array:23 [
  "pii" => "S0210569113001332"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2013.05.003"
  "estado" => "S300"
  "fechaPublicacion" => "2013-10-01"
  "aid" => "602"
  "copyright" => "Elsevier España, S.L. and SEMICYUC"
  "copyrightAnyo" => "2013"
  "documento" => "simple-article"
  "crossmark" => 0
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2013;37:499"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2511
    "formatos" => array:3 [
      "EPUB" => 175
      "HTML" => 1572
      "PDF" => 764
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0210569113001344"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2013.05.004"
    "estado" => "S300"
    "fechaPublicacion" => "2013-10-01"
    "aid" => "603"
    "copyright" => "Elsevier España, S.L. y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2013;37:500-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3218
      "formatos" => array:3 [
        "EPUB" => 155
        "HTML" => 2275
        "PDF" => 788
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
      "titulo" => "Vendaje compresivo en pacientes en estado vegetativo"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "500"
          "paginaFinal" => "501"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Compressive bandaging in vegetative state patients"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => 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" => 541
              "Ancho" => 1500
              "Tamanyo" => 201323
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Extensa lesi&#243;n cerebral secundaria a traumatismo penetrante por arma de fuego&#44; que adem&#225;s produce descompresi&#243;n &#243;sea y extrusi&#243;n de contenido encef&#225;lico&#46; LET incluyendo compresi&#243;n el&#225;stica craneal que progres&#243; a muerte encef&#225;lica&#44; siendo el paciente donante multiorg&#225;nico&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Rivero-Garvia, M&#46;J&#46; Mayorga-Buiza, G&#46; Rodr&#237;guez-Boto, T&#46; Aldab&#243;-Pallas, J&#46; M&#225;rquez Rivas"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Rivero-Garvia"
            ]
            1 => array:2 [
              "nombre" => "M&#46;J&#46;"
              "apellidos" => "Mayorga-Buiza"
            ]
            2 => array:2 [
              "nombre" => "G&#46;"
              "apellidos" => "Rodr&#237;guez-Boto"
            ]
            3 => array:2 [
              "nombre" => "T&#46;"
              "apellidos" => "Aldab&#243;-Pallas"
            ]
            4 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "M&#225;rquez Rivas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569113001344?idApp=WMIE"
    "url" => "/02105691/0000003700000007/v2_201310120015/S0210569113001344/v2_201310120015/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0210569112003130"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2012.10.004"
    "estado" => "S300"
    "fechaPublicacion" => "2013-10-01"
    "aid" => "525"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2013;37:497-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2027
      "formatos" => array:3 [
        "EPUB" => 171
        "HTML" => 1150
        "PDF" => 706
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>"
      "titulo" => "Cardiac resynchronization therapy&#58; 6 year experience of a comprehensive follow-up protocol"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "497"
          "paginaFinal" => "498"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Terapia de resincronizaci&#243;n card&#237;aca&#58; experiencia de seis a&#241;os con un protocolo de seguimiento integral"
        ]
      ]
      "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" => 997
              "Ancho" => 1453
              "Tamanyo" => 80837
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The proportion of patients who improved along the first year after device implantation&#46; EF better&#58; more than 5&#37; increase measured&#59; QRS width&#44; LVPEI&#44; SPWMD better&#58; more than 10<span class="elsevierStyleHsp" style=""></span>ms decrease measured&#59; LVEDD better&#58; more than 5<span class="elsevierStyleHsp" style=""></span>mm decrease measured&#46; All measures expressed in percentage of patients&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46;O&#46; Luque-Lezcano, J&#46;M&#46; Porres-Aracama, F&#46; Garc&#237;a-Urra, V&#46; Urbistondo-Ayestaran, R&#46; Garc&#237;a-Mart&#237;n, P&#46; Marco-Garde"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "A&#46;O&#46;"
              "apellidos" => "Luque-Lezcano"
            ]
            1 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Porres-Aracama"
            ]
            2 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Garc&#237;a-Urra"
            ]
            3 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Urbistondo-Ayestaran"
            ]
            4 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Garc&#237;a-Mart&#237;n"
            ]
            5 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Marco-Garde"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569112003130?idApp=WMIE"
