Subscribe to this journal
Advanced Search
 array:25 [
  "pii" => "S2254887419300943"
  "issn" => "22548874"
  "doi" => "10.1016/j.rceng.2019.03.020"
  "estado" => "S300"
  "fechaPublicacion" => "2019-08-01"
  "aid" => "1651"
  "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
  "copyrightAnyo" => "2019"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "edi"
  "cita" => "Rev Clin Esp. 2019;219:320-1"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0014256519300827"
      "issn" => "00142565"
      "doi" => "10.1016/j.rce.2019.03.002"
      "estado" => "S300"
      "fechaPublicacion" => "2019-08-01"
      "aid" => "1651"
      "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "edi"
      "cita" => "Rev Clin Esp. 2019;219:320-1"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 51
        "formatos" => array:2 [
          "HTML" => 32
          "PDF" => 19
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
        "titulo" => "Calidad de vida&#44; adherencia y satisfacci&#243;n en pacientes con fibrilaci&#243;n auricular en tratamiento anticoagulante"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "320"
            "paginaFinal" => "321"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Quality of life&#44; compliance and satisfaction of patients with atrial fibrillation who are undergoing anticoagulant treatment"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46; Montero-P&#233;rez-Barquero, L&#46; Manzano"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Montero-P&#233;rez-Barquero"
              ]
              1 => array:2 [
                "nombre" => "L&#46;"
                "apellidos" => "Manzano"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2254887419300943"
          "doi" => "10.1016/j.rceng.2019.03.020"
          "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/S2254887419300943?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519300827?idApp=WRCEE"
      "url" => "/00142565/0000021900000006/v1_201907300642/S0014256519300827/v1_201907300642/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2254887419300566"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2019.03.005"
    "estado" => "S300"
    "fechaPublicacion" => "2019-08-01"
    "aid" => "1644"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "edi"
    "cita" => "Rev Clin Esp. 2019;219:322-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "Hepatitis C is a risk factor for cardiovascular disease"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "322"
          "paginaFinal" => "323"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "La hepatitis <span class="elsevierStyleSmallCaps">C</span> es un factor de riesgo para enfermedad cardiovascular"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "V&#46; Estrada, I&#46; Sagastagoitia"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Estrada"
            ]
            1 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Sagastagoitia"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256519300724"
        "doi" => "10.1016/j.rce.2019.01.012"
        "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/S0014256519300724?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419300566?idApp=WRCEE"
    "url" => "/22548874/0000021900000006/v1_201907300655/S2254887419300566/v1_201907300655/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2254887419300311"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2019.02.005"
    "estado" => "S300"
    "fechaPublicacion" => "2019-08-01"
    "aid" => "1598"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Rev Clin Esp. 2019;219:315-9"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1
      "HTML" => 1
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Brief Original</span>"
      "titulo" => "Galectina-3 as a biomarker of acute kidney injury risk in patients with decompensated heart failure"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "315"
          "paginaFinal" => "319"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Galectina-3 como biomarcador de riesgo de da&#241;o renal agudo en pacientes con insuficiencia cardiaca descompensada"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1068
              "Ancho" => 2489
              "Tamanyo" => 149398
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Galectin-3 levels according to acute kidney injury stage&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46; Sanchez-Serna, M&#46; Martinez-Villanueva, &#193;&#46; Hern&#225;ndez-Vicente, M&#46;C&#46; Asensio-Lopez, J&#46;A&#46; Noguera, D&#46;A&#46; Pascual-Figal"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Sanchez-Serna"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Martinez-Villanueva"
            ]
            2 => array:2 [
              "nombre" => "&#193;&#46;"
              "apellidos" => "Hern&#225;ndez-Vicente"
            ]
            3 => array:2 [
              "nombre" => "M&#46;C&#46;"
              "apellidos" => "Asensio-Lopez"
            ]
            4 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "Noguera"
            ]
            5 => array:2 [
              "nombre" => "D&#46;A&#46;"
              "apellidos" => "Pascual-Figal"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256518303072"
        "doi" => "10.1016/j.rce.2018.10.004"
        "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/S0014256518303072?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419300311?idApp=WRCEE"
    "url" => "/22548874/0000021900000006/v1_201907300655/S2254887419300311/v1_201907300655/en/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:19 [
      "pii" => "S2254887419301109"
      "issn" => "22548874"
