Valvulopat_237_as_5_NNBOOKMOBIE#h#0)S08/@ Io QXq`OhOoYsw|Q5 "z$&L(*,.0D246M8:+<>L@pBDCMOBIzE(, P! EXTHd 5j!2011-09-16 20:38:10+00:00l3calibre (0.8.15) [http://calibre-ebook.com]q,61091876-5836-468b-8302-e7f7d1402a4a EBOKValvulopatías (5)Valvulopatías (5)
VALVULOPATÍASstudioe삈unciónentricularurrelaconqmorfometríanes estenosisórticaraveintomá׈77Ԁψ3982RESUMENooooooom8491oohINTRODUCCIÓ7o12440MATERIALÉTODO0/τ204"zLTAOOOoOOOOOK761oO>DISCUSCOOOOOτOOO36234OOCONCLmog877MARY7τ76r(mbp:pagebreakdalign="justifyHsize="2>  wwwwwwwb׃т߂ߋօVA1emGB"4xiEP_/134i>RXtionshipfֈƉ ndorph"ynЁXsthympPcevereoQӈ܄ǐGALEJANDROITAiembroitSodadrg inaCarlog τwwwwWW>ospitalnis`rhA0r(ServicCiru1vas7R-cEcocګ fyemod8mia)߆߆߆߆ߕ߆>nPtutFisiopat͆(xBuiresېoocibido : 25/10/2010G߁߁Acepta12߃''&DЋparae9ta:/">Dr.lej0H">I,lǂǂDzv.uanomingoer150_(B1629AHJ)i1-cia. ss.">e-mail:h@cas.a.edu.arߑ''"1em'rb>RESUMENX߁IoduCEnastenosisórtica,lecanismoedaptacióniocárdH sobrhrgaYpresBeshipertrofiaentricular.ifer8trabajosanlaadocorreĺeyructuraunWWTpor76susiblsociLcovoluppatologí_ZSimbo, c 8que8valúasaria@:azonhQmpens (sincremoignif tivlésrietal)fraceyelserv.ObjeshEu@Ȏ>r(stólSdiavpP)grav@ipmá|onar"lhcolágpИheait9MatelXmétodׁׁSJur12dad 65 ± 13osexoasi58%, 6٘galvK lizDopplerisҋ d8co;(imyfe8 biops xoa`mixOOOOK (mm2(ainfeptumbasx14% (IIC9-19)pebyó'PivQ煩771(coeӃ–9; =03PNPoo߄߄߄߄ݍR׌׌׌׌ׅ15U8H+dP/dth0oo>Xxb>orx`YƈfX8diás2íXozquierxobPi إoPmodinámicjnPfeglGF9405ӮtaaíM(tau)&l 553,@(p <5olp0!OOJ1F4Conclu¢4l:8bajomuq0(lex@ al(b__rO@msAru8ral,xREVRGENTARDIOL 2011;79:329-337c ׁOONPalabr8cl>ŎKváo-ƌ튊i-orfome-ɉNy)/υυAbreviasǁǁDTI     opplerłEAoGS7gvar {Po ÍndicRép%FAFGe tamyooomMuGGCesopXetaleyߢ_\___ZHVI_ipertrofrfICInsufeardoomMeasM__ierda</p>PFDVI    E!resiónei:diástolPelentrículozquierdo߆NV__Zbr>p(N1emINTRODUCCIÓNA3Lanfermedadalvularontinúaendonaausaayoramorbi(tali.nosstad@Uni8,asopatíxrepanl 10% 20toIcas0cirugȀrd@yorc)jeltoYpacterdiológic;manejolín.atmográfDmuestrquedminsuP(cia (IC))etosoronar8áHss(onXcremp҃PV. G_>[1]Eecanismadap(zфYob(arg𧅕xhipertrofbi(HVI)cu(_coP)proce@ oύ///73609//[3///w(nuypI lWlrés ieP,afecyqstituyse?:y sipenP`mpulmi ɉ?volu{fɃGGG3994GG[4GGGwʼnuxrေs(di@on~iuctu`ybu0茀ia?? ( 戀,sícsu8=s`IC9motiv"numerobajos4246[5wJsize="2">,???74633??[6???wgggg07507g>[7gggwgggg`445gg[8gggw>0Simb@o,0caQH08 úaKxb9(I٪ensp (spgn/-)Ifray-(Fey)ervKúltimHañ0hxdesarronu8Pécncoxxgráɲmitin/r@ober form$nH=xboء@itambiéB~ib⿙iXrmek:!Ȃctil`Ǖϕϕϕ89Ǖ>[9ϕϕπwՆpnP\٪eop`rsDT!y3eYanáli0ásiguɉ_[rg de'(Xain͹oate6178[10wstsDرuφivٗa met䜷lHje7fiugru0pxDenoaórtgrav`oh(EAoGS(lzornciónentricularistólicaiaworrelacionHlosallazgPfunles@nasodif؀ɀestructur*observad@enu`deiopsia.