    "url" => "/02105691/0000003700000007/v2_201310120015/S0210569112003130/v2_201310120015/en/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Primary angioplasty versus fibrinolysis in ST-segment elevation acute myocardial infarction&#58; Reassessing the best strategy"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "499"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "R&#46; Blancas, B&#46; L&#243;pez-Matamala, &#211;&#46; Mart&#237;nez-Gonz&#225;lez, D&#46; Ballesteros-Ortega"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "R&#46;"
            "apellidos" => "Blancas"
            "email" => array:1 [
              0 => "rafael&#46;blancas&#64;salud&#46;madrid&#46;org"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "B&#46;"
            "apellidos" => "L&#243;pez-Matamala"
          ]
          2 => array:2 [
            "nombre" => "&#211;&#46;"
            "apellidos" => "Mart&#237;nez-Gonz&#225;lez"
          ]
          3 => array:2 [
            "nombre" => "D&#46;"
            "apellidos" => "Ballesteros-Ortega"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Universitario del Tajo&#44; Aranjuez&#44; Madrid&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Angioplastia primaria frente a fibrin&#243;lisis en infarto agudo de miocardio con elevaci&#243;n del segmento ST&#58; reevaluaci&#243;n de la mejor estrategia"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In the year 2006&#44; the results published in Circulation&#44; with data from the National Registry of Myocardial Infarction&#44; showed the need for reassuring the best strategy of revascularization following an episode of acute ST-segment elevation myocardial infarction &#40;STEMI&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Primary angioplasty improved outcomes compared with fibrinolysis in the cases of shorter needle-to-balloon time&#44; decreasing its benefit if this elapsed time increased&#44; especially in younger early presenters with an anterior STEMI&#46; For the rest of settings&#44; results with both reperfusion treatments were similar&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">One concern with percutaneous coronary intervention &#40;PCI&#41; after successful fibrinolysis is to find the better time to carry out an interventional approach&#46; The conclusions of the TRANSFER-AMI trial laid the groundwork to establish the most appropriate moment to perform PCI after successful fibrinolysis&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> This study concluded that fibrinolysis followed by PCI within 6<span class="elsevierStyleHsp" style=""></span>h showed fewer ischemic complications than fibrinolysis alone&#46; It is remarkable that clopidogrel was more frequently administered in the group of routine early PCI&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The interval elapsed between fibrinolysis and PCI seems to be of main importance&#46; The FINESSE study&#44; where the median of this time was 2&#46;2<span class="elsevierStyleHsp" style=""></span>h&#44; did not show any benefit of facilitated PCI with abciximab or abciximab plus reteplase compared with primary PCI&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> The GRACIA-2 study&#44; where PCI was performed 3&#8211;12<span class="elsevierStyleHsp" style=""></span>h after fibrinolysis&#44; concluded that this option seems to be equivalent to primary PCI in limiting infarct size and preserving left ventricular function&#44; although it results in better myocardial perfusion&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The recent publication of the results of the STREAM study in The New England Journal of Medicine could change the medical practice in STEMI&#46; In this work&#44; fibrinolysis followed by PCI within 6&#8211;24<span class="elsevierStyleHsp" style=""></span>h was compared with primary PCI&#46; Fibrinolysis and primary PCI were performed at a median of 100 and 178<span class="elsevierStyleHsp" style=""></span>min after symptoms onset&#44; respectively&#46; An amendment made for the safety monitoring board&#44; reducing the fibrinolytic dose to 50&#37; in patients older than 75 years&#44; was implemented because of an excess of intracranial hemorrhages in this age group&#46; No differences were seen for the primary end point &#40;a composite of death&#44; shock&#44; congestive heart failure&#44; or reinfarction up to 30 days&#41; between both groups of treatment&#44; although patients with inferior STEMI had a lower risk for the primary end point&#46; No differences were found for intracranial hemorrhages after protocol amendment&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> However&#44; other factors deserve a mention regarding this article&#46; The dose of enoxaparin and loading dose of clopidogrel was reduced for patients older than 75 years&#44; unfractionated heparin was never used and TNK was employed instead of rtPA &#40;the usual fibrinolytic agent in earlier studies&#41;&#46; The effects of upstream intensive antiplatelet treatment and the adjusted dose of fibrinolytics and enoxaparin for high hemorrhagic risk patients had not been previously assessed&#46; Perhaps&#44; the current and diverse antithrombotic combinations for STEMI treatment need to be more individualized&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hospital delays in reperfusion for ST-elevation myocardial infarction&#58; implications when selecting a reperfusion strategy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;S&#46; Pinto"
