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Available online: 11/05/2020

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Vol. 2. Year 2020. Issue 2.

Pages 69-160 (April-June)
eISSN: 2604-7322

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Editorials

Emergence of a new technique to treat calcified coronary lesions

Jorge Palazuelosa,b,

aUnidad de Hemodinámica, Servicio de Cardiología, Hospital Central de la Defensa Gómez Ulla, Universidad de Alcalá de Henares, Madrid, Spain

bUnidad de Hemodinámica, Servicio de Cardiología, Hospital La Luz, Hospital Quironsur Alcorcón, Alcorcón, Madrid, Spain

REC Interv Cardiol. 2020;2:69-70

Cardiovascular reparative and regenerative medicine: state-of-the-art

Ricardo Sanz-Ruiz and Francisco Fernández-Avilés

Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Universidad Complutense de Madrid, CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain

REC Interv Cardiol. 2020;2:71-73

Health innovation in Spain. A real challenge, an actual need

Galo Peralta Fernándeza,b, and Inés Gallego Camiñac

aFundación Instituto de Investigación Sanitaria Marqués de Valdecilla (IDIVAL), Santander, Cantabria, Spain

bPlataforma de Innovación en Tecnologías Médicas y Sanitarias (ITEMAS), Spain

cSubdirección de Innovación y Calidad, OSI Ezkerraldea Enkarterri Cruces (OSI-EEC), Hospital Universitario Cruces - Osakidetza, Barakaldo, Bilbao, Spain

REC Interv Cardiol. 2020;2:74-75

Original Articles

Intracoronary lithotripsy in a high-risk real-world population. First experience in severely calcified, complex coronary lesions

Victoria Vilalta del Olmo,a,b,c Oriol Rodríguez-Leor,a,b,c, Alfredo Redondo,c,d Belén Cid-Álvarez,c,d Eduard Fernández-Nofrerías,a,b,c Xavier Carrillo,a,b,c Ramiro Trillo, c,d Omar Abdul-Jawad Altisent,a,b,c Xoan Sanmartín,c,d Josepa Mauri,a,b,c Jean Cristophe Barahona,a,b Diego López-Otero,c,d José Ramón González-Juanatey,c,d and Antoni Bayés-Genísa,b,c

aInstitut del Cor, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain

bInstitut per la Recerca Germans Trias i Pujol, Badalona, Barcelona, Spain

cCentro de Investigación Biomédica en Red Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain

dServicio de Cardiología, Complexo Hospitalario Universitario de Santiago, Santiago de Compostela, A Coruña, Spain

REC Interv Cardiol. 2020;2:76-81

Impact of the COVID-19 pandemic on interventional cardiology activity in Spain

Oriol Rodríguez-Leor,a,b,c, Belén Cid-Álvarez,d, Soledad Ojeda,e Javier Martín-Moreiras,f José Ramón Rumoroso,g Ramón López-Palop,h Ana Serrador,i Ángel Cequier,j Rafael Romaguera,j Ignacio Cruz,f Armando Pérez de Prado,k and Raúl Moreno,l on behalf of all the participants of the ACI-SEC Infarction Code Registry ◊

aInstitut del Cor, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain

bInstitut per la Recerca Germans Trias i Pujol, Badalona, Barcelona, Spain

cCIBERCV, Instituto de Salud Carlos III, Madrid, Spain

dDepartamento de Cardiología, Hospital Clínico de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

eDepartamento de Cardiología, Hospital Reina Sofía, Córdoba, Spain

fDepartamento de Cardiología, Hospital Clínico de Salamanca, Salamanca, Spain

gDepartamento de Cardiología, Hospital de Galdakao, Galdakao, Vizcaya, Spain

hDepartamento de Cardiología, Hospital Virgen de la Arrixaca, El Palmar, Murcia, Spain

iDepartamento de Cardiología, Hospital Clínico de Valladolid, Valladolid, Spain

jDepartamento de Cardiología, Hospital de Bellvitge, IDIBELL, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, Spain

kDepartamento de Cardiología, Hospital de León, León, Spain

lDepartamento de Cardiología, Hospital de La Paz, Madrid, Spain

◊ Annex 1 shows the participant centers and researchers in charge of each particular center.