MATERIALÉTODOS؂3pׁSeu8rprospectivamente 12as (edad 65 ± 13ños),l 58%sexoas@ino,:EAoGSorcocardiografíaoppler (áreaalv < 1m2[11]a/*ws'''Lraq8aL(FA)}cal : (DD–SVI) /Ā× 100:e_X,ʁ'o)vol9Ӹ létISimpshfórm0VFD*VFSp)h:f8se,sí ooo7692ooh2ooow.AAsrieooooh72ׄoi3ooowדדײͦr8idiXsl (mates),ĕHpulsIoffinӈ0aaluab(f߂gAxrvelxtiscm/segoOa (S)𠠁'#s’llenpe!Reau2aV.dem,)hۨcniin`ylO"basum,lHuPcmanplOI (َ\iré@icho@ demin pinegativXcurvuegCQRS("ilraobse̳+nбAerrcIoa,anrl 8%8A,6%,spHivP.́ȋp(M٬úneveuxPReekh Xerxirg/mJsize="2">2p>) (Ih, íXc!3veizqrda0M(g) = 1,04(SIVD +P1)774377>؁ׁׁׁ׆]13,6 R:Ozo^;:aedsXi)o747[14w">W0hYr7 (EPPmmgg` oASxgrad(9 / 2) / PPD (PAS:resiónrterialistólica,SVI:iámetroPa`elentrículozquierdo,ParedosornJstole). [15]Paraa@cyzactisular,smágeneselmacenaronn frameateayde 100/segundon(ngntensidadqsoniP–80 0B.eminóaHAbackscat‚graZsuespectivacrediajumiautotkregrés.br )//,EstuYhemod`mȍrealiz//Av;irugíaindividuos (eQ57 ± 8ños)n gnHVIipfzco(ُincluyemorupolkGGGFpunch8rales avanrimaéSwan-GsiciavWQpulm ,onefXu x:jyyvolum(d9xIlu.uehrformHcu EXu@`iof hohso.УptirИ2rodujderechwquooo.inI,/ƒ isɔ(strarɭfai؀Viaorta/VI07(bR@emomputz(PolíohilipsPER (XIM)pxInrty1Ver 1.2.0.1474)ᇸaHnsductEdwsifcpceBmi؅Hsbp:_@藟{q(P,mg)vfxʶdDF.desZcalJon`ocxiass]gggc(+dP/dtBsize="2">&b><)invhJe ͍urgapḻ1ecaí expPȆׁ*u@xpíorelajisoúxtauin@tiemh9currasPnca0!50%uinЅ(ߊߊ50ϊ>paQohshloi–772DQЎgcgeno@ft(a߂DԼǓ*re`lazv*@ٳu0r)biops21-2훹Afijinaol buf`BSoaa osiñ"Picrrius d ntif蛰ty aԡ́áP*mitos.ԁsrdϯ- copiolyhMo@oX 31TSFycáigit z铸p⡋yda8(ImaPr`l6.0фen*400×.ÛI0`lutHVobten*autjividufeȀXpcauac@al772Análisxí9ovscretkp(|fusHtaje71ecodiográ!jtinuςoAb(@1iSr0ICElPpσ7smodi ±rránd((EEdEna Tab1euestrasaracterísticecodiográfdepociónstudiada.osenteponAoGSresarunncremoignitivoespesomared`lImasa(ricular,uye`nueI199/m2/a (IIC 166-268)93_____^89-09)Htrol(p < 0,05).demás,lradZoalvQorta/`(Doppler)}52mg42-67háreórЌGivaقxisminuida (M8;ɄH0,6-1)ompbleenosisve.FunCgrstól8x774LēFeyVFA73%68%-78%l 3531%-40`2upod72%3-774326%(pec 7OOH=ssí,Yobserva`f͇0bombaȁpt0gíˋWWVacYmosoXietal (FAMl 20Ѐ!14,2-20,9%oo22,4 18,3-24green">`imoco8idZ 8me(yo`hMiinngincaldqDT?98-23y1,9-19O773}1PxanáliA֜?rw0fpnicoazgCreMambitructuramoófere`0e3s___//*5809///@//,ؙhyriȀhemohIpHWST 3931-145 591״H.΍ub؋Ǿ+dP/dt>8xb><[hda1.5854231)v1.959 .28.590/seg`??R_/wwwweDF(véa`)i=di_h[47:43-51p<,:45-54)]ǎŕǓדEst ultvyrRax)hiperpfiampenssi!lat$stir.Ӂergo炰mX8Hreoliem( YjLr,86(80-967713_ 95-120φOzonsChr0cXҟ50> taui YínColágenoorfometría