                            1 => "A&#46;J&#46; Kirtane"
                            2 => "B&#46;K&#46; Nallamothu"
                            3 => "S&#46;A&#46; Murphy"
                            4 => "D&#46;J&#46; Cohen"
                            5 => "R&#46;J&#46; Laham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.106.638353"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2006"
                        "volumen" => "114"
                        "paginaInicial" => "2019"
                        "paginaFinal" => "2025"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17075010"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Routine early angioplasty after fibrinolysis for acute myocardial infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "W&#46;J&#46; Cantor"
                            1 => "D&#46; Fitchett"
                            2 => "B&#46; Borgundvaag"
                            3 => "J&#46; Ducas"
                            4 => "M&#46; Heffernan"
                            5 => "E&#46;A&#46; Cohen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa0808276"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2009"
                        "volumen" => "360"
                        "paginaInicial" => "2705"
                        "paginaFinal" => "2718"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19553646"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Facilitated PCI in patients with ST-elevation myocardial infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;G&#46; Ellis"
                            1 => "M&#46; Tendera"
                            2 => "M&#46;A&#46; de Belder"
                            3 => "A&#46;J&#46; van Boven"
                            4 => "P&#46; Widimsky"
                            5 => "L&#46; Janssens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa0706816"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2008"
                        "volumen" => "358"
                        "paginaInicial" => "2205"
                        "paginaFinal" => "2217"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18499565"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Primary angioplasty vs&#46; early routine post-fibrinolysis angioplasty for acute myocardial infarction with ST-segment elevation&#58; the GRACIA-2 non-inferiority&#44; randomized&#44; controlled trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "Fern&#225;ndez-Avil&#233;s"
                            1 => "J&#46;J&#46; Alonso"
                            2 => "G&#46; Pe&#241;a"
                            3 => "J&#46; Blanco"
                            4 => "J&#46; Alonso-Briales"
                            5 => "J&#46; L&#243;pez-Mesa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/eurheartj/ehl461"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Heart J"
                        "fecha" => "2007"
                        "volumen" => "28"
                        "paginaInicial" => "949"
                        "paginaFinal" => "960"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17244641"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46;W&#46; Armstrong"
                            1 => "A&#46;H&#46; Gershlick"
                            2 => "P&#46; Goldstein"
                            3 => "R&#46; Wilcox"
                            4 => "T&#46; Danays"
                            5 => "Y&#46; Lambert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa1301092"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2013"
                        "volumen" => "368"
                        "paginaInicial" => "1379"
                        "paginaFinal" => "1387"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23473396"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000003700000007/v2_201310120015/S0210569113001332/v2_201310120015/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "439"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas al director"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000003700000007/v2_201310120015/S0210569113001332/v2_201310120015/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569113001332?idApp=WMIE"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Letter to the Editor
Primary angioplasty versus fibrinolysis in ST-segment elevation acute myocardial infarction: Reassessing the best strategy
Angioplastia primaria frente a fibrinólisis en infarto agudo de miocardio con elevación del segmento ST: reevaluación de la mejor estrategia
R. Blancas
Autor para correspondencia
rafael.blancas@salud.madrid.org

Corresponding author.