      "doi" => "10.1016/j.rceng.2018.12.012"
      "estado" => "S300"
      "fechaPublicacion" => "2019-08-01"
      "aid" => "1621"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "fla"
      "cita" => "Rev Clin Esp. 2019;219:285-92"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "en" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
        "titulo" => "Quality of life&#44; adherence and satisfaction of patients with auricular fibrillation treated with dabigatran or vitamin K antagonists"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "en"
          1 => "es"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "285"
            "paginaFinal" => "292"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Calidad de vida&#44; adherencia y satisfacci&#243;n en pacientes con fibrilaci&#243;n auricular tratados con dabigatr&#225;n o antagonistas de la vitamina K"
          ]
        ]
        "contieneResumen" => array:2 [
          "en" => true
          "es" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figure 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 824
                "Ancho" => 1434
                "Tamanyo" => 34373
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Appropriate treatment compliance in month 6 according to the type of anticoagulant &#40;Morisky&#8211;Green test&#41;&#46; <span class="elsevierStyleItalic">Abbreviation</span>&#58; VKA&#44; vitamin K antagonists&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "V&#46; Barrios, C&#46; Escobar, G&#46; Bar&#243;n Esquivias, J&#46;J&#46; G&#243;mez Doblas, E&#46; Recalde del Vigo, L&#46; Segura Mart&#237;nez, P&#46; Alvarez Garcia, F&#46; Alonso Valladares, J&#46; Toril Lopez, J&#46;M&#46; Chopo Alcubilla"
            "autores" => array:10 [
              0 => array:2 [
                "nombre" => "V&#46;"
                "apellidos" => "Barrios"
              ]
              1 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Escobar"
              ]
              2 => array:2 [
                "nombre" => "G&#46;"
                "apellidos" => "Bar&#243;n Esquivias"
              ]
              3 => array:2 [
                "nombre" => "J&#46;J&#46;"
                "apellidos" => "G&#243;mez Doblas"
              ]
              4 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Recalde del Vigo"
              ]
              5 => array:2 [
                "nombre" => "L&#46;"
                "apellidos" => "Segura Mart&#237;nez"
              ]
              6 => array:2 [
                "nombre" => "P&#46;"
                "apellidos" => "Alvarez Garcia"
              ]
              7 => array:2 [
                "nombre" => "F&#46;"
                "apellidos" => "Alonso Valladares"
              ]
              8 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Toril Lopez"
              ]
              9 => array:2 [
                "nombre" => "J&#46;M&#46;"
                "apellidos" => "Chopo Alcubilla"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "es" => array:9 [
          "pii" => "S0014256519300189"
          "doi" => "10.1016/j.rce.2018.12.006"
          "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/S0014256519300189?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419301109?idApp=WRCEE"
      "url" => "/22548874/0000021900000006/v1_201907300655/S2254887419301109/v1_201907300655/en/main.assets"
    ]
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
    "titulo" => "Quality of life&#44; compliance and satisfaction of patients with atrial fibrillation who are undergoing anticoagulant treatment"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "320"
        "paginaFinal" => "321"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46; Montero-P&#233;rez-Barquero, L&#46; Manzano"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "M&#46;"
            "apellidos" => "Montero-P&#233;rez-Barquero"
            "email" => array:1 [
              0 => "fm1mopem@uco.es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Manzano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; IMIBIC&#47;Hospital Universitario Reina Sof&#237;a&#44; Universidad de C&#243;rdoba&#44; C&#243;rdoba&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital Universitario Ram&#243;n y Cajal&#44; Universidad de Alcal&#225; &#40;IRYCIS&#41;&#44; Madrid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Calidad de vida&#44; adherencia y satisfacci&#243;n en pacientes con fibrilaci&#243;n auricular en tratamiento anticoagulante"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Atrial fibrillation &#40;AF&#41; is a highly prevalent disease and is closely related to thrombotic events&#46; International guidelines therefore firmly recommend anticoagulant therapy with vitamin K antagonists &#40;VKAs&#41; or direct oral anticoagulants &#40;DOAs&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The health-related quality of life has been widely studied in patients treated with VKAs&#44; but there have been few studies on patients treated with DOAs&#46; The health-related quality of life has been assessed using various generic and specific quality-of-life tests&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#44;3</span></a> The information provided suggests that these patients quality of life is related to the frequent monitoring visits and dietary restrictions &#40;for VKAs&#41; and hemorrhagic complications and limited physical activity &#40;for both treatments&#41;&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Anticoagulant therapy compliance is a highly relevant aspect&#44; considering the risk that the incorrect taking of medication