array:23 [
  "pii" => "S2173572724002200"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2024.08.001"
  "estado" => "S200"
  "fechaPublicacion" => "2024-09-02"
  "aid" => "2078"
  "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
  "copyrightAnyo" => "2024"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "sco"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:18 [
      "pii" => "S0210569124002535"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2024.07.004"
      "estado" => "S200"
      "fechaPublicacion" => "2024-09-05"
      "aid" => "2078"
      "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
      "documento" => "article"
      "crossmark" => 0
      "subdocumento" => "sco"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
        "titulo" => "Las grietas del coraz&#243;n&#58; hallazgo de dos complicaciones mec&#225;nicas mortales"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "A shattered heart&#58; discovery of two lethal mechanical complications"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 1070
                "Ancho" => 1375
                "Tamanyo" => 111753
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Alberto Garrido Call&#233;n, Irene Fern&#225;ndez Mu&#241;oz, Marta Mart&#237;n Mu&#241;oz"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Alberto"
                "apellidos" => "Garrido Call&#233;n"
              ]
              1 => array:2 [
                "nombre" => "Irene"
                "apellidos" => "Fern&#225;ndez Mu&#241;oz"
              ]
              2 => array:2 [
                "nombre" => "Marta"
                "apellidos" => "Mart&#237;n Mu&#241;oz"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572724002200"
          "doi" => "10.1016/j.medine.2024.08.001"
          "estado" => "S200"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724002200?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124002535?idApp=WMIE"
      "url" => "/02105691/unassign/S0210569124002535/v2_202409060713/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173572724001930"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2024.07.005"
    "estado" => "S200"
    "fechaPublicacion" => "2024-09-02"
    "aid" => "2066"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Incorporating the perspective of the critically ill patient&#58; A matter of fashion or necessity&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Incorporar la perspectiva del paciente cr&#237;tico&#8230; &#191;Cuesti&#243;n de moda o de necesidad&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 912
              "Ancho" => 1450
              "Tamanyo" => 114586
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#8220;Journey MAP&#8221; of the critical patient process&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Olga Rubio Sanchiz, Joan Escarrabill"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Olga"
              "apellidos" => "Rubio Sanchiz"
            ]
            1 => array:2 [
              "nombre" => "Joan"
              "apellidos" => "Escarrabill"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569124002390"
        "doi" => "10.1016/j.medin.2024.06.010"
        "estado" => "S200"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124002390?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724001930?idApp=WMIE"
    "url" => "/21735727/unassign/S2173572724001930/v1_202409020424/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "S2173572724000274"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2024.02.003"
    "estado" => "S200"
    "fechaPublicacion" => "2024-02-25"
    "aid" => "1976"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
      "titulo" => "Fractional excretion of sodium and potassium and urinary strong ion difference in the evaluation of persistent AKI in sepsis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Excreci&#243;n fraccional de sodio y potasio&#44; y brecha ani&#243;nica urinaria en la evaluaci&#243;n de la IRA persistente en sepsis"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 1448
              "Ancho" => 1675
              "Tamanyo" => 110835
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0135"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">ROC curve showing the area under de curve of FENa&#44; FEK and uSID&#46;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">FENa&#58; fractional excretion of sodium&#59; FEK&#58; fractional excretion of potassium&#59; uSID&#58; urinary strong ion difference&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Nicol&#225;s Contrera Rol&#243;n, Joaqu&#237;n Cantos, Iv&#225;n Huespe, Eduardo Prado, Griselda I&#46; Bratti, Carlos Schreck, Sergio Giannasi, Guillermo Rosa Diez, Carlos F&#46; Varela"
          "autores" => array:9 [
            0 => array:2 [
              "nombre" => "Nicol&#225;s"
              "apellidos" => "Contrera Rol&#243;n"
            ]
            1 => array:2 [
              "nombre" => "Joaqu&#237;n"
              "apellidos" => "Cantos"
            ]
            2 => array:2 [
              "nombre" => "Iv&#225;n"
              "apellidos" => "Huespe"
            ]
            3 => array:2 [
              "nombre" => "Eduardo"
              "apellidos" => "Prado"
            ]
            4 => array:2 [
              "nombre" => "Griselda I&#46;"
              "apellidos" => "Bratti"
            ]
            5 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Schreck"
            ]