, B. López-Matamala, Ó. Martínez-González, D. Ballesteros-Ortega
Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, Madrid, Spain
Leído
6303
Veces
se ha leído el artículo
2569
Total PDF
3734
Total HTML
Compartir estadísticas
 array:23 [
  "pii" => "S0210569113001332"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2013.05.003"
  "estado" => "S300"
  "fechaPublicacion" => "2013-10-01"
  "aid" => "602"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
  "copyrightAnyo" => "2013"
  "documento" => "simple-article"
  "crossmark" => 0
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2013;37:499"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2511
    "formatos" => array:3 [
      "EPUB" => 175
      "HTML" => 1572
      "PDF" => 764
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0210569113001344"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2013.05.004"
    "estado" => "S300"
    "fechaPublicacion" => "2013-10-01"
    "aid" => "603"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2013;37:500-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3218
      "formatos" => array:3 [
        "EPUB" => 155
        "HTML" => 2275
        "PDF" => 788
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
      "titulo" => "Vendaje compresivo en pacientes en estado vegetativo"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "500"
          "paginaFinal" => "501"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Compressive bandaging in vegetative state patients"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => 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" => 541
              "Ancho" => 1500
              "Tamanyo" => 201323
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Extensa lesi&#243;n cerebral secundaria a traumatismo penetrante por arma de fuego&#44; que adem&#225;s produce descompresi&#243;n &#243;sea y extrusi&#243;n de contenido encef&#225;lico&#46; LET incluyendo compresi&#243;n el&#225;stica craneal que progres&#243; a muerte encef&#225;lica&#44; siendo el paciente donante multiorg&#225;nico&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Rivero-Garvia, M&#46;J&#46; Mayorga-Buiza, G&#46; Rodr&#237;guez-Boto, T&#46; Aldab&#243;-Pallas, J&#46; M&#225;rquez Rivas"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Rivero-Garvia"
            ]
            1 => array:2 [
              "nombre" => "M&#46;J&#46;"
              "apellidos" => "Mayorga-Buiza"
            ]
            2 => array:2 [
              "nombre" => "G&#46;"
              "apellidos" => "Rodr&#237;guez-Boto"
            ]
            3 => array:2 [
              "nombre" => "T&#46;"
              "apellidos" => "Aldab&#243;-Pallas"
            ]
            4 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "M&#225;rquez Rivas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569113001344?idApp=WMIE"
    "url" => "/02105691/0000003700000007/v2_201310120015/S0210569113001344/v2_201310120015/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0210569112003130"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2012.10.004"
    "estado" => "S300"
    "fechaPublicacion" => "2013-10-01"
    "aid" => "525"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2013;37:497-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2027
      "formatos" => array:3 [
        "EPUB" => 171
        "HTML" => 1150
        "PDF" => 706
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>"
      "titulo" => "Cardiac resynchronization therapy&#58; 6 year experience of a comprehensive follow-up protocol"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "497"
          "paginaFinal" => "498"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Terapia de resincronizaci&#243;n card&#237;aca&#58; experiencia de seis a&#241;os con un protocolo de seguimiento integral"
        ]
      ]
      "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" => 997
              "Ancho" => 1453
              "Tamanyo" => 80837
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The proportion of patients who improved along the first year after device implantation&#46; EF better&#58; more than 5&#37; increase measured&#59; QRS width&#44; LVPEI&#44; SPWMD better&#58; more than 10<span class="elsevierStyleHsp" style=""></span>ms decrease measured&#59; LVEDD better&#58; more than 5<span class="elsevierStyleHsp" style=""></span>mm decrease measured&#46; All measures expressed in percentage of patients&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46;O&#46; Luque-Lezcano, J&#46;M&#46; Porres-Aracama, F&#46; Garc&#237;a-Urra, V&#46; Urbistondo-Ayestaran, R&#46; Garc&#237;a-Mart&#237;n, P&#46; Marco-Garde"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "A&#46;O&#46;"
