Diagnóstico gammagráfico del tromboembolismo pulmonar agudo
Scintigraphic evaluation for diagnosis of acule pulmonary thromboembolism
Read
12287
Timeswas read the article
3798
Total PDF
8489
Total HTML
Share statistics
array:23 [ "pii" => "S0300289615310292" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)31029-2" "estado" => "S300" "fechaPublicacion" => "1994-10-01" "aid" => "71099" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "1994" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1994;30:381-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4047 "formatos" => array:3 [ "EPUB" => 105 "HTML" => 2629 "PDF" => 1313 ] ] "itemSiguiente" => array:18 [ "pii" => "S0300289615310309" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)31030-9" "estado" => "S300" "fechaPublicacion" => "1994-10-01" "aid" => "71100" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1994;30:385-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2220 "formatos" => array:3 [ "EPUB" => 84 "HTML" => 704 "PDF" => 1432 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Disminución del requerimiento del nivel de CPAP tras un tratamiento prolongado en pacientes con síndrome de apneas obstructivas durante el sueño" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "385" "paginaFinal" => "389" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Decrease in CPAP level required after long-term treatment in patients with obstructive sleep apnea syndrome" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "C. Montón, J.M. Montserrat, O. Parra" "autores" => array:3 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Montón" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Montserrat" ] 2 => array:2 [ "nombre" => "O." "apellidos" => "Parra" ] ] ] 1 => array:2 [ "autoresLista" => "J. Kimoff, M. Cosío" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Kimoff" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Cosío" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310309?idApp=UINPBA00003Z" "url" => "/03002896/0000003000000008/v1_201509151239/S0300289615310309/v1_201509151239/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289615310280" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)31028-0" "estado" => "S300" "fechaPublicacion" => "1994-10-01" "aid" => "71098" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1994;30:375-80" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2616 "formatos" => array:3 [ "EPUB" => 75 "HTML" => 1300 "PDF" => 1241 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Utilidad de la enolasa neuroespecífica sérica en el manejo clínico del carcinoma microcítico de pulmón" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "375" "paginaFinal" => "380" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Serum neuron specific enolase in the clinical management of small cell lung cancer" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Sánchez de Cos Escuín, F. Masa Jiménez, C. Disdier Vicente, J.L. de la Cruz Ríos, C. Vergara Fiordia, C. Domínguez Retortillo, F. Fuentes Otero" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Sánchez de Cos Escuín" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Masa Jiménez" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Disdier Vicente" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "de la Cruz Ríos" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Vergara Fiordia" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Domínguez Retortillo" ] 6 => array:2 [ "nombre" => "F." "apellidos" => "Fuentes Otero" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310280?idApp=UINPBA00003Z" "url" => "/03002896/0000003000000008/v1_201509151239/S0300289615310280/v1_201509151239/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Diagnóstico gammagráfico del tromboembolismo pulmonar agudo" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "381" "paginaFinal" => "384" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "A. Capelastegui, M. Oribe, C. Esteban" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Capelastegui" ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Oribe" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Esteban" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Hospital de Galdakao. Vizcaya" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Servicio de Neumología. Hospital dt Galdakao. B.° Labeaga, s/n. 48960 Galdakao. Vizcaya." ] ] ] 1 => array:3 [ "autoresLista" => "V. Llorens, J.L. Miguélez, A. Marco" "autores" => array:3 [ 0 => array:3 [ "nombre" => "V." "apellidos" => "Llorens" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "J.L." "apellidos" => "Miguélez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Marco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Nuclear. Hospital de Cruces. Vizcaya" "etiqueta" => "*" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico. Hospital de Galdakao. Vizcaya" "etiqueta" => "**" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Scintigraphic evaluation for diagnosis of acule pulmonary thromboembolism" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1993-08-25" "fechaAceptado" => "1994-02-03" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hemos querido conocer nuestra prevalencia de tromboembolismo pulmonar