entails&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a> Numerous studies have evaluated VKA treatment compliance&#59; however&#44; our understanding of compliance with DOAs is highly limited&#44; with more than a quarter of patients presenting suboptimal compliance&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a> In terms of patient satisfaction&#44; the results so far are conflicting&#44; showing dissatisfaction due to problems of anxiety and depression&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">5</span></a> In other cases the results show a lower burden and greater perceived benefit&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">6&#44;7</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In this issue&#44; the results of an interesting article by Barrios et al&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">8</span></a> are presented&#46; The authors compared the quality of life&#44; treatment compliance and satisfaction between patients with anticoagulated AF taking VKA or dabigatran&#44; which was the first DOA introduced into clinical practice&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">9</span></a> The authors included more than 1000 patients treated in outpatient cardiology clinics&#46; Quality of life was assessed using the AF-QoL test&#44; which has been validated in Spain for this disease&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">10</span></a> The results showed that the patients treated with dabigatran had a better quality-of-life score at 6 months of follow-up&#44; results that differed from the reference clinical trial on dabigatran &#40;RELY&#41; that observed no differences in quality of life between the two treatment groups at 1 year of follow-up&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">11</span></a> The benefit of dabigatran observed in this new study could be an accurate reflection of clinical practice&#44; where the follow-up conditions are significantly different from those of a clinical trial&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Moreover&#44; the article by Barrios et al&#46; also analyzed the degree of compliance with these 2 groups of anticoagulants&#46; It is important to note that compliance with dabigatran was very high during the 6 months of follow-up &#40;approximately 90&#37;&#41;&#44; which was significantly greater than that of VKA &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#46; The authors note&#44; however&#44; that the follow-up period might have been too short and that the results might have been lower if the follow-up had been extended a year or more&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The study&#39;s most controversial issue is the assessment of the study patients&#8217; degree of satisfaction&#46; While most studies have estimated this parameter with a test that assesses the degree of patient wellbeing&#44;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">12</span></a> the present study measured it indirectly&#44; using a survey directed at the physicians responsible for the patients&#46; The survey was developed <span class="elsevierStyleItalic">ad hoc</span> for this study&#44; which collected the physician&#39;s perception of the patients&#8217; satisfaction with the treatment&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Despite these limitations&#44; the study by Barrios et al&#46; throws light on additional important aspects that have seldom been studied on anticoagulant therapy in patients with AF&#44; such as quality of life and treatment compliance&#46; The information provided by this study is a further test of the superiority of DOAs over VKA in cases of nonvalvular AF&#46; We congratulate the authors for their contribution&#46; Nevertheless&#44; these results should be corroborated in future studies&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Montero-P&#233;rez-Barquero M&#44; Manzano L&#46; Calidad de vida&#44; adherencia y satisfacci&#243;n en pacientes con fibrilaci&#243;n auricular en tratamiento anticoagulante&#46; Rev Clin Esp&#46; 2019&#59;219&#58;320&#8211;321&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:12 [
            0 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Kirchhof"
                            1 => "S&#46; Benussi"
                            2 => "D&#46; Kotecha"
                            3 => "A&#46; Ahlsson"
                            4 => "D&#46; Atar"
                            5 => "B&#46; Casadei"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/eurheartj/ehw210"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Heart J"
                        "fecha" => "2016"
                        "volumen" => "37"
                        "paginaInicial" => "2893"
                        "paginaFinal" => "2962"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27567408"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Health-related quality of life in atrial fibrillation patients over 65 years&#58; a review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46; Zhang"
                            1 => "R&#46; Gallagher"
                            2 => "L&#46; Neubeck"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/2047487314538855"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Prev Cardiol"
                        "fecha" => "2015"
                        "volumen" => "22"
                        "paginaInicial" => "987"
                        "paginaFinal" => "1002"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24924742"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diferencias en la calidad de vida seg&#250;n el tipo de fibrilaci&#243;n auricular"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46; Peinado"