            6 => array:2 [
              "nombre" => "Sergio"
              "apellidos" => "Giannasi"
            ]
            7 => array:2 [
              "nombre" => "Guillermo"
              "apellidos" => "Rosa Diez"
            ]
            8 => array:2 [
              "nombre" => "Carlos F&#46;"
              "apellidos" => "Varela"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000274?idApp=WMIE"
    "url" => "/21735727/unassign/S2173572724000274/v1_202402251056/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "A shattered heart&#58; Discovery of two lethal mechanical complications"
    "tieneTextoCompleto" => true
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Alberto Garrido Call&#233;n, Irene Fern&#225;ndez Mu&#241;oz, Marta Mart&#237;n Mu&#241;oz"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Alberto"
            "apellidos" => "Garrido Call&#233;n"
            "email" => array:1 [
              0 => "alberto.garrido@hospitalreyjuancarlos.es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Irene"
            "apellidos" => "Fern&#225;ndez Mu&#241;oz"
          ]
          2 => array:2 [
            "nombre" => "Marta"
            "apellidos" => "Mart&#237;n Mu&#241;oz"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Critical Care&#44; Rey Juan Carlos Hospital&#44; M&#243;stoles&#44; Madrid"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Las grietas del coraz&#243;n&#58; hallazgo de dos complicaciones mec&#225;nicas mortales"
      ]
    ]
    "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" => 967
            "Ancho" => 1375
            "Tamanyo" => 139320
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 62-year-old woman with no personal history of disease was seen due to epigastric pain lasting four days&#44; suffering a right-side pure hemi-motor lacunar stroke with anodyne multimodal CT findings&#46; The ECG tracing evidenced inferior ST-segment elevation with Q waves&#44; and the patient was admitted to intensive care&#46; Transthoracic echocardiography showed septal-basal interventricular communication &#40;IVC&#41; presenting an akinetic inferior aspect with thinning and hyperechogenicity suggestive of pseudoaneurysm with possible contained myocardial rupture &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; Video 1&#41;&#46; Emergent surgery was discarded due to the neurological condition of the patient and surgical risk due to friability of the tissues&#46; While in wait for the final decision&#44; a cardiac MRI was performed &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44; after which the patient suffered cardiac arrest with pulseless electrical activity secondary to tamponade&#44; with futile resuscitation efforts &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#44; Videos 2 and 3&#41;&#46; Mechanical complications following acute myocardial infarction&#44; while unusual nowadays&#44; remain a potentially fatal and time-dependent disorder in which imaging techniques such as echocardiography continue to play a key role&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0015" class="elsevierStylePara elsevierViewall">The following are Supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia><elsevierMultimedia ident="upi0015"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0010"
          ]
        ]
      ]
    ]
    "multimedia" => array:6 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1125
            "Ancho" => 1475
            "Tamanyo" => 138470
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1070
            "Ancho" => 1375
            "Tamanyo" => 114608
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 967
            "Ancho" => 1375
            "Tamanyo" => 139320
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
      3 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 526622
          "Video" => array:2 [
            "mp4" => array:5 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
      4 => array:5 [
        "identificador" => "upi0010"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc2.mp4"
          "ficheroTamanyo" => 616890
          "Video" => array:2 [
            "flv" => array:5 [
              "fichero" => "mmc2.flv"
              "poster" => "mmc2.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "mp4" => array:5 [
              "fichero" => "mmc2.m4v"
              "poster" => "mmc2.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
      5 => array:5 [
        "identificador" => "upi0015"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc3.mp4"
          "ficheroTamanyo" => 596716
          "Video" => array:2 [
            "mp4" => array:5 [
              "fichero" => "mmc3.m4v"
              "poster" => "mmc3.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "flv" => array:5 [
              "fichero" => "mmc3.flv"
              "poster" => "mmc3.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/unassign/S2173572724002200/v1_202409020424/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/21735727/unassign/S2173572724002200/v1_202409020424/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724002200?idApp=WMIE"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Images in Intensive Medicine
A shattered heart: Discovery of two lethal mechanical complications
Las grietas del corazón: hallazgo de dos complicaciones mecánicas mortales
Alberto Garrido Callén
Corresponding author
, Irene Fernández Muñoz, Marta Martín Muñoz