REC Interv Cardiol. 2020;2:82-89

Multicenter experience with a second-generation fully-retrievable and repositionable transcatheter aortic valve

Daniele Gemma,a, Raúl Moreno,b Mariano Larman,c Rui Campante Teles,d Lino Patricio,e Eduardo Molina,f Vasco Gama Ribeiro,g Bruno García Del Blanco,h Roque Arana Granado,i Santiago Jiménez Valero,b Guillermo Galeote,b Harold Hernández,a Francisco Javier Irazusta Córdoba,c Vicenç Serra,h and José Luis López-Sendónb

aUnidad de Hemodinámica y Cardiología Intervencionista, Hospital La Luz, Madrid, Spain

bUnidad de Hemodinámica y Cardiología Intervencionista, Hospital Universitario La Paz, IDIPAZ, CIBERCV, Madrid, Spain

cUnidad de Hemodinámica y Cardiología Intervencionista, Policlínica Gipuzkoa, San Sebastián, Gipuzkoa, Spain

dUnidad de Hemodinámica y Cardiología Intervencionista, Hospital Santa Cruz, Lisbon, Portugal

eUnidad de Hemodinámica y Cardiología Intervencionista, Centro Hospitalar de Lisboa Central, Lisbon, Portugal

fUnidad de Hemodinámica y Cardiología Intervencionista, Hospital Virgen de las Nieves, Granada, Spain

gUnidad de Hemodinámica y Cardiología Intervencionista, Centro Hospitalar de Vila Nova de Gaia, Oporto, Portugal

hUnidad de Hemodinámica y Cardiología Intervencionista, Hospital Universitari Vall d’Hebron, Barcelona, Spain

iUnidad de Hemodinámica y Cardiología Intervencionista, Hospital Puerta del Mar, Cádiz, Spain

REC Interv Cardiol. 2020;2:90-97

Time trend in transcatheter aortic valve implantation: an analysis of the Spanish TAVI registry

Pilar Jiménez-Quevedo,a, Antonio Muñoz-García,b Ramiro Trillo-Nouche,c Raquel del Valle,d José María de la Torre Hernández,e Luisa Salido,f Enrique Gutiérrez,g Manuel Pan,h Joaquín Sánchez-Gila,i Bruno García del Blanco,j Raúl Moreno,k Roberto Blanco Mata,l Juan Francisco Oteo,m Ignacio Amat-Santos,n Ander Regueiro,o Francisco Ten,p Juan Manuel Nogales,q Eduard Fernández-Nofrerias,r Leire Andraka,s María Cruz Ferrer,t Eduardo Pinar,u Rafael Romaguera,v Carlos Cuellas Ramón,w Fernando Alfonso,x Sergio García-Blas,y Antonio Piñero,z Julia Ignasi,aa Rocío Díaz Méndez,ab Pascual Bordes,ac Juan Meseguer,ac Luis Nombela-Franco,a; Spanish TAVI registry

aServicio de Cardiología, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain

bServicio de Cardiología, Hospital Universitario Virgen de la Victoria, Málaga, Spain

cServicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

dServicio de Cardiología, Hospital Central de Asturias, Oviedo, Asturias, Spain

eServicio de Cardiología, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Cantabria, Spain

fServicio de Cardiología, Hospital Ramón y Cajal, Madrid, Spain

gServicio de Cardiología, Hospital Gregorio Marañón, CIBERCV, Universidad Carlos III, Madrid, Spain

hServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain

iServicio de Cardiología, Hospital Universitario Virgen de las Nieves, Granada, Spain

jServicio de Cardiología, Hospital Universitari Vall d’Hebron, Barcelona, Spain

kServicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain

lServicio de Cardiología, Hospital General Universitario de Valencia, Valencia, Spain

mServicio de Cardiología, Hospital Puerta de Hierro, Majadahonda, Madrid, Spain

nServicio de Cardiología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain

oServicio de Cardiología, Hospital Clínic, Barcelona, Spain

pServicio de Cardiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain

qServicio de Cardiología, Hospital Universitario de Badajoz, Badajoz, Spain

rServicio de Cardiología, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain

sServicio de Cardiología, Hospital Universitario de Basurto, Bilbao, Bizkaia, Spain

tServicio de Cardiología, Hospital Universitario Miguel Servet, Zaragoza, Spain

uServicio de Cardiología, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain

vServicio de Cardiología, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain

wServicio de Cardiología, Hospital Universitario de León, León, Spain

xServicio de Cardiología, Hospital Universitario de La Princesa, Madrid, Spain

yServicio de Cardiología, Hospital Clínico Universitario de Valencia, Valencia, Spain

zServicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

aaServicio de Cirugía Cardiaca, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain

abServicio de Cirugía Cardiaca, Hospital Central de Asturias, Oviedo, Asturias, Spain

acServicio de Cardiología y Cirugía Cardiaca, Hospital General Universitario de Alicante, Alicante, Spain