                            1 => "F&#46; Arribas"
                            2 => "J&#46;M&#46; Ormaetxe"
                            3 => "X&#46; Bad&#237;a"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Cardiol"
                        "fecha" => "2010"
                        "volumen" => "63"
                        "paginaInicial" => "1402"
                        "paginaFinal" => "1409"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21144400"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adherence and outcomes to direct oral anticoagulants among patients with atrial fibrillation&#58; findings from the veterans health administration"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46;T&#46; Borne"
                            1 => "C&#46; O&#8217;Donnell"
                            2 => "M&#46;P&#46; Turakhia"
                            3 => "P&#46;D&#46; Varosy"
                            4 => "C&#46;A&#46; Jackevicius"
                            5 => "L&#46;N&#46; Marzec"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/s12872-017-0671-6"
                      "Revista" => array:5 [
                        "tituloSerie" => "BMC Cardiovasc Disord"
                        "fecha" => "2017"
                        "volumen" => "17"
                        "paginaInicial" => "236"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28865440"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quality of life and patient satisfaction in patients with atrial fibrillation on stable vitamin K antagonist treatment or switched to a non-vitamin K antagonist oral anticoagulant during a 1-year follow-up&#58; a PREFER in AF Registry substudy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46; De Caterina"
                            1 => "B&#46; Br&#252;ggenj&#252;rgen"
                            2 => "H&#46; Darius"
                            3 => "S&#46; K&#246;hler"
                            4 => "M&#46; Lucerna"
                            5 => "L&#46; Pecen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.acvd.2017.04.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Cardiovasc Dis"
                        "fecha" => "2018"
                        "volumen" => "111"
                        "paginaInicial" => "74"
                        "paginaFinal" => "84"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28942115"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Satisfaction with oral anticoagulants in patients with atrial fibrillation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Su&#225;rez Fern&#225;ndez"
                            1 => "L&#46; Castilla-Guerra"
                            2 => "J&#46; Cantero Hinojosa"
                            3 => "J&#46;M&#46; Suri&#241;ach"
                            4 => "F&#46; Acosta de Bilbao"
                            5 => "J&#46;J&#46; Tamarit"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Patient Prefer Adherence"
                        "fecha" => "2018"
                        "volumen" => "12"
                        "paginaInicial" => "267"
                        "paginaFinal" => "274"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patient satisfaction after switching from warfarin to apixaban in patients with nonvalvular atrial fibrillation&#58; AGAIN study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "Y&#46; Koretsune"
                            1 => "T&#46; Ikeda"
                            2 => "K&#46; Kozuma"
                            3 => "T&#46; Hirano"
                            4 => "M&#46; Yasaka"
                            5 => "M&#46; Kida"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2147/PPA.S152579"
                      "Revista" => array:6 [
                        "tituloSerie" => "Patient Prefer Adherence"
                        "fecha" => "2017"
                        "volumen" => "11"
                        "paginaInicial" => "1987"
                        "paginaFinal" => "1996"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29290682"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Calidad de vida&#44; adherencia y satisfacci&#243;n en pacientes con fibrilaci&#243;n auricular tratados con dabigatran o antagonistas de la vitamina K"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V&#46; Barrios"
                            1 => "C&#46; Escobar"
                            2 => "G&#46; Bar&#243;n Esquivias"
                            3 => "J&#46;J&#46; G&#243;mez Doblas"
                            4 => "E&#46; Recalde del Vigo"
                            5 => "L&#46; Segura Mart&#237;nez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Clin Esp"
                        "fecha" => "2019"
                        "volumen" => "219"
                        "paginaInicial" => "285"
                        "paginaFinal" => "292"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dabigatran versus warfarin in patients with atrial fibrillation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;J&#46; Connolly"
                            1 => "M&#46;D&#46; Ezekowitz"
                            2 => "S&#46; Yusuf"
                            3 => "J&#46; Eikelboom"
                            4 => "J&#46; Oldgren"
                            5 => "A&#46; Parekh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa0905561"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2009"
                        "volumen" => "361"
                        "paginaInicial" => "1139"
