Correspondence
Continued research into nonverbal language in chest pain of coronary origin
Sigamos investigando sobre el lenguaje no verbal en el dolor torácico de origen coronario
G. Llopis García, M.C. Yañez-Palma, S. Iglesias López, E. Rodríguez Adrada
Corresponding author
Servicio de Urgencias, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
Read
13
Timeswas read the article
7
Total PDF
6
Total HTML
Share statistics
array:25 [ "pii" => "S2254887418300262" "issn" => "22548874" "doi" => "10.1016/j.rceng.2017.12.006" "estado" => "S300" "fechaPublicacion" => "2018-05-01" "aid" => "1463" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2018;218:210" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2 "PDF" => 2 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0014256518300225" "issn" => "00142565" "doi" => "10.1016/j.rce.2017.12.006" "estado" => "S300" "fechaPublicacion" => "2018-05-01" "aid" => "1463" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2018;218:210" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 30 "formatos" => array:2 [ "HTML" => 24 "PDF" => 6 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondencia</span>" "titulo" => "Sigamos investigando sobre el lenguaje no verbal en el dolor torácico de origen coronario" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "210" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Continued research into nonverbal language in chest pain of coronary origin" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Llopis García, M.C. Yañez-Palma, S. Iglesias López, E. Rodríguez Adrada" "autores" => array:4 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Llopis García" ] 1 => array:2 [ "nombre" => "M.C." "apellidos" => "Yañez-Palma" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Iglesias López" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Rodríguez Adrada" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2254887418300262" "doi" => "10.1016/j.rceng.2017.12.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300262?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518300225?idApp=WRCEE" "url" => "/00142565/0000021800000004/v2_201805060410/S0014256518300225/v2_201805060410/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2254887418300274" "issn" => "22548874" "doi" => "10.1016/j.rceng.2017.12.007" "estado" => "S300" "fechaPublicacion" => "2018-05-01" "aid" => "1465" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2018;218:211" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2 "PDF" => 2 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>" "titulo" => "«“Hand gestures” in chest pain of coronary origin»" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "211" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "«La “danza de las manos” en el diagnóstico del dolor torácico de origen coronario»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.J. Montero-Pérez, F.B. Quero-Espinosa" "autores" => array:2 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "Montero-Pérez" ] 1 => array:2 [ "nombre" => "F.B." "apellidos" => "Quero-Espinosa" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256518300249" "doi" => "10.1016/j.rce.2017.12.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518300249?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300274?idApp=WRCEE" "url" => "/22548874/0000021800000004/v2_201805060420/S2254887418300274/v2_201805060420/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2254887418300481" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.02.007" "estado" => "S300" "fechaPublicacion" => "2018-05-01" "aid" => "1477" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2018;218:208-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2 "PDF" => 2 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Medicine in images</span>" "titulo" => "An atypical cause of pulmonary hypertension in the elderly" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "208" "paginaFinal" => "209" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Una causa atípica de hipertensión pulmonar en el anciano" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1228 "Ancho" => 1067 "Tamanyo" => 119867 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Jorge-Ripper, P. Vega-Ocaña" "autores" => array:2 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Jorge-Ripper" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Vega-Ocaña" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256518300584" "doi" => "10.1016/j.rce.2018.02.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518300584?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300481?idApp=WRCEE" "url" => "/22548874/0000021800000004/v2_201805060420/S2254887418300481/v2_201805060420/en/main.assets" ] "asociados" => array:1 [ 0 => array:19 [ "pii" => "S2254887418300274" "issn" => "22548874" "doi" => "10.1016/j.rceng.2017.12.007" "estado" => "S300" "fechaPublicacion" => "2018-05-01" "aid" => "1465" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2018;218:211" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2 "PDF" => 2 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>" "titulo" => "«“Hand gestures” in chest pain of coronary origin»" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "211" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "«La “danza de las manos” en el diagnóstico del dolor torácico de origen coronario»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.J. Montero-Pérez, F.B. Quero-Espinosa" "autores" => array:2 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "Montero-Pérez" ] 1 => array:2 [ "nombre" => "F.B." "apellidos" => "Quero-Espinosa" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256518300249" "doi" => "10.1016/j.rce.2017.12.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518300249?