Figura 2)8suexistenncremoignificativoecomponeDmatrizYelularnosQsiAoGS (3,53 ± 0,1% vs. 6,17%; <h05).ortroxdo,talIo净pPr,l áremiocitHOL70043OOO3OLuadaaxnosisórt (206,715,8mL/b388,4ggggggbbr)CorrelTHruct-fun??;SPxb>orxizApPDFVI (/#)󈇒fegzס94REsqugizcamscߍfibrjeifia)@dynrovocДaí(dh(iخctil,ᮀa֒aombre˃22365;ch喐fueetec񕋇u@ínHcdiog8@cisha.tólIRЎJH(l(sFAM,tapĎςc xscripP۞mesmodinXK*?iaxh8El50>3i癩0,814)Hu虧maydžXonsYshltyHCj'rBgreen"> ݁''%0PFD`WSdi̐lI@volumxם@0,568eorigidez?ar.̶pX͝ߕϕ̡٠rafyopplerQ3zaj//br`)'1em'!DISCUSIÓNp3Estu(9 @EAoGS,peyWWWexЂX߂pwsx!ҭߴݞa(a??ArPvaórt,!pucselec3+;mopquirúrg82>,Kiׅ׋0atgށXȋPlɇ ŎۀYmaldis.ٛrmiincreKmIlidaderio(صRĀg>8504[16]' hwpsí[ osgej.897w">Des`i:Alínico,asuíaserácticaontemponeestablecen,noelativolomentouirúrgicoJdiciónalvularllazouandopaciesHaímPxisdeterioroуPfunDricexa`naey < 50%. [18]5n߂؂udiaro{s1hbidanosisóasu {``ructumioPrdemob׏A ág,deXlos2itHy IC.i(mbarg@hautseXsu(ru؂шotilizxclusiva9 .ԓh IonKߑچBepu6l›lilogJnaycis e$szanaژ2om^ib71ǒ19>e8mejPsibdadespЛ耂 AMңc+1Ȋ*is77;nuoQbajopuobjealȓ_8ho,JSOáleí rPKԦ,+dP/dtrxHXeteca (PFDVI),0jbaوul Yr"ߒwt.σzs ӹcanálinco(XfDopbWTEAravIervP,“ónv,wwwp607ww[20wwww𲈓ningú12l._[K>tYmeminGnT3duwf(wp)3olHςÌzρincreq)l;*gieЅwwt8nikYromis݇7PolWeb__?0999[21wfirX|gbvolupdo1sue0as@ar`ÒH 2cuád0(inx`zWWiCYex@viZG_7 tar,9/ .HcaɓRx)?jB2i`xтXitHybxb> /DFVI,>qhEDzu:$ڄ7wboH)áSj (> 50%gb@u]onditSXaDes!l3`siopplóg,e aa􈈙QsasȽbdi]sufCisua΃rg:croceshptHVI.síʌ*8a`eniЦ0Uímu(origin Px!Єan,i1neers 4mall></sup>araonvertirse,estaorma,nnolosecanismXfallaiocárdicaenentHu8rrelat"expresiónlín,aC.