                        "paginaFinal" => "1151"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19717844"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validation of the AF-QoL&#44; a disease-specific quality of life questionnaire for patients with atrial fibrillation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "F&#46; Arribas"
                            1 => "J&#46;M&#46; Ormaetxe"
                            2 => "R&#46; Peinado"
                            3 => "N&#46; Perulero"
                            4 => "P&#46; Ramirez"
                            5 => "X&#46; Badia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/europace/eup421"
                      "Revista" => array:6 [
                        "tituloSerie" => "Europace"
                        "fecha" => "2010"
                        "volumen" => "12"
                        "paginaInicial" => "364"
                        "paginaFinal" => "370"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20056594"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessing the impact of dabigatran and warfarin on health-related quality of life&#58; results from an RE-LY sub-study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "B&#46;U&#46; Monz"
                            1 => "S&#46;J&#46; Connolly"
                            2 => "M&#46; Korhonen"
                            3 => "H&#46; Noack"
                            4 => "J&#46; Pooley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ijcard.2013.03.059"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Cardiol"
                        "fecha" => "2013"
                        "volumen" => "168"
                        "paginaInicial" => "2540"
                        "paginaFinal" => "2547"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23664436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Real-life experience of quality of life&#44; treatment satisfaction&#44; and adherence in patients receiving oral anticoagulants for atrial fibrillation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Benzimra"
                            1 => "B&#46; Bonnamour"
                            2 => "M&#46; Duracinsky"
                            3 => "C&#46; Lalanne"
                            4 => "J&#46;P&#46; Aubert"
                            5 => "O&#46; Chassany"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2147/PPA.S131158"
                      "Revista" => array:6 [
                        "tituloSerie" => "Patient Prefer Adherence"
                        "fecha" => "2018"
                        "volumen" => "12"
                        "paginaInicial" => "79"
                        "paginaFinal" => "87"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29379275"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/22548874/0000021900000006/v1_201907300655/S2254887419300943/v1_201907300655/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "72714"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Editorials"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021900000006/v1_201907300655/S2254887419300943/v1_201907300655/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419300943?idApp=WRCEE"
]
Share
Current Issue
Journal Information
Previous article | Next article
Lee este artículo en Español
Export reference
Share
Share
Print
Download PDF
More article options
Statistics
Editorial
DOI: 10.1016/j.rceng.2019.03.020
Quality of life, compliance and satisfaction of patients with atrial fibrillation who are undergoing anticoagulant treatment
Calidad de vida, adherencia y satisfacción en pacientes con fibrilación auricular en tratamiento anticoagulante
Download PDF
M. Montero-Pérez-Barqueroa,
Corresponding author
fm1mopem@uco.es

Corresponding author.
, L. Manzanob
a Servicio de Medicina Interna, IMIBIC/Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain
b Servicio de Medicina Interna, Hospital Universitario Ramón y Cajal, Universidad de Alcalá (IRYCIS), Madrid, Spain
Related content
Quality of life, adherence and satisfaction of patients with auricular fibrillation treated with dabigatran or vitamin K antagonists
Rev Clin Esp. 2019;219:285-9210.1016/j.rceng.2018.12.012
V. Barrios, C. Escobar, G. Barón Esquivias, J.J. Gómez Doblas, E. Recalde del Vigo, L. Segura Martínez, P. Alvarez Garcia, F. Alonso Valladares, J. Toril Lopez, J.M. Chopo Alcubilla

Purchase article

For the purchase of this article it is necessary to fill in the following form:

Afganistan
Albania
Alemania
Andorra
Angola
Anguilla
Antartica
Antigua and barbuda
Antillas holandesas
Arabia saudita
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgica
Belice
Benin
Bermudas/antillas britanicas
Bhutan
Bolivia
Bosnia y herzegowina
Botswana
Brasil
Brunei darussalam
Bulgaria
Burkina faso
Burundi
Cabo verde
Camboya
Camerun
Canada
Chad
Chile
China
Chipre
Colombia
Comoros
Corea
Costa rica
Cote d´ivoire
Croacia
Cuba
Dinamarca
Djibouti
Dominica
East timor
Ecuador
Egipto
El salvador
Emiratos arabes unidos
Eritrea
Escocia
Eslovaquia
Eslovenia
España
Estados federados de micronesia
Estados unidos
Estonia
Etiopia
Fiji
Filipinas
Finlandia
Francia
Gabon
Gambia
Georgia
Ghana
Gibraltar
Grecia
Grenada
Groenlandia
Guadalupe
Guam
Guatemala
Guayana britanica
Guinea
Guinea ecuatorial
Guinea francesa
Guinea-bissau
Haiti
Holanda
Honduras
Hong kong
Hungria
India
Indonesia
Irak
Iran
Irlanda
Isla bouvet
Isla cocos (keeling)
Isla cook
Isla mauricio
Isla navidad
Isla norfolk
Islandia
Islas caiman
Islas falkland (malvinas)
Islas faroe
Islas georgia del sur y sandwich
Islas heard and mc donald
Islas marshall
Islas northern mariana
Islas salomon
Islas svalbard and jan mayen
Islas turks and caicos
Islas united states minor outlyi
Islas virgenes (britanicas)
Islas virgenes (u.s.a.)