              "apellidos" => "Luque-Lezcano"
            ]
            1 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Porres-Aracama"
            ]
            2 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Garc&#237;a-Urra"
            ]
            3 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Urbistondo-Ayestaran"
            ]
            4 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Garc&#237;a-Mart&#237;n"
            ]
            5 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Marco-Garde"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569112003130?idApp=WMIE"
    "url" => "/02105691/0000003700000007/v2_201310120015/S0210569112003130/v2_201310120015/en/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Primary angioplasty versus fibrinolysis in ST-segment elevation acute myocardial infarction&#58; Reassessing the best strategy"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "499"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "R&#46; Blancas, B&#46; L&#243;pez-Matamala, &#211;&#46; Mart&#237;nez-Gonz&#225;lez, D&#46; Ballesteros-Ortega"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "R&#46;"
            "apellidos" => "Blancas"
            "email" => array:1 [
              0 => "rafael&#46;blancas&#64;salud&#46;madrid&#46;org"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "B&#46;"
            "apellidos" => "L&#243;pez-Matamala"
          ]
          2 => array:2 [
            "nombre" => "&#211;&#46;"
            "apellidos" => "Mart&#237;nez-Gonz&#225;lez"
          ]
          3 => array:2 [
            "nombre" => "D&#46;"
            "apellidos" => "Ballesteros-Ortega"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Universitario del Tajo&#44; Aranjuez&#44; Madrid&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Angioplastia primaria frente a fibrin&#243;lisis en infarto agudo de miocardio con elevaci&#243;n del segmento ST&#58; reevaluaci&#243;n de la mejor estrategia"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In the year 2006&#44; the results published in Circulation&#44; with data from the National Registry of Myocardial Infarction&#44; showed the need for reassuring the best strategy of revascularization following an episode of acute ST-segment elevation myocardial infarction &#40;STEMI&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Primary angioplasty improved outcomes compared with fibrinolysis in the cases of shorter needle-to-balloon time&#44; decreasing its benefit if this elapsed time increased&#44; especially in younger early presenters with an anterior STEMI&#46; For the rest of settings&#44; results with both reperfusion treatments were similar&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">One concern with percutaneous coronary intervention &#40;PCI&#41; after successful fibrinolysis is to find the better time to carry out an interventional approach&#46; The conclusions of the TRANSFER-AMI trial laid the groundwork to establish the most appropriate moment to perform PCI after successful fibrinolysis&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> This study concluded that fibrinolysis followed by PCI within 6<span class="elsevierStyleHsp" style=""></span>h showed fewer ischemic complications than fibrinolysis alone&#46; It is remarkable that clopidogrel was more frequently administered in the group of routine early PCI&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The interval elapsed between fibrinolysis and PCI seems to be of main importance&#46; The FINESSE study&#44; where the median of this time was 2&#46;2<span class="elsevierStyleHsp" style=""></span>h&#44; did not show any benefit of facilitated PCI with abciximab or abciximab plus reteplase compared with primary PCI&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> The GRACIA-2 study&#44; where PCI was performed 3&#8211;12<span class="elsevierStyleHsp" style=""></span>h after fibrinolysis&#44; concluded that this option seems to be equivalent to primary PCI in limiting infarct size and preserving left ventricular function&#44; although it results