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Gil Rodrigo, C. Martínez Buendía, V. Gil Espinosa, P. Herrero Puente" "autores" => array:4 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Gil Rodrigo" "email" => array:1 [ 0 => "adri.gil.rodrigo@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Martínez Buendía" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "V." "apellidos" => "Gil Espinosa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "P." "apellidos" => "Herrero Puente" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital General Universitario, Alicante, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Quirónsalud, Málaga, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Clínic, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Central de Asturias, Oviedo, Asturias, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Consideraciones de la ecografía en la congestión residual en la insuficiencia cardíaca" ] ] "textoCompleto" => "We read with interest the article by Pérez Calvo et al. titled “Residual congestion and clinical intuition in decompensated heart failure”<a class="elsevierStyleCrossRef" href="#bib0005">1</a> regarding the early detection of residual congestion in patients with heart failure (HF). Though the authors highlight the undeniable utility of ultrasound in HF diagnosis, particularly during decompensation, they state that there is no proof of its reliability to estimate congestion.We would like to point out that in “residual congestion”, in cases with relative clinical stability, the intuition mentioned in the article and the considerations of the survey respondents could result in suboptimal utility in terms of preventing decompensation due to its low sensitivity in subclinical stages. Despite the lack of standardised detection methods and adjustment of diuretic treatment, diagnostic tools do exist that complement and improve the profitability of clinical semiology and patient perception.<a class="elsevierStyleCrossRef" href="#bib0010">2</a>Lung ultrasound provides a semi-quantitative method via counting B-lines, achieving greater diagnostic performance than methods used until now, even in the aforementioned disease stages. Numerous publications report its prognostic utility, both in hospitalised patients and in outpatient services. It constitutes a short- to mid-term predictive indicator of complications following hospital discharge, enabling the significant association between the number of B-lines and post-discharge complications (hazard ratio at 60, 90 and 180 days of 3.30 [95% CI, 1.52–7.17; p = 0.002], 2.94 [95% CI, 1.46–5.93; p = 0.003] and 2.01 [95% CI, 1.11–3.64; p = 0.021], respectively<a class="elsevierStyleCrossRef" href="#bib0015">3</a>).Though protocols to integrate the technique have been put forward<a class="elsevierStyleCrossRefs" href="#bib0020">4,5</a> and while we recognise the lack of standardisation of use in daily clinical practice, its diagnostic performance should not be questioned because of sufficient supporting scientific evidence." "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2020-01-15" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Gil-Rodrigo A, Martínez Buendía C, Gil Espinosa V, Herrero Puente P. Consideraciones de la ecografía en la congestión residual en la insuficiencia cardíaca. Rev Clin Esp. 2021;221:429–430." ] ] "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" => "La congestión residual y la intuición clínica en la insuficiencia cardiaca descompensada" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.I. Pérez Calvo" 1 => "J. Rubio García" 2 => "C. Josa Laorden" 3 => "J.L. Morales Rull" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rce.2019.02.004" "Revista" => array:6 [ "tituloSerie" => "Rev Clin Esp." "fecha" => "2019" "volumen" => "219" "paginaInicial" => "327" "paginaFinal" => "331" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31005262" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Insuficiencia cardíaca aguda: básico conocer al paciente" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F. Formiga" 1 => "D. Chivite" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Emergencias." "fecha" => "2018" "volumen" => "30" "paginaInicial" => "145" "paginaFinal" => "146" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29687666" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lung ultrasound in acute heart failure: prevalence of pulmonary congestion and short- and long-term outcomes" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Platz" 1 => "R.T. Campbell" 2 => "B. Claggett" 3 => "E.F. Lewis" 4 => "J.D. Groarke" 5 => "K.F. Docherty" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jchf.2019.07.008" "Revista" => array:6 [ "tituloSerie" => "JACC." "fecha" => "2019" "volumen" => "7" "paginaInicial" => "849" "paginaFinal" => "858" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31582107" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prognostic value of residual pulmonary congestion at discharge assessed by lung ultrasound imaging in heart failure" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Coiro" 1 => "P. Rossignol" 2 => "G. Ambrosio" 3 => "E. Carluccio" 4 => "G. Alunni" 5 => "A. Murrone" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/ejhf.344" "Revista" => array:6 [ "tituloSerie" => "Eur J Heart Fail." "fecha" => "2015" "volumen" => "17" "paginaInicial" => "1172" "paginaFinal" => "1181" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26417699" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence, pattern and clinical relevance of ultrasound indices of congestion in outpatients with heart failure" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Pellicori" 1 => "P. Shan" 2 => "J. Cuthbert" 3 => "A. Urbinati" 4 => "J. Zhang" 5 => "A. Kallvikbacka-Bennett" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/ejhf.1383" "Revista" => array:6 [ "tituloSerie" => "Eur J Heart Fail." "fecha" => "2019" "volumen" => "21" "paginaInicial" => "904" "paginaFinal" => "916" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30666769" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022100000007/v1_202107290541/S225488742100076X/v1_202107290541/en/main.assets" "Apartado" => array:4 [ "identificador" => "71813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Correspondence" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022100000007/v1_202107290541/S225488742100076X/v1_202107290541/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488742100076X?idApp=WRCEE"]

Revista Clínica Española (English Edition)

ISSN: 2254-8874

Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI).
The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Ten issues are published each year, including mostly originals, reviews and consensus documents.

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2.3

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0.7

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0.162

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0.211

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