Islas wallis and futuna
Israel
Italia
Jamaica
Japon
Jordania
Kazakhstan
Kenia
Kiribati
Kuwait
Kyrgyzstan
Lesoto
Letonia
Libano
Liberia
Libia arab jamahiriya
Liechtenstein
Lituania
Luxemburgo
Macao
Macedonia
Madagascar
Malasia
Malawi
Maldives
Mali
Malta
Marruecos
Martinica
Mauritania
Mayotte
Mexico
Monaco
Mongolia
Monserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Noruega
Nueva caledonia
Nueva zelanda
Oman
Pakistan
Palau
Panama
Papua new guinea
Paraguay
Peru
Pitcairn
Polinesia francesa
Polonia
Portugal
Posesiones gran bretaña
Posesiones u.s.a.
Puerto rico
Qatar
Reino unido
Republica checa
Republica de africa central
Republica de cabo verde
Republica de congo
Republica de corea
Republica de moldova
Republica democratica de laos
Republica democratica del congo
Republica dominicana
Reunion
Ruanda
Rumania
Rusia
Sahara occidental
Saint kitts and nevis
Samoa
Samoa americana
San marino
San tomas y principe
San vincent and the grenadines
Santa lucia
Senegal
Serbia
Seychelles
Sierra leona
Singapur
Siria
Somalia
Sri lanka
St. helena
St. pierre and miquelon
Sudafrica
Sudan
Suecia
Suiza
Surinam
Swaziland
Tailandia
Taiwan republica de china
Tajikistan
Tanzania
Territorio de indias britanicas
Togo
Tokelau
Tonga
Trinidad and tobago
Tunisia
Turkmenistan
Turquia
Tuvalu
Ucrania
Uganda
Uruguay
Uzbekistan
Vanuatu
Vaticano
Venezuela
Vietnam
Yemen
Yugoslavia
Zambia
Zimbawe
Lebanon
Paises bajos
A coruña
Alava
Albacete
Alicante
Almeria
Asturias
Avila
Badajoz
Balears
Barcelona
Bizkaia
Burgos
Caceres
Cadiz
Cantabria
Castellon
Ceuta
Ciudad real
Cordoba
Cuenca
Girona
Granada
Guadalajara
Guipuzcoa
Huelva
Huesca
Jaen
La rioja
Las palmas
Leon
Lleida
Lugo
Madrid
Malaga
Melilla
Murcia
Navarra
Ourense
Palencia
Pontevedra
Salamanca
Segovia
Sevilla
Soria
Tarragona
Tenerife
Teruel
Toledo
Valencia
Valladolid
Zamora
Zaragoza
-- Not applicable --
I accept to receive information about Elsevier's special products and promotions by email
I accept to receive information about products and special promotions from Elsevier partners by email
I have read and understand the Privacy Policy and Terms and conditions and agree to be bound by all of its terms.
* Required fields
In addition to temporary access to the article, it will be sent by email.
Customer Support
Phone
Calls from Spain
932 415 960
Calls from abroad
+34 932 415 960
Hours from 9 a.m. to 6 p.m. except the months of July and August, which will be from 9 am to 3 pm.

Subscribe to our newsletter

Highlighted articles
Publish in
Revista Clínica Española
Free access articles
The value of multi-modal ultrasound in the assessment of...
Rev Clin Esp. 2024;224:437-44
Adverse cardiovascular, obstetric and perinatal events...
Rev Clin Esp. 2024;224:337-45
How to detect non-institutionalized older patients at risk...
Rev Clin Esp. 2024;224:217-24
Revista Clínica Española (English Edition) is a member and subscribes the principles of, the Committee on Publication Ethics (COPE)
www.publicationethics.org.
Idiomas
Revista Clínica Española (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?