REC Interv Cardiol. 2020;2:98-105

Special articles

Consensus document of the Interventional Cardiology and Heart Rhythm Associations of the Spanish Society of Cardiology on the management of invasive cardiac procedure rooms during the COVID-19 coronavirus outbreak

Rafael Romaguera,a, Ignacio Cruz-González,b Soledad Ojeda,c Javier Jiménez-Candil,b David Calvo,d Javier García Seara,e Victoria Cañadas-Godoy,f Elena Calvo,a Salvatore Brugaletta,g María Sánchez Ledesma,h and Raúl Morenoi◊

aServicio de Cardiología, Hospital Universitario de Bellvitge, IDIBELL, L’Hospitalet de Llobregat, Universidad de Barcelona, Barcelona, Spain

bServicio de Cardiología, Hospital Universitario de Salamanca, IBSAL, Salamanca, Spain

cServicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain

dServicio de Cardiología, Hospital Central de Asturias, Oviedo, Asturias, Spain

eServicio de Cardiología, Complejo Asistencial Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

fServicio de Cardiología, Hospital Clínico San Carlos de Madrid, Madrid, Spain

gServicio de Cardiología, Hospital Clínic i Provincial de Barcelona, IDIBASP, Universitat de Barcelona, Barcelona, Spain

hUnidad de Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital Universitario de Salamanca, Salamanca, Spain

iServicio de Cardiología, Hospital Universitario la Paz, Madrid, Spain

◊The undersigned authors are affiliated to the following scientific bodies: Interventional Cardiology Association of the Spanish Society of Cardiology: R. Romaguera (spokesperson), I. Cruz-González (president elect), S. Ojeda (spokesperson) and R. Moreno (president). Heart Rhythm Association of the Spanish Society of Cardiology: J. Jiménez-Candil (president), D. Calvo (president elect), J. García Seara (spokesperson), V. Cañadas-Godoy (spokesperson). Working Group on Interventional Cardiology of the Spanish Cardiovascular Nursing Association: E. Calvo.

REC Interv Cardiol. 2020;2:106-111

Considerations on the invasive management of ischemic and structural heart disease during the COVID-19 coronavirus outbreak. Consensus statement of the Interventional Cardiology Association and the Ischemic Heart Disease and Acute Cardiac Care Association of the Spanish Society of Cardiology

Rafael Romaguera,a,1, Ignacio Cruz-González,b,1 Alfonso Jurado-Román,b,1 Soledad Ojeda,d Agustín Fernándz-Cisnal,e Pablo Jorge-Pérez,f Virginia Burgos-Palacios,g Albert Ariza-Solé,a Esteban López-de-Sa,c and Raúl Morenoc, ◊

aServicio de Cardiología, Hospital Universitario de Bellvitge, IDIBELL, L’Hospitalet de Llobregat, Universidad de Barcelona, Barcelona, Spain

bServicio de Cardiología, Hospital Universitario de Salamanca, IBSAL, Salamanca, Spain

cServicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain

dServicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain

eServicio de Cardiología, Hospital Clínico Universitario de Valencia, Valencia, Spain

fServicio de Cardiología, Complejo Hospitalario Universitario de Canarias, Tenerife, Santa Cruz de Tenerife, Spain

gServicio de Cardiología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain

¹R. Romaguera, I. Cruz-González, and A. Jurado-Román contributed equally to this work as lead authors.

The undersigned authors are affiliated to the following scientific bodies: Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology: R. Romaguera (chair), I. Cruz-González (president-elect), S. Ojeda (chair), and R. Moreno (president). Spanish Society of Cardiology Working Group on Ischemic Heart Disease and Acute Cardiovascular Care: E. López-de-Sá (president), A. Ariza-Solé (president-elect), P. Jorge-Pérez (chair), and V. Burgos-Palacios (chair).◊

REC Interv Cardiol. 2020;2:112-117

Percutaneous management of tricuspid regurgitation. Image-guided step-by-step MitraClip procedure

Vanessa Moñivas Palomero,a Susana Mingo Santos,a Chi Hion Li,b Laura Sanchis Ruiz,c Dabit Arzamendi,b Xavier Freixa,c Marta Sitges Carreño,c,d Violeta Gónzalez Salvado,e and Rodrigo Estévez-Loureiroa,f,

aServicio de Cardiología, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain

bServicio de Cardiología, Programa Cardiovascular-ICCC, Instituto de Investigación-Hospital Sant Pau i Santa Creu, CIBERCV, Barcelona, Spain

cServicio de Cardiología Instituto Cardiovascular, Hospital Clínic, Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Barcelona, Spain

dCentro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Barcelona, Spain

eServicio de Cardiología, Hospital Clínico Universitario de Santiago, CIBERCV, Santiago de Compostela, A Coruña, Spain

fServicio de Cardiología, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, Spain