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SUMMARYXxw3ws ONOKRelationshipfentricularuncndorphometrynЁXsthymptomcevereorrtenosis~mbp:pagebreakwwdalign="lef''$Backgroundrypertrophs@daptiveechanismthyocardiumoressu@oploadas.iffhntudiesapoxedorr,etweenpructfEǃdueʅ`siblPssociCdhlopm@pathologicalOrowth.ow,!ewevalu(ngseariashearcompens2_(Qout(sifȅPincp肘wall)ejefraJ//Obve灏Toeystolhydiat/r_s_[ߎہB??2norp8orefxnd-ǚ5durggahaegxh?(R9405).9ticonstdecatau)655%±3,5p <0,pSWWWWWP*1N4GGםןCConclus_\hhstudyxm1rsBnc8fீl(WGGR??thaߞtructurchangٔicle,ekawirstp)>Keyord >!cSe-֙Ɗ-̈́$MorphometryI'lÆ$l="jufy (n = 12)Septumσ 8-9,757777777775,3*/////////,2,5-1'OOO׃Paredosioׄ?w///wwwȃl׃777777777׃////////-1-14,אאאאׄOOO׃׃Masa (g/m
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Fig. 1.h'!epresentaciónelomportamioos índicesrelajv(ricularpanpA' )au온alW7WPBW'T.ebservónncrem s8ificativzambsn쀀pconstenosisórt,videnciando!enlciWla. * < 0.05 OOjvsOtrol'''ǁǁǁǁǁǮǁǁǫ 1493464777ǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁdzGGGGGGGGтY7r2wMicrofotografíajmu`r`paraiopsiaeñidiPsiriusdixuȰW''Qca''ElráXo8preshaxcYXcolágue ?ivaщayor 0,?n״2״ד508507הh?//υoǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁontizրe="2"> 

<1izǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁǁa8 dalign="justify|{color="greenWxb>Fig. 3.panel[1]<ЁRSupinoG,orhJS,in.h@pidelogyfalvixartise@:@mergingubliclthroblem.dvaol 2002;39:1-6Ow'wwr345wws2wwrRobertsCxort0etens@dcongenityalformedၯe:C,d@r.ÁȊ:D;dults.hiladelphia:Aavis; 1979.. 416-276g3fontize="2">ohnN,errari,harpe.ardiacemodeling–onceptsnd〰icalmplHtions:1sensusaperromnternBforumn_\.ehalffIǁFŅRmllol 2000;35:569-82.

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N4'@QxmκkitVFUs܋𚽲' KΎXގWz1w&y^|_6>|/{jr%uТ!2k's|EQI[O"lHWSDs9iN&t[N\Nz{^ ,-Gy_BCP_ ZibeDF{7?-Dx߾7EO!7OLC@btgso z@M rn[r1IGA$k޲";^sh*VYjگDWo+H}]Wz=[mu5x_|7%wT?&g7pCowT?&g7pCowT?&g7pGY;,Yk=2{]#Wo+Hu Ra:Z*A^tnj'#Ψ6_oe%E٠7)\r5S>i`}òo.dp즛 ;)Gi`}e+i'%=Z"ZMT'vBԎ!_G]%]5S) d{UcҊBh6z MRu;W~ikEL&s g)i-ek ?_->V`||[wwd`EQU+*dP=ʉwn?ev7|q+[_?r~`nW _epϰoG=,Vrr:no[}ޭwϻտ:nz_->VaWj*)4[Wzxmֽ ^,;vi`g#K<X?nw]c}_k⨂y (?\||[wuoint>*yƣ*wM )eIIL2g55'm="+\T^t.DDL"a \ƫj+.7JPGAgUɜʍҊL3&+sە\*}ʦP1$Cj1]LS(FLISAFCISC  Estudio de la función ventricular y su correlación con la morfometría en pacientes con estenosis aórtica grave sintomática - Archivo PPCT

Estudio de la función ventricular y su correlación con la morfometría en pacientes con estenosis aórtica grave sintomática;
Relationship of Ventricular Function and Morphometry in Patients with Symptomatic Severe Aortic Stenosis

Creators:Hita, Alejandro; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia), Donato, Martín; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires), Baratta, Sergio; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiolog, Chejtman, Demián; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia), Costantini, Ricardo A.; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia), Telayna, Juan M.; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia), Matoso, Mirian; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires), Morales, Celina; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires), Gelpi, Ricardo J.; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires), Navia, José; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)

