Las limitaciones del test de esfuerzo en presencia de enfermedad pulmonar obstructiva cronica
Limitations of the exercise test in the presence of chronic obstrucive lung disease
J.L. Lopez-Negrete, A. Espolita Santos, J.M.a Lopez De La Iglesia, G. Iglesias Cubero, J. Tomas Mauri, J.J. Rodriguez Reguero
Servicio de Cardiología. Instituto Nacional de Silicosis Oviedo
Read
3591
Timeswas read the article
1552
Total PDF
2039
Total HTML
Share statistics
array:23 [ "pii" => "S0300289615322699" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32269-9" "estado" => "S300" "fechaPublicacion" => "1984-01-01" "aid" => "72339" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "1984" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1984;20:21-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1229 "formatos" => array:3 [ "EPUB" => 68 "HTML" => 614 "PDF" => 547 ] ] "itemSiguiente" => array:18 [ "pii" => "S0300289615322705" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32270-5" "estado" => "S300" "fechaPublicacion" => "1984-01-01" "aid" => "72340" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1984;20:27-30" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1852 "formatos" => array:3 [ "EPUB" => 55 "HTML" => 797 "PDF" => 1000 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Plasmocitoma de localizacion traqueal" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "27" "paginaFinal" => "30" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tracheal plasmocytoma" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "S. Mallagray Casas, M.<span class="elsevierStyleSup">a</span> T. Butron Vila, M. Limones Esteban" "autores" => array:3 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Mallagray Casas" ] 1 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span> T." "apellidos" => "Butron Vila" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Limones Esteban" ] ] ] 1 => array:2 [ "autoresLista" => "G. Lopez Alonso, R. Martinez Cabruja" "autores" => array:2 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Lopez Alonso" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Martinez Cabruja" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322705?idApp=UINPBA00003Z" "url" => "/03002896/0000002000000001/v1_201509151131/S0300289615322705/v1_201509151131/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289615322687" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32268-7" "estado" => "S300" "fechaPublicacion" => "1984-01-01" "aid" => "72338" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1984;20:18-20" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 6264 "formatos" => array:3 [ "EPUB" => 85 "HTML" => 1927 "PDF" => 4252 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Determinacion de la capacidad residual funcional con tres metodos de dilucion" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "18" "paginaFinal" => "20" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Measurement of functional residual capacity with three dilution methods" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. Raurich Puigdevall, J. Ibañez Juve" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Raurich Puigdevall" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Ibañez Juve" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322687?idApp=UINPBA00003Z" "url" => "/03002896/0000002000000001/v1_201509151131/S0300289615322687/v1_201509151131/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Las limitaciones del test de esfuerzo en presencia de enfermedad pulmonar obstructiva cronica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "21" "paginaFinal" => "26" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J.L. Lopez-Negrete, A. Espolita Santos, J.M.<span class="elsevierStyleSup">a</span> Lopez De La Iglesia, G. Iglesias Cubero, J. Tomas Mauri, J.J. Rodriguez Reguero" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J.L." "apellidos" => "Lopez-Negrete" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Espolita Santos" ] 2 => array:2 [ "nombre" => "J.M.