REC Interv Cardiol. 2020;2:118-128

Review Article

Current options for the management of calcified lesions

Héctor Cubero-Gallego,a Helena Tizón-Marcos,b,c and Beatriz Vaquerizob,c,

aUnidad de Cardiología Intervencionista, Área del Corazón, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain

bUnidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital del Mar, Universidad Autónoma de Barcelona, Barcelona, Spain

cInstituto Hospital del Mar de Investigaciones Médicas-IMIM, Barcelona, Spain

REC Interv Cardiol. 2020;2:129-139

Debate

Debate: Angiography-derived FFR. The pressure guidewire perspective

Ramón López Palop

Sección de Hemodinámica, Servicio de Cardiología, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain

REC Interv Cardiol. 2020;2:140-142

Debate: Angiography-derived FFR. The angiographic perspective

Ignacio J. Amat Santos

CIBERCV, Departamento de Cardiología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain

REC Interv Cardiol. 2020;2:143-144

Clinical Case

An unusual cause of cardiogenic shock

Montserrat Gracida,a,mgracida@bellvitgehospital.cat Lara Fuentes,a Rafael Romaguera,a Davinia Fernández,b and Joan Antoni Gómez-Hospitala

aServicio de Cardiología, Hospital Universitario de Bellvitge, IDIBELL, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, Spain

bServicio de Anatomía Patológica, Hospital Universitario de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain

REC Interv Cardiol. 2020;2:145-146

An unusual cause of cardiogenic shock. How would I approach it?

Ana Belén Cid Álvareza,b,belcid77@hotmail.com

aUnidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

bCentro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain

REC Interv Cardiol. 2020;2:146-148

An unusual cause of cardiogenic shock. Case resolution

Montserrat Gracida,a,maserrit@msn.com ;mgracida@bellvitgehospital.cat Lara Fuentes,a Rafael Romaguera,a Davinia Fernández,b and Joan Antoni Gómez-Hospitala

aServicio de Cardiología, Hospital Universitario de Bellvitge, IDIBELL, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, Spain

bServicio de Anatomía Patológica, Hospital Universitario de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain

REC Interv Cardiol. 2020;2:148-149

Review Article

ISCHEMIA trial: what is the role of revascularization in patients with chronic coronary syndromes?

Pablo Avanzasa,b,c, and Héctor Cubero-Gallegoa

aServicio de Cardiología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain

bDepartamento de Medicina, Universidad de Oviedo, Oviedo, Asturias, Spain

cInstituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Asturias, Spain

REC Interv Cardiol. 2020;2:150-152

Images in cardiology

iFR variations during coronary angioplasty

Iván J. Núñez-Gil, Óscar Vedia, Hernán Mejía-Rentería, Rafael Vera-Urquiza, Alex F. Castro-Mejía, Antonio Fernández-Ortiz

Departamento de Cardiología Intervencionista, Hospital Clínico San Carlos, Madrid, Spain

REC Interv Cardiol. 2020;2:153-154

Spontaneous coronary dissection extension induced by optical coherence tomography imaging

Marcos García-Guimaraes, Clemencia De Rueda, Paula Antuña, Javier Cuesta, Teresa Bastante, and and Fernando Alfonso

Departamento de Cardiología, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria del Hospital Universitario de La Princesa (IIS-IP), CIBERCV, Madrid, Spain

REC Interv Cardiol. 2020;2:155-156

Scientific letters

TR Band modification for distal transradial access hemostasis

José Martínez-Crespo,a,b Eduardo Arroyo-Úcar,a,b, Juan Antonio Belda Cutillas,a,b Isabel Benito Agüera,a,b Lorena González Ródenas,a,b and Francisco Torres Sauraa,b

aUnidad de Cardiología Intervencionista, Hospital Universitario del Vinalopó, Elche, Alicante, Spain

bUnidad de Cardiología Intervencionista, Hospital Universitario de Torrevieja, Alicante, Spain

REC Interv Cardiol. 2020;2:157-158

Coronary perforation after intracoronary lithotripsy in a chronic total coronary occlusion

