be seen in ECG-B, recorded on day 10 of the clinical course.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: García-Delgado M, Navarrete-Sánchez I. Respuesta de los autores. Med Intensiva. 2017;41:261.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "García-Delgado M, García-Huertas D, Navarrete-Sánchez I, Olivencia-Peña L, Garrido JM. Soporte con oxigenación de membrana extracorpórea en un síndrome de Takotsubo y QT largo tras cirugía cardiaca. Med Intensiva. in press, 2016. pii: S0210-5691(16)30152-8. doi: 10.1016/j.medin.2016.07.007" ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Takotsubo syndrome: does it matter if you have diabetes mellitus?" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Dias" 1 => "E. Franco" 2 => "M. Rubio" 3 => "N. Koshkelashvili" 4 => "V. Bhalla" 5 => "S. Amanullah" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ijcard.2016.09.048" "Revista" => array:6 [ "tituloSerie" => "Int J Cardiol" "fecha" => "2016" "volumen" => "224" "paginaInicial" => "398" "paginaFinal" => "399" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27684597" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Low QRS voltage and its causes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.E. Madias" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jelectrocard.2008.06.021" "Revista" => array:6 [ "tituloSerie" => "J Electrocardiol" "fecha" => "2008" "volumen" => "41" "paginaInicial" => "498" "paginaFinal" => "500" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18804788" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004100000004/v1_201705111033/S2173572717300589/v1_201705111033/en/main.assets" "Apartado" => array:4 [ "identificador" => "64604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004100000004/v1_201705111033/S2173572717300589/v1_201705111033/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572717300589?idApp=WMIE" ]
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