in better myocardial perfusion&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The recent publication of the results of the STREAM study in The New England Journal of Medicine could change the medical practice in STEMI&#46; In this work&#44; fibrinolysis followed by PCI within 6&#8211;24<span class="elsevierStyleHsp" style=""></span>h was compared with primary PCI&#46; Fibrinolysis and primary PCI were performed at a median of 100 and 178<span class="elsevierStyleHsp" style=""></span>min after symptoms onset&#44; respectively&#46; An amendment made for the safety monitoring board&#44; reducing the fibrinolytic dose to 50&#37; in patients older than 75 years&#44; was implemented because of an excess of intracranial hemorrhages in this age group&#46; No differences were seen for the primary end point &#40;a composite of death&#44; shock&#44; congestive heart failure&#44; or reinfarction up to 30 days&#41; between both groups of treatment&#44; although patients with inferior STEMI had a lower risk for the primary end point&#46; No differences were found for intracranial hemorrhages after protocol amendment&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> However&#44; other factors deserve a mention regarding this article&#46; The dose of enoxaparin and loading dose of clopidogrel was reduced for patients older than 75 years&#44; unfractionated heparin was never used and TNK was employed instead of rtPA &#40;the usual fibrinolytic agent in earlier studies&#41;&#46; The effects of upstream intensive antiplatelet treatment and the adjusted dose of fibrinolytics and enoxaparin for high hemorrhagic risk patients had not been previously assessed&#46; Perhaps&#44; the current and diverse antithrombotic combinations for STEMI treatment need to be more individualized&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hospital delays in reperfusion for ST-elevation myocardial infarction&#58; implications when selecting a reperfusion strategy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;S&#46; Pinto"
                            1 => "A&#46;J&#46; Kirtane"
                            2 => "B&#46;K&#46; Nallamothu"
                            3 => "S&#46;A&#46; Murphy"
                            4 => "D&#46;J&#46; Cohen"
                            5 => "R&#46;J&#46; Laham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.106.638353"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2006"
                        "volumen" => "114"
                        "paginaInicial" => "2019"
                        "paginaFinal" => "2025"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17075010"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Routine early angioplasty after fibrinolysis for acute myocardial infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "W&#46;J&#46; Cantor"
                            1 => "D&#46; Fitchett"
                            2 => "B&#46; Borgundvaag"
                            3 => "J&#46; Ducas"
                            4 => "M&#46; Heffernan"
                            5 => "E&#46;A&#46; Cohen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa0808276"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2009"
                        "volumen" => "360"
                        "paginaInicial" => "2705"
                        "paginaFinal" => "2718"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19553646"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Facilitated PCI in patients with ST-elevation myocardial infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;G&#46; Ellis"
                            1 => "M&#46; Tendera"
                            2 => "M&#46;A&#46; de Belder"
                            3 => "A&#46;J&#46; van Boven"
                            4 => "P&#46; Widimsky"
                            5 => "L&#46; Janssens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa0706816"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2008"
                        "volumen" => "358"
                        "paginaInicial" => "2205"
                        "paginaFinal" => "2217"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18499565"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Primary angioplasty vs&#46; early routine post-fibrinolysis angioplasty for acute myocardial infarction with ST-segment elevation&#58; the GRACIA-2 non-inferiority&#44; randomized&#44; controlled trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "Fern&#225;ndez-Avil&#233;s"