Critical Care, Rey Juan Carlos Hospital, Móstoles, Madrid
Read
4
Times
was read the article
2
Total PDF
2
Total HTML
Share statistics
 array:23 [
  "pii" => "S2173572724002200"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2024.08.001"
  "estado" => "S200"
  "fechaPublicacion" => "2024-09-02"
  "aid" => "2078"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
  "copyrightAnyo" => "2024"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "sco"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:18 [
      "pii" => "S0210569124002535"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2024.07.004"
      "estado" => "S200"
      "fechaPublicacion" => "2024-09-05"
      "aid" => "2078"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
      "documento" => "article"
      "crossmark" => 0
      "subdocumento" => "sco"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
        "titulo" => "Las grietas del coraz&#243;n&#58; hallazgo de dos complicaciones mec&#225;nicas mortales"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "A shattered heart&#58; discovery of two lethal mechanical complications"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 1070
                "Ancho" => 1375
                "Tamanyo" => 111753
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Alberto Garrido Call&#233;n, Irene Fern&#225;ndez Mu&#241;oz, Marta Mart&#237;n Mu&#241;oz"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Alberto"
                "apellidos" => "Garrido Call&#233;n"
              ]
              1 => array:2 [
                "nombre" => "Irene"
                "apellidos" => "Fern&#225;ndez Mu&#241;oz"
              ]
              2 => array:2 [
                "nombre" => "Marta"
                "apellidos" => "Mart&#237;n Mu&#241;oz"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572724002200"
          "doi" => "10.1016/j.medine.2024.08.001"
          "estado" => "S200"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724002200?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124002535?idApp=WMIE"
      "url" => "/02105691/unassign/S0210569124002535/v2_202409060713/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173572724001930"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2024.07.005"
    "estado" => "S200"
    "fechaPublicacion" => "2024-09-02"
    "aid" => "2066"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Incorporating the perspective of the critically ill patient&#58; A matter of fashion or necessity&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Incorporar la perspectiva del paciente cr&#237;tico&#8230; &#191;Cuesti&#243;n de moda o de necesidad&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 912
              "Ancho" => 1450
              "Tamanyo" => 114586
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#8220;Journey MAP&#8221; of the critical patient process&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Olga Rubio Sanchiz, Joan Escarrabill"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Olga"
              "apellidos" => "Rubio Sanchiz"
            ]
            1 => array:2 [
              "nombre" => "Joan"
              "apellidos" => "Escarrabill"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569124002390"
        "doi" => "10.1016/j.medin.2024.06.010"
        "estado" => "S200"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124002390?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724001930?idApp=WMIE"
    "url" => "/21735727/unassign/S2173572724001930/v1_202409020424/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "S2173572724000274"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2024.02.003"
    "estado" => "S200"
    "fechaPublicacion" => "2024-02-25"
    "aid" => "1976"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
      "titulo" => "Fractional excretion of sodium and potassium and urinary strong ion difference in the evaluation of persistent AKI in sepsis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Excreci&#243;n fraccional de sodio y potasio&#44; y brecha ani&#243;nica urinaria en la evaluaci&#243;n de la IRA persistente en sepsis"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 1448
              "Ancho" => 1675
              "Tamanyo" => 110835
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0135"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">ROC curve showing the area under de curve of FENa&#44; FEK and uSID&#46;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">FENa&#58; fractional excretion of sodium&#59; FEK&#58; fractional excretion of potassium&#59; uSID&#58; urinary strong ion difference&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Nicol&#225;s Contrera Rol&#243;n, Joaqu&#237;n Cantos, Iv&#225;n Huespe, Eduardo Prado, Griselda I&#46; Bratti, Carlos Schreck, Sergio Giannasi, Guillermo Rosa Diez, Carlos F&#46; Varela"
          "autores" => array:9 [
            0 => array:2 [
              "nombre" => "Nicol&#225;s"
              "apellidos" => "Contrera Rol&#243;n"
            ]
            1 => array:2 [
              "nombre" => "Joaqu&#237;n"
              "apellidos" => "Cantos"
            ]
            2 => array:2 [
              "nombre" => "Iv&#225;n"
              "apellidos" => "Huespe"
            ]
            3 => array:2 [
              "nombre" => "Eduardo"
              "apellidos" => "Prado"
            ]
            4 => array:2 [
              "nombre" => "Griselda I&#46;"
              "apellidos" => "Bratti"
            ]