<span class="elsevierStyleSup">a</span>" "apellidos" => "Lopez De La Iglesia" ] 3 => array:2 [ "nombre" => "G." "apellidos" => "Iglesias Cubero" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Tomas Mauri" ] 5 => array:2 [ "nombre" => "J.J." "apellidos" => "Rodriguez Reguero" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cardiología. Instituto Nacional de Silicosis Oviedo" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Limitations of the exercise test in the presence of chronic obstrucive lung disease" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1982-11-05" "fechaAceptado" => "1983-07-05" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Encontrando sistemáticamente los test de esfuerzo negativos en pacientes con enfermedad coronaria asociada a enfermedad pulmonar obstructiva crónica asintomáti-ca, nos indujo a revisar el comportamiento hemodinámi-co en ejercicio, en estos enfermos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron 15 pacientes con enfermedad pulmonar obstructiva crónica, divididos en dos grupos: Grupo <span class="elsevierStyleSmallCaps">I</span> (moderados), con VEMS superior a 1600 ce, compuesto por nueve pacientes. Al ejercicio no se incrementaron las presiones y resistencias pulmonares, incrementándose ostensiblemente el gasto cardiaco. Grupo <span class="elsevierStyleSmallCaps">II</span> (severos) con VEMS inferior a 1600 ce, compuesto por seis pacientes; al ejercicio se comportaron inversamente, incrementándose las presiones pulmonares y acentuándose menos el gasto cardiaco.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Este estudio nos muestra que, en pacientes con dicha enfermedad sometidos a test ergométrico para valoración coronaria, nos eleva la incidencia de falsos negativos, pues el incremento de presiones y resistencias pulmonares, puede limitar el incremento del gasto y precar-ga ventricular izquierda, impidiendo llegar a limites aeró-bicos, que provoquen la isquemia miocárdica.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Concluimos resaltando la necesidad previa de un test de función pulmonar, antes del test de ejercicio, dada la pérdida de sensibilidad del test, en presencia de enfermedad pulmonar obstructiva crónica, aún en fase asintomática.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The finding of systematically negative exercise test in patients with coronary artery disease associated to asymptomatic chronic obstructive lung disease prompted us to review the hemodynamic behaviour of these patients during exercise.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">15 patients with chronic obstructive lung disease were studied. 9 patients were included in group <span class="elsevierStyleSmallCaps">I</span> (moderate disease), with FEV<span class="elsevierStyleInf">1</span> greater than 1600 cc. These patients did not show a rise in pulmonary pressures and resistan-ces during exercise, and an outstanding increase in cardiac output appeared. 6 patients were included in group <span class="elsevierStyleSmallCaps">II</span> (severe disease), with FEV<span class="elsevierStyleInf">1</span> lower than 1600 cc; they showed a behaviour during exercise opposed to that seen in group <span class="elsevierStyleSmallCaps">I</span>, with a rise in pulmonary pressures and a lesser increase in cardiac output.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The present study shows that, in patients with chronic obstructive lung disease, exercise test for coronary artery disease evaluation has a higher prevalence of false negative results. These are the consequence of a limitation of the left ventricular output and preload caused by an increase in pulmonary pressures and resistances; therefo-re, aerobic limit leading to myocardial ischemia is not reached.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Finally, the need for a pulmonary function test previous to the performance of an exercise test is stressed in view of the lower sensitivity of the latter with chronic obstructive lung disease even in asymptomatic stage.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "False negative Treadmill exercise test and left ventricular disfunction" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "N. Kramer" 1 => "Susmanao" 2 => "R.R. Shekelle" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1978" "volumen" => "57" "paginaInicial" => "763" "paginaFinal" => "768" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/630685" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Maximal treadmill exercise electrocardiography: correlations with coronary arteriography and cardiac hemodynamics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C.M. Martin" 1 => "D.R. Conalhay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1972" "volumen" => "46" "paginaInicial" => "956" "paginaFinal" => "962" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5081147" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Functional importance of the human coronary collateral Circulation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.H. Helfent" 1 => "P.S. Wokmas" 2 => "R. Gorlin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "New Eng J Med" "fecha" => "1971" "volumen" => "1277" "paginaInicial" => "284" "paginaFinal" => "289" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prognosis in chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "S.F. Boushy" 1 => "H.K. Thompson Jr." 2 => "L.B. North" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/arrd.1973.108.6.1373" "Revista" => array:6 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1972" "volumen" => "108" "paginaInicial" => "1373" "paginaFinal" => "1383" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4751722" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pattern of car diovascular dysfunction in chronic obstructive lung disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "B. Burrows" 1 => "L.J. Kettel" 2 => "A.H. Niden" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM197204272861703" "Revista" => array:6 [ "tituloSerie" => "New Eng J Med" "fecha" => "1972" "volumen" => "286" "paginaInicial" => "912" "paginaFinal" => "918" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5013974" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chronic obs tructive bronchopulmonary disease: Oxigen transport in two clinical types" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "G.F. Filley" 1 => "H.J. Beckwitt" 2 => "J.T. Reeves" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Med" "fecha" => "1968" "volumen" => "44" "paginaInicial" => "26" "paginaFinal" => "31" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5635286" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effect of steady state exercise on right and left ventricular perfomance in chronic obstructive pulmonary disease Noninvasive assessment by radionuclide angiocardiography" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "R.A. Matthay" 1 => "H.J. Berger" 2 => "R.A. Davies" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Chest" "fecha" => "1980" "volumen" => "77" "paginaInicial" => "303" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7357920" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hemodinamique pulmonaire dans la pneumoconiose des houilleurs" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Kremer" 1 => "G. Timmerman" 2 => "J. Bandrez" 3 => "P. Lambecht" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Institut d’Hygiene des Mines" "fecha" => "1967" "volumen" => "23" "paginaInicial" => "3" "paginaFinal" => "24" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Influence of right ventricular hemodynamics on left ventricular diastolic pressure volume relations in man" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.A. Ludbrook" 1 => "J.D. Byrne" 2 => "R.C. Mc Knight" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1979" "volumen" => "59" "paginaInicial" => "21" "paginaFinal" => "31" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/101312" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Factors contributing to altered left ventricular diastolic properties during angina pectoris" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T. Maun" 1 => "S. Goldberg" 2 => "G.H. Mudge" 3 => "W. Grossman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1979" "volumen" => "59" "paginaInicial" => "14" "paginaFinal" => "20" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/758105" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hemodynamique pul monaire a 1’exercise et puissance maximale tolerée dans les bronchopneumopathies chroniques" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Romero Colomer" 1 => "F. Schrijen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Bull Physic Path Resp" "fecha" => "1974" "volumen" => "10" "paginaInicial" => "301" "paginaFinal" => "314" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "First passradionuclide assesment of right and left ventricular ejection fraction in chronic pulmonary disease Effect of oxigen upon exer cise response" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "S.K. Olvely" 