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Montero-Pérez, F.B. Quero-Espinosa" "autores" => array:2 [ 0 => array:4 [ "nombre" => "F.J." "apellidos" => "Montero-Pérez" "email" => array:1 [ 0 => "javiermonteroperez@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "?" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F.B." "apellidos" => "Quero-Espinosa" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Gestión Clínica de Urgencias, Instituto, Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "?" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "«La “danza de las manos” en el diagnóstico del dolor torácico de origen coronario»" ] ] "textoCompleto" => "We are pleased that our article<a class="elsevierStyleCrossRef" href="#bib0030">1</a> merited the attention of García Llopis et al.,<a class="elsevierStyleCrossRef" href="#bib0035">2</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.A recent study<a class="elsevierStyleCrossRef" href="#bib0040">3</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.In their book La comunicación no verbal (Nonverbal Communication),<a class="elsevierStyleCrossRef" href="#bib0045">4</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.It is true that our study<a class="elsevierStyleCrossRef" href="#bib0030">1</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">5</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.Nevertheless, we agree with the criterion of certain experts<a class="elsevierStyleCrossRef" href="#bib0045">4</a> that any expressive sign by the patient, such as gestures, should be considered and interpreted, within logical limitations, as demonstrated in our study." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "?" "nota" => "Please cite this article as: Montero-Pérez FJ, Quero-Espinosa FB. Réplica a «La “danza de las manos” en el diagnóstico del dolor torácico de origen coronario». Rev Clin Esp. 2018;218:211." ] ] "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 las 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 Marín" 5 => "M.A. 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" => "Sigamos investigando sobre el lenguaje no verbal en el dolor torácico de origen coronario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G. García Llopis" 1 => "M.C. Yañez-Palma" 2 => "S. Iglesias López" 3 => "E. Rodríguez Adrada" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rce.2017.12.006" "Revista" => array:5 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "2018" "volumen" => "218" "paginaInicial" => "210" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29478756" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Noninvasive cardiac testing vs clinical evaluation alone in acute chest pain. A secondary analysis of the ROMICAT-II Randomized Clinical Trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.W. Reinhardt" 1 => "C.J. Lin" 2 => "E. Novak" 3 => "D.L. Brown" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/jamainternmed.2017.7360" "Revista" => array:2 [ "tituloSerie" => "JAMA Intern Med" "fecha" => "2017" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La comunicación no verbal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. Davis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1989" "editorial" => "Alianza Editorial" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cardiac chest pain: does body language help the diagnosis?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.M. Edmondstone" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "BMJ" "fecha" => "1995" "volumen" => "31" "paginaInicial" => "1660" "paginaFinal" => "1661" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021800000004/v2_201805060420/S2254887418300274/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/S2254887418300274/v2_201805060420/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300274?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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SNIP 2023

0.211

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