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300274?idApp=WRCEE" "url" => "/22548874/0000021800000004/v2_201805060420/S2254887418300274/v2_201805060420/en/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>" "titulo" => "Continued research into nonverbal language in chest pain of coronary origin" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "210" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "G. Llopis García, M.C. Yañez-Palma, S. Iglesias López, E. Rodríguez Adrada" "autores" => array:4 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Llopis García" ] 1 => array:2 [ "nombre" => "M.C." "apellidos" => "Yañez-Palma" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Iglesias López" ] 3 => array:4 [ "nombre" => "E." "apellidos" => "Rodríguez Adrada" "email" => array:1 [ 0 => "fleischmangirl@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Urgencias, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sigamos investigando sobre el lenguaje no verbal en el dolor torácico de origen coronario" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have read with interest the article by Montero-Pérez et al. on the diagnostic validity of nonverbal language in coronary pain, which concluded that certain hand gestures are not useful for understanding the ischemic etiology of a chest pain.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Although we agree with some of the conclusions, we would like to discuss some of the issues.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Firstly, the study sample should have been divided according to groups with a greater likelihood of atypical presentation, such as the elderly, women and patients with diabetes.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> Secondly, it would have been appropriate to consider aspects such as the patient's cultural level, previous history of other chest pain episodes (of coronary origin or not) and other factors that could have affected the level of information on the chest pain, given that the patients might illustrate the pain with gestures that depend on their prior experience and education level.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Finally, if the objective was to try to associate the chest pain with the nonverbal language, future studies should delve further into other signs such as the presence or absence of vegetative symptoms, tachypnea and simply the patient's general impression.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Given the above and despite the results shown by Montero-Pérez et al., further research is needed on any clinical aspect that can contribute to improving the diagnosis of acute coronary syndrome in emergency departments, so that decisions can be made quickly on the appropriate treatment and destination.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: García Llopis G, Yañez-Palma MC, Iglesias López S, Rodríguez Adrada E. Sigamos investigando sobre el lenguaje no verbal en el dolor torácico de origen coronario. Rev Clin Esp. 2018;218:210.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validez diagnóstica del lenguaje de manos en el dolor torácico de origen coronario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F.J. Montero-Pérez" 1 => "F.B. Quero-Espinosa" 2 => "M.J. Clemente-Millán" 3 => "J.A. Castro-Giménez" 4 => "J. de Burgos-Marón" 5 => "M.Á. Romero-Moreno" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rce.2017.02.019" "Revista" => array:6 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "2017" "volumen" => "217" "paginaInicial" => "252" "paginaFinal" => "259" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28410822" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gender differences in management and outcomes in patients with acute coronary syndromes: results on 20290 patients from the AMIS Plus Registry" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "on behalf of AIM Plus Investigators" "etal" => false "autores" => array:6 [ 0 => "D. Radovanovic" 1 => "P. Erne" 2 => "P. Urban" 3 => "O. Bertel" 4 => "H. Rickli" 5 => "J.M. Gaspoz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/hrt.2006.106781" "Revista" => array:6 [ "tituloSerie" => "Heart" "fecha" => "2007" "volumen" => "93" "paginaInicial" => "1369" "paginaFinal" => "1375" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17933995" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prognosis of undiagnosed chest pain: linked electronic health record cohort study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K.P. Jordan" 1 => "A. Timmis" 2 => "P. Croft" 3 => "D.A. van der Windt" 4 => "S. Denaxas" 5 => "A. González-Izquierdo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "BMJ" "fecha" => "2017" "volumen" => "357" "paginaInicial" => "j1194" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28373173" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Are manual gestures, verbal descriptors and pain radiation as reported by patients reliable indicators of myocardial infarction? Preliminary findings and implications" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.W. Albarran" 1 => "B. Durham" 2 => "G. Chappel" 3 => "J. Dwight" 4 => "J. Gowers" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1054/iccn.2000.1484" "Revista" => array:6 [ "tituloSerie" => "Intensive Crit Care Nurs" "fecha" => "2000" "volumen" => "16" "paginaInicial" => "98" "paginaFinal" => "110" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11868594" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnóstico de síndrome coronario agudo en pacientes con dolor torácico en urgencias: ¿cambios a la vista?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F. Alfonso" 1 => "J. Salamanca" 2 => "E. Pozo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Emergencias" "fecha" => "2016" "volumen" => "28" "paginaInicial" => "6" "paginaFinal" => "8" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29094819" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021800000004/v2_201805060420/S2254887418300262/v2_201805060420/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/22548874/0000021800000004/v2_201805060420/S2254887418300262/v2_201805060420/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300262?idApp=WRCEE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 June | 0 | 1 | 1 |
| 2023 March | 6 | 3 | 9 |
| 2020 September | 0 | 1 | 1 |
| 2018 May | 0 | 1 | 1 |
| 2018 April | 0 | 1 | 1 |