                            1 => "J&#46;J&#46; Alonso"
                            2 => "G&#46; Pe&#241;a"
                            3 => "J&#46; Blanco"
                            4 => "J&#46; Alonso-Briales"
                            5 => "J&#46; L&#243;pez-Mesa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/eurheartj/ehl461"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Heart J"
                        "fecha" => "2007"
                        "volumen" => "28"
                        "paginaInicial" => "949"
                        "paginaFinal" => "960"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17244641"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46;W&#46; Armstrong"
                            1 => "A&#46;H&#46; Gershlick"
                            2 => "P&#46; Goldstein"
                            3 => "R&#46; Wilcox"
                            4 => "T&#46; Danays"
                            5 => "Y&#46; Lambert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa1301092"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2013"
                        "volumen" => "368"
                        "paginaInicial" => "1379"
                        "paginaFinal" => "1387"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23473396"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000003700000007/v2_201310120015/S0210569113001332/v2_201310120015/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "439"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas al director"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000003700000007/v2_201310120015/S0210569113001332/v2_201310120015/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569113001332?idApp=WMIE"
]
Información del artículo
ISSN: 02105691
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 5 12 17
2024 Octubre 37 35 72
2024 Septiembre 45 25 70
2024 Agosto 61 43 104
2024 Julio 38 29 67
2024 Junio 56 50 106
2024 Mayo 45 20 65
2024 Abril 44 44 88
2024 Marzo 47 25 72
2024 Febrero 35 40 75
2024 Enero 31 25 56
2023 Diciembre 40 42 82
2023 Noviembre 40 39 79
2023 Octubre 33 37 70
2023 Septiembre 38 38 76
2023 Agosto 39 15 54
2023 Julio 47 23 70
2023 Junio 37 23 60
2023 Mayo 48 34 82
2023 Abril 30 24 54
2023 Marzo 35 25 60
2023 Febrero 25 39 64
2023 Enero 23 26 49
2022 Diciembre 36 35 71
2022 Noviembre 32 35 67
2022 Octubre 39 19 58
2022 Septiembre 30 39 69
2022 Agosto 54 41 95
2022 Julio 51 30 81
2022 Junio 44 35 79
2022 Mayo 37 37 74
2022 Abril 48 42 90
2022 Marzo 40 49 89
2022 Febrero 32 25 57
2022 Enero 25 38 63
2021 Diciembre 39 41 80
2021 Noviembre 32 41 73
2021 Octubre 47 60 107
2021 Septiembre 29 41 70
2021 Agosto 31 41 72
2021 Julio 16 43 59
2021 Junio 30 25 55
2021 Mayo 45 44 89
2021 Abril 99 96 195
2021 Marzo 74 16 90
2021 Febrero 56 18 74
2021 Enero 35 18 53
2020 Diciembre 30 17 47
2020 Noviembre 26 24 50
2020 Octubre 32 29 61
2020 Septiembre 31 17 48
2020 Agosto 25 19 44
2020 Julio 17 13 30
2020 Junio 36 18 54
2020 Mayo 24 11 35
2020 Abril 28 14 42
2020 Marzo 18 13 31
2020 Febrero 87 26 113
2020 Enero 38 33 71
2019 Diciembre 23 17 40
2019 Noviembre 19 19 38
2019 Octubre 34 27 61
2019 Septiembre 32 36 68
2019 Agosto 35 19 54
2019 Julio 33 13 46
2019 Junio 36 22 58
2019 Mayo 52 26 78
2019 Abril 25 24 49
2019 Marzo 31 23 54
2019 Febrero 73 31 104
2019 Enero 27 32 59
2018 Diciembre 25 24 49
2018 Noviembre 72 51 123
2018 Octubre 60 20 80
2018 Septiembre 38 12 50
2018 Agosto 31 14 45
2018 Julio 38 11 49
2018 Junio 43 20 63
2018 Mayo 25 9 34
2018 Abril 31 11 42
2018 Marzo 36 5 41
2018 Febrero 14 6 20
2018 Enero 42 24 66
2017 Diciembre 25 11 36
2017 Noviembre 29 11 40
2017 Octubre 31 9 40
2017 Septiembre 26 6 32
2017 Agosto 24 8 32
2017 Julio 24 9 33
2017 Junio 28 8 36
2017 Mayo 37 8 45
2017 Abril 38 17 55
2017 Marzo 13 16 29
2017 Febrero 11 4 15
2017 Enero 11 2 13
2016 Diciembre 27 6 33
2016 Noviembre 41 15 56
2016 Octubre 48 20 68
2016 Septiembre 58 12 70
2016 Agosto 32 7 39
2016 Julio 31 17 48
2015 Diciembre 2 0 2
2014 Septiembre 1 0 1
2014 Junio 1 0 1
2014 Mayo 1 0 1
2014 Marzo 10 4 14
2014 Febrero 5 6 11
2014 Enero 9 7 16
2013 Diciembre 12 3 15
2013 Noviembre 6 5 11
2013 Octubre 6 6 12
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Medicina Intensiva
es en

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

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