            5 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Schreck"
            ]
            6 => array:2 [
              "nombre" => "Sergio"
              "apellidos" => "Giannasi"
            ]
            7 => array:2 [
              "nombre" => "Guillermo"
              "apellidos" => "Rosa Diez"
            ]
            8 => array:2 [
              "nombre" => "Carlos F&#46;"
              "apellidos" => "Varela"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000274?idApp=WMIE"
    "url" => "/21735727/unassign/S2173572724000274/v1_202402251056/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "A shattered heart&#58; Discovery of two lethal mechanical complications"
    "tieneTextoCompleto" => true
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Alberto Garrido Call&#233;n, Irene Fern&#225;ndez Mu&#241;oz, Marta Mart&#237;n Mu&#241;oz"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Alberto"
            "apellidos" => "Garrido Call&#233;n"
            "email" => array:1 [
              0 => "alberto.garrido@hospitalreyjuancarlos.es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Irene"
            "apellidos" => "Fern&#225;ndez Mu&#241;oz"
          ]
          2 => array:2 [
            "nombre" => "Marta"
            "apellidos" => "Mart&#237;n Mu&#241;oz"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Critical Care&#44; Rey Juan Carlos Hospital&#44; M&#243;stoles&#44; Madrid"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Las grietas del coraz&#243;n&#58; hallazgo de dos complicaciones mec&#225;nicas mortales"
      ]
    ]
    "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" => 967
            "Ancho" => 1375
            "Tamanyo" => 139320
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 62-year-old woman with no personal history of disease was seen due to epigastric pain lasting four days&#44; suffering a right-side pure hemi-motor lacunar stroke with anodyne multimodal CT findings&#46; The ECG tracing evidenced inferior ST-segment elevation with Q waves&#44; and the patient was admitted to intensive care&#46; Transthoracic echocardiography showed septal-basal interventricular communication &#40;IVC&#41; presenting an akinetic inferior aspect with thinning and hyperechogenicity suggestive of pseudoaneurysm with possible contained myocardial rupture &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; Video 1&#41;&#46; Emergent surgery was discarded due to the neurological condition of the patient and surgical risk due to friability of the tissues&#46; While in wait for the final decision&#44; a cardiac MRI was performed &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44; after which the patient suffered cardiac arrest with pulseless electrical activity secondary to tamponade&#44; with futile resuscitation efforts &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#44; Videos 2 and 3&#41;&#46; Mechanical complications following acute myocardial infarction&#44; while unusual nowadays&#44; remain a potentially fatal and time-dependent disorder in which imaging techniques such as echocardiography continue to play a key role&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0015" class="elsevierStylePara elsevierViewall">The following are Supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia><elsevierMultimedia ident="upi0015"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0010"
          ]
        ]
      ]
    ]
    "multimedia" => array:6 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1125
            "Ancho" => 1475
            "Tamanyo" => 138470
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1070
            "Ancho" => 1375
            "Tamanyo" => 114608
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 967
            "Ancho" => 1375
            "Tamanyo" => 139320
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
      3 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 526622
          "Video" => array:2 [
            "mp4" => array:5 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
      4 => array:5 [
        "identificador" => "upi0010"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc2.mp4"
          "ficheroTamanyo" => 616890
          "Video" => array:2 [
            "flv" => array:5 [
              "fichero" => "mmc2.flv"
              "poster" => "mmc2.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "mp4" => array:5 [
              "fichero" => "mmc2.m4v"
              "poster" => "mmc2.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
      5 => array:5 [
        "identificador" => "upi0015"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc3.mp4"
          "ficheroTamanyo" => 596716
          "Video" => array:2 [
            "mp4" => array:5 [
              "fichero" => "mmc3.m4v"
              "poster" => "mmc3.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "flv" => array:5 [
              "fichero" => "mmc3.flv"
              "poster" => "mmc3.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/unassign/S2173572724002200/v1_202409020424/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/21735727/unassign/S2173572724002200/v1_202409020424/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724002200?idApp=WMIE"
]
Article information
ISSN: 21735727
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 September 2 2 4

Follow this link to access the full text of the article

Idiomas
Medicina Intensiva (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?