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Descripción

ObjetivosEvaluar la función ventricular sistólica y diastólica en pacientes con estenosis aórtica gravesintomática con fracción de eyección conservada y correlacionarla con el volumen de colágenoy el área miocitaria.Material y métodosSe estudiaron 12 pacientes, edad 65 ± 13 años, sexo masculino 58%, con estenosis aórticagrave sintomática y 6 pacientes sin patología valvular. En todos se realizaron Doppler tisulary cateterismo cardíaco; asimismo, se efectuaron biopsias intraoperatorias para determinar elvolumen de colágeno y el área miocitaria (mm2).ResultadosLa media ± error estándar del volumen de colágeno fue del 6,1% ± 0,7%, la del área miocitariafue de 388,4 ± 15,8 mm2 y la mediana del strain tisular del septum basal fue del 14% (IIC 6,9-19). Se observó una correlación significativa entre el strain tisular del septum y el volumende colágeno (coeficiente de correlación de -0,79; p = 0,03). No se observó correlación entre elstrain tisular del septum y el área miocitaria (R2 = 0,15; p = 0,8). La +dP/dtmáx normalizadapor presión de fin de diástole del ventrículo izquierdo obtenida en estudio hemodinámico secorrelacionó en forma negativa con el área miocitaria (R –0,94; p = 0,005). La constante decaída de la presión (tau) se incrementó el 55% ± 3,5% (p &lt; 0,05) y se correlacionó positivamentecon el área miocitaria (R = 0,81; p = 0,04).

ObjectivesTo evaluate systolic and diastolic ventricular function in patientswith symptomatic severe aortic stenosis with preservedejection fraction and its correlation with collagen volumefraction and myocyte cross-sectional area.Material and MethodsA total of 12 patients with symptomatic severe aortic stenosiswere evaluated and compared with 6 patients withoutvalvular heart disease; mean age was 65±13 years and 58%were men. All patients underwent tissue Doppler imagingand cardiac catheterization. Endomyocardial biopsies wereobtained to determine collagen volume fraction and myocytecross-sectional area (mm2).ResultsMean collagen volume was 6.1±0.7%; mean myocyte crosssectionalarea was 388.4±15.8mm2 and median strain in thebasal septum was 14% (IIC 6.9-19). There was a significantcorrelation between septal strain measured by tissue Dopplerimaging and collagen volume fraction (correlation coefficient–0.79; p = 0.03). We found no correlation between septalstrain and myocyte cross-sectional area (R2 = 0.15; p = 0.8).The max positive dP/dt normalized for left ventricular enddiastolicpressure obtained during cardiac catheterizationhad a negative correlation with the myocyte cross-sectionalarea (R –0.94; p = 0.005).The time constant of pressure decay(tau) increased by 55%±3,5% (p &lt;0,05) and had a positivecorrelation with the myocyte cross-sectional area (R = 0.81;p = 0.04).ConclusionThis study demonstrates the presence of anomalies in diastolicand systolic function in patients with symptomatic severeaortic stenosis and preserved ejection fraction that correlatewith structural changes in the left ventricle, represented byincreased interstitial collagen volume fraction and myocytecross-sectional area.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 79, No 4 (2011); 329-336, Argentine Journal of Cardiology; Vol 79, No 4 (2011); 329-336

Citación

Hita, Alejandro; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia) et al., “Estudio de la función ventricular y su correlación con la morfometría en pacientes con estenosis aórtica grave sintomática,” Archivo PPCT, consulta 1 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/7860.

Dublin Core

Autor

Hita, Alejandro; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)
Donato, Martín; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires)
Baratta, Sergio; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiolog
Chejtman, Demián; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)
Costantini, Ricardo A.; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)
Telayna, Juan M.; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)
Matoso, Mirian; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires)
Morales, Celina; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires)
Gelpi, Ricardo J.; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires)
Navia, José; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)

Fuente

Revista Argentina de Cardiología; Vol 79, No 4 (2011); 329-336
Argentine Journal of Cardiology; Vol 79, No 4 (2011); 329-336

Editor

Sociedad Argentina de Cardiología

Fecha

2011-09-26

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Idioma

spa
eng

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion