MEDICINA EN IMÁGENES
Gas en el corazón
Gas in the heart
A.R. Domínguez-Alegría, A. Espigares-Correa, P. Lucena-Calvet
Servicio de Medicina Interna, Hospital Central de la Defensa Gómez Ulla, Madrid, España
Read
1689
Timeswas read the article
1591
Total PDF
98
Total HTML
Share statistics
array:23 [ "pii" => "S0014256515000612" "issn" => "00142565" "doi" => "10.1016/j.rce.2015.01.016" "estado" => "S300" "fechaPublicacion" => "2015-08-01" "aid" => "1118" "copyright" => "Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2015" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2015;215:359" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 411 "formatos" => array:2 [ "HTML" => 97 "PDF" => 314 ] ] "itemSiguiente" => array:18 [ "pii" => "S0014256515000843" "issn" => "00142565" "doi" => "10.1016/j.rce.2015.02.005" "estado" => "S300" "fechaPublicacion" => "2015-08-01" "aid" => "1122" "copyright" => "Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2015;215:360-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 510 "formatos" => array:2 [ "HTML" => 117 "PDF" => 393 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondencia</span>" "titulo" => "Encefalopatía anóxica simulada por sobredosis atropínica durante la reanimación cardiopulmonar" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "360" "paginaFinal" => "361" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Atropine overdose mimicking anoxic encephalopathy during cardiopulmonary resuscitation" ] ] "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" => 1100 "Ancho" => 1190 "Tamanyo" => 361336 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bloqueo auriculoventricular completo, QRS 180<span class="elsevierStyleHsp" style=""></span>mseg con imagen de bloqueo completo de rama derecha del haz de His. Se visualiza disociación AV con ritmo auricular sinusal a 95<span class="elsevierStyleHsp" style=""></span>lpm (flechas superiores) y escape ventricular a 25<span class="elsevierStyleHsp" style=""></span>lpm (flechas inferiores).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Díez-del Hoyo, I. Sousa, P. Díez-Villanueva, M. Juárez, F. Fernández-Avilés" "autores" => array:5 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Díez-del Hoyo" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Sousa" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Díez-Villanueva" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Juárez" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Fernández-Avilés" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256515000843?idApp=WRCEE" "url" => "/00142565/0000021500000006/v1_201507311114/S0014256515000843/v1_201507311114/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0014256515000879" "issn" => "00142565" "doi" => "10.1016/j.rce.2015.02.008" "estado" => "S300" "fechaPublicacion" => "2015-08-01" "aid" => "1125" "copyright" => "Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2015;215:357-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 277 "formatos" => array:2 [ "HTML" => 138 "PDF" => 139 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Medicina En Imágenes</span>" "titulo" => "Masa en aurícula derecha" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "357" "paginaFinal" => "358" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Right atrial mass" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1298 "Ancho" => 2334 "Tamanyo" => 223971 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Valero, E. Santas, F.J. Chorro" "autores" => array:3 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Valero" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Santas" ] 2 => array:2 [ "nombre" => "F.J." "apellidos" => "Chorro" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256515000879?idApp=WRCEE" "url" => "/00142565/0000021500000006/v1_201507311114/S0014256515000879/v1_201507311114/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">MEDICINA EN IMÁGENES</span>" "titulo" => "Gas en el corazón" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "359" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A.R. Domínguez-Alegría, A. Espigares-Correa, P. Lucena-Calvet" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A.R." "apellidos" => "Domínguez-Alegría" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Espigares-Correa" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Lucena-Calvet" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Interna, Hospital Central de la Defensa Gómez Ulla, Madrid, España" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Gas in the heart" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 500 "Ancho" => 1578 "Tamanyo" => 102491 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0010" class="elsevierStylePara elsevierViewall">Mujer de 86 años que ingresa por hemotórax traumático, con evolución favorable tanto clínica como radiológicamente. En la última TC, que se realizó con contraste intravenoso (CIV), se observó gas intravascular en la aurícula derecha, las venas braquiocefálicas y la arteria pulmonar (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>). Este hallazgo podría estar en relación con la administración del CIV en el momento de la exploración radiológica. El embolismo gaseoso es una complicación poco frecuente que sucede por la entrada de gas en el sistema circulatorio. Se ha relacionado con cirugías, traumatismos, manipulación de catéteres intravasculares o barotrauma. En caso de embolismos importantes pueden aparecen complicaciones respiratorias y neurológicas. El tratamiento consistió en la colocación en posición de Trendelenburg y decúbito lateral izquierdo para evitar el desplazamiento de las burbujas, así como oxígeno a alto flujo para facilitar la disolución del gas. Se comprobó que existía resolución radiológica a las 24 horas.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-01-24" "fechaAceptado" => "2015-01-30" "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 500 "Ancho" => 1578 "Tamanyo" => 102491 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00142565/0000021500000006/v1_201507311114/S0014256515000612/v1_201507311114/es/main.assets" "Apartado" => array:4 [ "identificador" => "1065" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Medicina en imágenes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00142565/0000021500000006/v1_201507311114/S0014256515000612/v1_201507311114/es/main.pdf?idApp=WRCEE&text.app=https://www.revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256515000612?idApp=WRCEE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 October | 0 | 10 | 10 |
| 2024 September | 0 | 14 | 14 |
| 2024 August | 0 | 11 | 11 |
| 2024 July | 0 | 5 | 5 |
| 2024 June | 0 | 5 | 5 |
| 2024 May | 0 | 3 | 3 |
| 2024 April | 0 | 2 | 2 |
| 2024 March | 0 | 16 | 16 |
| 2024 February | 0 | 17 | 17 |
| 2024 January | 0 | 4 | 4 |
| 2023 December | 0 | 10 | 10 |
| 2023 November | 0 | 15 | 15 |
| 2023 October | 0 | 36 | 36 |
| 2023 September | 0 | 16 | 16 |
| 2023 August | 0 | 28 | 28 |
| 2023 July | 0 | 57 | 57 |
| 2023 June | 0 | 34 | 34 |
| 2023 May | 0 | 50 | 50 |
| 2023 April | 0 | 39 | 39 |
| 2023 March | 1 | 60 | 61 |
| 2023 February | 0 | 28 | 28 |
| 2023 January | 0 | 33 | 33 |
| 2022 December | 0 | 26 | 26 |
| 2022 November | 0 | 50 | 50 |
| 2022 October | 0 | 27 | 27 |
| 2022 September | 0 | 30 | 30 |
| 2022 August | 0 | 29 | 29 |
| 2022 July | 0 | 19 | 19 |
| 2022 June | 0 | 17 | 17 |
| 2022 May | 0 | 35 | 35 |
| 2022 April | 0 | 14 | 14 |
| 2022 March | 0 | 21 | 21 |
| 2022 February | 0 | 21 | 21 |
| 2022 January | 0 | 68 | 68 |
| 2021 December | 0 | 31 | 31 |
| 2021 November | 0 | 22 | 22 |
| 2021 October | 0 | 31 | 31 |
| 2021 September | 0 | 25 | 25 |
| 2021 August | 0 | 23 | 23 |
| 2021 July | 0 | 22 | 22 |
| 2021 June | 0 | 12 | 12 |
| 2021 May | 0 | 21 | 21 |
| 2021 April | 0 | 41 | 41 |
| 2021 March | 0 | 31 | 31 |
| 2021 February | 0 | 20 | 20 |
| 2021 January | 0 | 13 | 13 |
| 2020 December | 0 | 12 | 12 |
| 2020 November | 0 | 8 | 8 |
| 2020 October | 0 | 16 | 16 |
| 2020 September | 0 | 7 | 7 |
| 2020 August | 0 | 21 | 21 |
| 2020 July | 0 | 3 | 3 |
| 2020 June | 0 | 6 | 6 |
| 2020 May | 0 | 22 | 22 |
| 2020 April | 0 | 14 | 14 |
| 2020 March | 0 | 15 | 15 |
| 2020 February | 0 | 17 | 17 |
| 2020 January | 0 | 15 | 15 |
| 2019 December | 0 | 6 | 6 |
| 2019 November | 0 | 10 | 10 |
| 2019 October | 0 | 7 | 7 |
| 2019 September | 0 | 9 | 9 |
| 2019 August | 0 | 10 | 10 |
| 2019 July | 0 | 17 | 17 |
| 2019 June | 0 | 27 | 27 |
| 2019 May | 0 | 45 | 45 |
| 2019 April | 0 | 26 | 26 |
| 2019 March | 0 | 10 | 10 |
| 2019 February | 0 | 9 | 9 |
| 2019 January | 0 | 6 | 6 |
| 2018 December | 0 | 4 | 4 |
| 2018 November | 0 | 12 | 12 |
| 2018 October | 0 | 7 | 7 |
| 2018 August | 0 | 2 | 2 |
| 2018 July | 0 | 1 | 1 |
| 2018 June | 0 | 1 | 1 |
| 2018 March | 1 | 0 | 1 |
| 2018 February | 13 | 8 | 21 |
| 2018 January | 10 | 3 | 13 |
| 2017 December | 18 | 2 | 20 |
| 2017 November | 13 | 8 | 21 |
| 2017 October | 14 | 6 | 20 |
| 2017 September | 14 | 11 | 25 |
| 2017 August | 13 | 17 | 30 |
| 2017 July | 0 | 4 | 4 |
| 2017 June | 0 | 1 | 1 |
| 2017 May | 0 | 8 | 8 |
| 2017 April | 0 | 2 | 2 |
| 2017 March | 0 | 4 | 4 |
| 2016 November | 1 | 1 | 2 |
| 2016 June | 0 | 6 | 6 |
| 2016 May | 0 | 1 | 1 |
| 2016 February | 0 | 1 | 1 |
| 2016 January | 0 | 1 | 1 |
Show all
