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"textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We are pleased that our article<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> merited the attention of García Llopis et al.,<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> and we would like to thank them for their interest in clinical medicine, at a time when a certain technocracy prevails, which apparently sidelines the value of anamnesis and the physical examination in preparing the clinical diagnosis.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A recent study<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> showed that, for patients who have gone to emergency departments due to chest pain and had negative results in the blood biomarkers and electrocardiogram and no signs of acute ischemia, the performance of noninvasive examinations (coronary angiography by computed tomography or stress test) leads to longer hospital stays, more examinations, radiation and costs, without improved clinical results, compared with the exclusively clinical assessment. This means the clinical value is still relevant.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In their book <span class="elsevierStyleItalic">La comunicación no verbal</span> (Nonverbal Communication),<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> a communication expert stated that most individuals are conscious of the movements of other people's hands, but generally ignore them, taking for granted that these are no more than meaningless gestures. The author goes on to say that gestures can, however, communicate and can sometimes help clarify a message, especially when the verbal message is unclear. At other times, gestures can unwittingly reveal emotions.</p><p id="par0020" class="elsevierStylePara elsevierViewall">It is true that our study<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> could have been adjusted for age, atypical manifestations and for many other clinical factors and variables. However, following the initiative of certain authors,<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> we wanted to investigate only the unequivocal meaning (by itself) of hand gestures in the general population who visited an emergency department due to chest pain, especially considering that illustrious medical treatises have considered this issue, such as the case with Levine's sign, which is pathognomonic of coronary artery disease.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Nevertheless, we agree with the criterion of certain experts<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> that any expressive sign by the patient, such as gestures, should be considered and interpreted, within logical limitations, as demonstrated in our study.</p></span>"
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