1 => "L.A. Reduto" 2 => "P.M. Stevens" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1980" "volumen" => "78" "paginaInicial" => "4" "paginaFinal" => "9" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7471843" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of left ventricular function in chronic pulmonary by exercise gated equilibrium ra dionuclide angiography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "R. Slutsky" 1 => "W. Hooper" 2 => "W. Ackerman" 3 => "W. Ashburn" 4 => "K. Gerber" 5 => "K. Moser" 6 => "J. Karliner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Heart J" "fecha" => "1981" "volumen" => "101" "paginaInicial" => "414" "paginaFinal" => "420" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7211669" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000002000000001/v1_201509151131/S0300289615322699/v1_201509151131/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/03002896/0000002000000001/v1_201509151131/S0300289615322699/v1_201509151131/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322699?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 1 | 3 |
| 2024 October | 43 | 18 | 61 |
| 2024 September | 30 | 16 | 46 |
| 2024 August | 52 | 34 | 86 |
| 2024 July | 31 | 29 | 60 |
| 2024 June | 42 | 33 | 75 |
| 2024 May | 35 | 21 | 56 |
| 2024 April | 26 | 26 | 52 |
| 2024 March | 28 | 28 | 56 |
| 2024 February | 23 | 28 | 51 |
| 2024 January | 0 | 5 | 5 |
| 2023 December | 0 | 3 | 3 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 3 | 3 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 3 | 3 |
| 2023 July | 0 | 16 | 16 |
| 2023 June | 0 | 4 | 4 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 12 | 3 | 15 |
| 2023 February | 52 | 19 | 71 |
| 2023 January | 27 | 25 | 52 |
| 2022 December | 30 | 19 | 49 |
| 2022 November | 29 | 23 | 52 |
| 2022 October | 27 | 31 | 58 |
| 2022 September | 22 | 15 | 37 |
| 2022 August | 24 | 45 | 69 |
| 2022 July | 23 | 36 | 59 |
| 2022 June | 22 | 30 | 52 |
| 2022 May | 30 | 25 | 55 |
| 2022 April | 42 | 23 | 65 |
| 2022 March | 55 | 27 | 82 |
| 2022 February | 48 | 12 | 60 |
| 2022 January | 27 | 21 | 48 |
| 2021 December | 22 | 25 | 47 |
| 2021 November | 26 | 27 | 53 |
| 2021 October | 50 | 33 | 83 |
| 2021 September | 18 | 22 | 40 |
| 2021 August | 26 | 17 | 43 |
| 2021 July | 21 | 17 | 38 |
| 2021 June | 45 | 20 | 65 |
| 2021 May | 19 | 24 | 43 |
| 2021 April | 48 | 25 | 73 |
| 2021 March | 33 | 10 | 43 |
| 2021 February | 29 | 16 | 45 |
| 2021 January | 19 | 20 | 39 |
| 2020 December | 31 | 21 | 52 |
| 2020 November | 46 | 5 | 51 |
| 2020 October | 19 | 7 | 26 |
| 2020 September | 23 | 4 | 27 |
| 2020 August | 18 | 11 | 29 |
| 2020 July | 31 | 14 | 45 |
| 2020 June | 20 | 13 | 33 |
| 2020 May | 26 | 14 | 40 |
| 2020 April | 36 | 10 | 46 |
| 2020 March | 27 | 18 | 45 |
| 2020 February | 22 | 9 | 31 |
| 2020 January | 22 | 18 | 40 |
| 2019 December | 18 | 22 | 40 |
| 2019 November | 6 | 10 | 16 |
| 2019 October | 9 | 5 | 14 |
| 2019 September | 20 | 19 | 39 |
| 2019 August | 11 | 8 | 19 |
| 2019 July | 14 | 26 | 40 |
| 2019 June | 35 | 22 | 57 |
| 2019 May | 23 | 30 | 53 |
| 2019 April | 24 | 26 | 50 |
| 2019 March | 12 | 17 | 29 |
| 2019 February | 2 | 11 | 13 |
| 2019 January | 5 | 7 | 12 |
| 2018 December | 7 | 15 | 22 |
| 2018 November | 14 | 14 | 28 |
| 2018 October | 15 | 12 | 27 |
| 2018 September | 17 | 8 | 25 |
| 2018 May | 6 | 1 | 7 |
| 2018 April | 6 | 8 | 14 |
| 2018 March | 6 | 5 | 11 |
| 2018 February | 7 | 10 | 17 |
| 2018 January | 9 | 8 | 17 |
| 2017 December | 7 | 9 | 16 |
| 2017 November | 12 | 9 | 21 |
| 2017 October | 7 | 8 | 15 |
| 2017 September | 7 | 5 | 12 |
| 2017 August | 9 | 11 | 20 |
| 2017 July | 6 | 3 | 9 |
| 2017 June | 10 | 10 | 20 |
| 2017 May | 14 | 17 | 31 |
| 2017 April | 7 | 4 | 11 |
| 2017 March | 4 | 18 | 22 |
| 2017 February | 8 | 8 | 16 |
| 2017 January | 7 | 8 | 15 |
| 2016 December | 9 | 14 | 23 |
| 2016 November | 15 | 25 | 40 |
| 2016 October | 16 | 20 | 36 |
| 2016 September | 8 | 11 | 19 |
| 2016 August | 17 | 9 | 26 |
| 2016 July | 19 | 3 | 22 |
| 2016 June | 28 | 19 | 47 |
| 2016 May | 18 | 3 | 21 |
| 2016 April | 3 | 0 | 3 |
| 2016 March | 11 | 0 | 11 |
| 2016 February | 9 | 1 | 10 |
| 2016 January | 11 | 4 | 15 |
| 2015 December | 19 | 14 | 33 |
| 2015 November | 26 | 7 | 33 |
| 2015 October | 6 | 1 | 7 |
| 2015 September | 1 | 0 | 1 |
Show all