agudo (TEP), así como establecer la confianza diagnóstica de la gammagrafía pulmonar (GG) y la influencia del contexto clínico (<span class="elsevierStyleSmallCaps">CC</span>). Para ello hemos realizado un estudio prospectivo durante 2 años, exigiendo para el diagnóstico la arteriografía pulmonar o la GG de perfusión normal. Sobre un total de 97 pacientes, 73 (75%) han sido diagnosticados de TEP. En el grupo de 58 pacientes con GG de ventilación/perfusión (<span class="elsevierStyleSmallCaps">V</span>/Q) 33 casos tenían un test de “alta probabilidad”, de ellos 32 con TEP (sensibilidad 88%, especificidad 94%). Si combinamos la GG de <span class="elsevierStyleSmallCaps">V</span>/Q de “alta probabilidad” con un CC de “alta sospecha” obtenemos una sensibilidad del 51% y una especificidad del 100%. Hay un grupo de pacientes (28) con más edad y con mayor grado de disnea y taquipnea que no fueron capaces de realizar la GG de ventilación. De los 21 pacientes con GG de “alta probabilidad”, 19 casos tenían TEP (sensibilidad 86%, especificidad 85%). Si combinamos el test GG de “alta probabilidad” con un CC de “alta sospecha” tenemos una sensibilidad del 32% y una especificidad del 100%. La GG de perfusión normal excluye el TEP clínicamente relevante. Los resultados GG de “intermedia o baja” probabilidad, incluso si lo combinamos con el CC, no tienen validez diagnóstica.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We aimed to determine the prevalence of acute pulmonary embolism (APE) in our population and to establish the diagnostic reliability of pulmonary scintigraphy (PS), as well as the influence of the clinical context (CC). During a 2-year prospective study, patients were diagnosed by either pulmonary angiography or normal-perfusion PS. A diagnosis of APE was made in 73 (75%) of a total of 97 patients. In the group of 58 patients diagnosed by ventilation/perfusion (<span class="elsevierStyleSmallCaps">V</span>/Q) PS, 33 were classified as “highly probably” having APE; 32 of these in fací had the syndrome (sensitivity 88%, specificity 94%). Combining the “highly probable” patients with the “highly suspected” patients diagnosed by ventilation/perfusion PS, we obtained a sensitivity of 51% and specificity of 100%. Ventilation scintigrams were unobtainable in 28 older patients with greater dyspnea and tachypnea, who were unable to perform the maneuvers. Of the 21 “highly probable” patients as assessed by PS, 19 were diagnosed as having APE (sensitivity 86%, specificity 85%). Combining the “highly probable” patients with the “highly suspected” group, we obtained a sensitivity of 32% and specificity of 100%. Normal perfusion PS exeludes clinically relevant APE. “Intermedíate” or “slight” probability PS results, even when combined with CC, have no diagnostic validity.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary Embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.R. Bell" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Advances and Problems. Am J Med" "fecha" => "1982" "volumen" => "72" "paginaInicial" => "181" "paginaFinal" => "183" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Valor diagnóstico y pronóstico de los factores asociados al tromboembolismo pulmonar" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Collado" 1 => "J. Villalta" 2 => "J.A. Bambi" 3 => "M. Ingelmo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Estudio de 70 casos autopsiados. Med Clin" "fecha" => "1986" "volumen" => "86" "paginaInicial" => "265" "paginaFinal" => "267" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E.C. Rosenow" 1 => "P.J. Osmundson" 2 => "M.L. Brown" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Mayo Clin Proc" "fecha" => "1981" "volumen" => "56" "paginaInicial" => "161" "paginaFinal" => "178" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7010002" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortality from pulmonary embolism in the United States: 1962 to 1984" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D.E. Lilienfeld" 1 => "E. Chan" 2 => "J. Ehland" 3 => "J.H. Godbold" 4 => "P.J. Landrigan" 5 => "G. Marsh" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1990" "volumen" => "98" "paginaInicial" => "1.067" "paginaFinal" => "1.072" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2245721" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Value of the ventilation/perfusión scan in acute pulmonary embolism: Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED)" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "The, PIOPED., Investigators" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Jama" "fecha" => "1990" "volumen" => "263" "paginaInicial" => "2.753" "paginaFinal" => "2.759" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2348540" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary angiography, ventilation lung scanning, and venography for clinically suspected pulmonary embolism with abnormal perfusion lung scan" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R.D. Hull" 1 => "J. Hirsh" 2 => "C.J. Carter" 3 => "R.M. Jay" 4 => "P.E. Dodd" 5 => "P.A. Ockelford" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "1983" "volumen" => "98" "paginaInicial" => "891" "paginaFinal" => "899" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6859705" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnostic value of ventilation/perfusion lung scanning in patients with suspected pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R.D. Hull" 1 => "J. Hirsh" 2 => "C.J. Carter" 3 => "G.E. Raskob" 4 => "G.J. Gill" 5 => "R.M. Jay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1985" "volumen" => "88" "paginaInicial" => "819" "paginaFinal" => "828" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4064769" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Low probability lung sean findings: a need for change" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.D. Hull" 1 => "G.E. Raskob" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "1991" "volumen" => "114" "paginaInicial" => "142" "paginaFinal" => "143" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1984390" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radiological scintígraphic evaluation of patients with suspected pulmonary thromboembolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D.R. Biello" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Jama" "fecha" => "1987" "volumen" => "257" "paginaInicial" => "3.257" "paginaFinal" => "3.259" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3586267" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary angiography in acute pulmonary embolism: Indications, techniques and results in 367 patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.E. Dalen" 1 => "H.L. Brooks" 2 => "L.W. Johnson" 3 => "S.G. Meister" 4 => "M.M. Szucs" 5 => "L. Dexter" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Heart J" "fecha" => "1971" "volumen" => "81" "paginaInicial" => "175" "paginaFinal" => "185" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5539544" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of streptokinase and heparin in treatment of isolated acute massive pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G.A.H. Miller" 1 => "G.C. Sutton" 2 => "I.H. Kerr" 3 => "R.V. Gibson" 4 => "M. Honey" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br Med J" "fecha" => "1971" "volumen" => "2" "paginaInicial" => "681" "paginaFinal" => "684" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/698663" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A diagnostic strategy using ventilation/perfusion studies in patients suspect for pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B.J. McNeil" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Nucí Med" "fecha" => "1976" "volumen" => "17" "paginaInicial" => "613" "paginaFinal" => "616" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of noninvasive tests versus pulmonary angiography in the diagnostic of pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:5 [ 0 => "R. Cheely" 1 => "N.H. McCartney" 2 => "J.R. Perry" 3 => "D.J. Delany" 4 => "L. Bustad" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Med" "fecha" => "1981" "volumen" => "70" "paginaInicial" => "17" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7457486" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of l33xe ventilation studies in the scintigraphic detection of pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P.O. Alderson" 1 => "N. Rujanajech" 2 => "R.H. Secker-Walker" 3 => "R.C. McKnight" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/120.3.633" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1976" "volumen" => "120" "paginaInicial" => "633" "paginaFinal" => "640" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/948599" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ventilation/perfusion studies and the diagnosis of pulmonary embolism: concise communication" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B.J. McNeil" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Nucl Med" "fecha" => "1980" "volumen" => "21" "paginaInicial" => "319" "paginaFinal" => "323" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7381560" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The ventilatory loung scan in the diagnosis of pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G. Denardo" 1 => "D.A. Goodwin" 2 => "R. Ravasini" 3 => "P.A. Dietrich" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM197006042822305" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1970" "volumen" => "282" "paginaInicial" => "1.334" "paginaFinal" => "1.336" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4909920" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ventilation/perfusion studies in suspected pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D.R. Biello" 1 => "A.G. Mattar" 2 => "R.C. McKnight" 3 => "B.A. Siegel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Rev" "fecha" => "1979" "volumen" => "133" "paginaInicial" => "1.033" "paginaFinal" => "1.037" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Value of ventilation/perfusion scans versus perfusión sean alone in acute pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P.D. Stein" 1 => "M.L. Terrin" 2 => "A. Gottschalk" 3 => "A. Alavi" 4 => "J.W. Henry" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Cardiol" "fecha" => "1992" "volumen" => "69" "paginaInicial" => "1.234" "paginaFinal" => "1.241" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1598878" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical validity of a normal perfusion lung scan in patients with suspected pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.D. Hull" 1 => "G.E. Raskob" 2 => "G. Coates" 3 => "A.A. Panju" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1990" "volumen" => "97" "paginaInicial" => "23" "paginaFinal" => "26" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2295242" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The clinical course of patients with suspected pulmonary embolism and a negative pulmonary arteriogram" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R.A. Novelline" 1 => "O.H. Baitarowich" 2 => "C.A. Athanasoulis" 3 => "A.C. Waltman" 4 => "A.J. Greenfield" 5 => "K.A. McKusick" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/126.3.561" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1978" "volumen" => "126" "paginaInicial" => "561" "paginaFinal" => "567" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/628721" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Long-term follow-up of patients with suspected pulmonary embolism and a normal lung sean" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.S. Kipper" 1 => "K.M. Moser" 2 => "K.E. Kortman" 3 => "W.L. Ashburn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1982" "volumen" => "82" "paginaInicial" => "411" "paginaFinal" => "415" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7116958" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003000000008/v1_201509151239/S0300289615310292/v1_201509151239/es/main.assets" "Apartado" => array:4 [ "identificador" => "9277" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003000000008/v1_201509151239/S0300289615310292/v1_201509151239/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310292?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 3 | 10 |
| 2024 October | 57 | 23 | 80 |
| 2024 September | 59 | 24 | 83 |
| 2024 August | 67 | 36 | 103 |
| 2024 July | 64 | 32 | 96 |
| 2024 June | 77 | 25 | 102 |
| 2024 May | 86 | 42 | 128 |
| 2024 April | 63 | 32 | 95 |
| 2024 March | 80 | 41 | 121 |
| 2024 February | 32 | 47 | 79 |
| 2024 January | 0 | 7 | 7 |
| 2023 December | 0 | 1 | 1 |
| 2023 November | 0 | 1 | 1 |
| 2023 October | 0 | 2 | 2 |
| 2023 September | 0 | 1 | 1 |
| 2023 August | 0 | 3 | 3 |
| 2023 July | 0 | 2 | 2 |
| 2023 June | 0 | 1 | 1 |
| 2023 May | 1 | 1 | 2 |
| 2023 March | 22 | 9 | 31 |
| 2023 February | 127 | 42 | 169 |
| 2023 January | 89 | 33 | 122 |
| 2022 December | 104 | 33 | 137 |
| 2022 November | 116 | 35 | 151 |
| 2022 October | 107 | 43 | 150 |
| 2022 September | 154 | 48 | 202 |
| 2022 August | 136 | 52 | 188 |
| 2022 July | 114 | 50 | 164 |
| 2022 June | 97 | 35 | 132 |
| 2022 May | 120 | 52 | 172 |
| 2022 April | 132 | 61 | 193 |
| 2022 March | 118 | 50 | 168 |
| 2022 February | 110 | 39 | 149 |
| 2022 January | 106 | 41 | 147 |
| 2021 December | 95 | 65 | 160 |
| 2021 November | 98 | 66 | 164 |
| 2021 October | 129 | 112 | 241 |
| 2021 September | 138 | 85 | 223 |
| 2021 August | 112 | 76 | 188 |
| 2021 July | 105 | 51 | 156 |
| 2021 June | 148 | 68 | 216 |
| 2021 May | 181 | 101 | 282 |
| 2021 April | 300 | 106 | 406 |
| 2021 March | 171 | 69 | 240 |
| 2021 February | 175 | 59 | 234 |
| 2021 January | 152 | 60 | 212 |
| 2020 December | 167 | 58 | 225 |
| 2020 November | 213 | 49 | 262 |
| 2020 October | 153 | 54 | 207 |
| 2020 September | 178 | 63 | 241 |
| 2020 August | 167 | 62 | 229 |
| 2020 July | 195 | 68 | 263 |
| 2020 June | 149 | 52 | 201 |
| 2020 May | 203 | 79 | 282 |
| 2020 April | 177 | 69 | 246 |
| 2020 March | 126 | 49 | 175 |
| 2020 February | 157 | 57 | 214 |
| 2020 January | 138 | 51 | 189 |
| 2019 December | 139 | 46 | 185 |
| 2019 November | 134 | 55 | 189 |
| 2019 October | 160 | 57 | 217 |
| 2019 September | 160 | 60 | 220 |
| 2019 August | 86 | 34 | 120 |
| 2019 July | 154 | 70 | 224 |
| 2019 June | 157 | 54 | 211 |
| 2019 May | 195 | 83 | 278 |
| 2019 April | 174 | 81 | 255 |
| 2019 March | 101 | 67 | 168 |
| 2019 February | 86 | 50 | 136 |
| 2019 January | 93 | 54 | 147 |
| 2018 December | 47 | 26 | 73 |
| 2018 November | 79 | 40 | 119 |
| 2018 October | 113 | 50 | 163 |
| 2018 September | 95 | 37 | 132 |
| 2018 May | 25 | 1 | 26 |
| 2018 April | 26 | 5 | 31 |
| 2018 March | 23 | 7 | 30 |
| 2018 February | 6 | 14 | 20 |
| 2018 January | 10 | 26 | 36 |
| 2017 December | 13 | 19 | 32 |
| 2017 November | 14 | 14 | 28 |
| 2017 October | 39 | 14 | 53 |
| 2017 September | 19 | 6 | 25 |
| 2017 August | 20 | 18 | 38 |
| 2017 July | 4 | 6 | 10 |
| 2017 June | 12 | 19 | 31 |
| 2017 May | 10 | 26 | 36 |
| 2017 April | 6 | 11 | 17 |
| 2017 March | 4 | 18 | 22 |
| 2017 February | 1 | 9 | 10 |
| 2017 January | 2 | 6 | 8 |
| 2016 December | 3 | 14 | 17 |
| 2016 November | 15 | 17 | 32 |
| 2016 October | 18 | 17 | 35 |
| 2016 September | 20 | 30 | 50 |
| 2016 August | 19 | 11 | 30 |
| 2016 July | 20 | 7 | 27 |
| 2016 June | 17 | 10 | 27 |
| 2016 May | 16 | 8 | 24 |
| 2016 April | 9 | 0 | 9 |
| 2016 March | 9 | 1 | 10 |
| 2016 February | 7 | 2 | 9 |
| 2016 January | 11 | 8 | 19 |
| 2015 December | 15 | 10 | 25 |
| 2015 November | 25 | 3 | 28 |
| 2015 October | 4 | 1 | 5 |
| 2015 September | 2 | 0 | 2 |
Show all