Javier Martín-Moreiras,a,b Blanca Trejo-Velasco,a,b, Alejandro Diego-Nieto,a,b Jesús Herrero-Garibi,a,b Rocío González-Ferreiro,a,b and Ignacio Cruz-Gonzáleza,b,c

aDepartamento de Cardiología, Hospital Clínico Universitario de Salamanca, Salamanca, Spain

bInstituto de Investigación Biomédica de Salamanca (IBSAL), Facultad de Medicina, Universidad de Salamanca, Salamanca, Spain

cCentro de Investigación en Red de Enfermedades Cardiovasculares (CIBERCV), Spain

REC Interv Cardiol. 2020;2:159-160

Original articles

Left atrial appendage occlusion plus oral anticoagulation in stroke patients despite ongoing anticoagulation: rationale and design of the ADD-LAAO clinical trial

Sergio Amaro, Ignacio Cruz-González, et al.

Debate: TAVI prosthesis selection for severe calcification

Resúmenes presentados al 36 Congreso de la Asociación de Cardiología Intervencionista de la Sociedad Española de Cardiología (Only available in Spanish)

4-6 de junio de 2025

Scientific letters

High capacity Impella, an effective mechanical support strategy for patients in cardiogenic shock bridged to heart transplantation

Adrián Lozano Ibáñez, María Plaza Martín, et al.

Percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation using the Manta closure device

Emilio Arbas Redondo, Sandra Ofelia Rosillo Rodríguez, et al.

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1 x beforeRenderComponent com_content (24.7KB) (0.05%)	398μs
1 x afterRenderRawModule mod_custom (Debate Title) (3.95KB) (0.05%)	385μs
1 x afterRenderModule mod_breadcrumbs (Breadcrumbs EN) (3.97KB) (0.05%)	363μs
1 x afterRenderRawModule mod_esmedicodisclaimer (esmedicodisclaimer esmedicodisclaimer) (6.49KB) (0.05%)	345μs
1 x afterRenderRawModule mod_lightbox (Lightbox) (7.35KB) (0.04%)	302μs
1 x afterRenderModule mod_custom (Publication of Sociedad Española de Cardiología) (3.31KB) (0.03%)	244μs
1 x afterRenderModule mod_custom (Home Concurso Hemodinamica EN) (4.48KB) (0.03%)	219μs
1 x beforeRenderRawModule mod_custom (Home Concurso Hemodinamica EN) (704B) (0.03%)	198μs
1 x beforeRenderRawModule mod_custom (Home Debate Enlaces EN) (8.5KB) (0.03%)	191μs
1 x afterRenderModule mod_articles_good_search (Articles Good Search Total (Lateral) (EN)) (10.48KB) (0.02%)	186μs
1 x After Access::getAssetRules (id:1396 name:com_content.article.367) (8.3KB) (0.02%)	169μs
1 x afterRenderModule mod_esmedicodisclaimer (esmedicodisclaimer esmedicodisclaimer) (5.39KB) (0.02%)	168μs
1 x afterRenderModule mod_menu (Footer Final EN) (3.67KB) (0.02%)	167μs
1 x afterRenderModule mod_menu (Content) (3.17KB) (0.02%)	164μs
1 x afterRenderModule mod_custom (Article - Disponible Online -EN) (2.64KB) (0.02%)	163μs
1 x afterRenderModule mod_lightbox (Lightbox) (4.67KB) (0.02%)	151μs
1 x afterRenderModule mod_menu (About us) (3.28KB) (0.02%)	148μs
1 x afterRenderModule mod_languages (Language Switcher) (3.88KB) (0.02%)	144μs
1 x afterRenderModule mod_menu (Permanyer Publications) (3.11KB) (0.02%)	144μs
1 x afterRenderModule mod_menu (Publish) (3.42KB) (0.02%)	143μs
1 x beforeRenderRawModule mod_menu (Publish) (1.38KB) (0.02%)	142μs
1 x afterRenderModule mod_menu (Sidebar Menú EN) (2.92KB) (0.02%)	140μs
1 x afterRenderModule mod_custom (Factor de Impacto EN) (2.84KB) (0.02%)	135μs
1 x afterRenderModule mod_menu (Sidebar - REC: Publications) (3.45KB) (0.02%)	135μs
1 x beforeRenderRawModule mod_menu (Permanyer Publications) (272B) (0.02%)	122μs
1 x beforeRenderRawModule mod_menu (About us) (400B) (0.02%)	120μs
1 x beforeRenderRawModule mod_lightbox (Lightbox) (6.44KB) (0.02%)	118μs
1 x afterRenderRawModule mod_custom (Publication of Sociedad Española de Cardiología) (1.09KB) (0.02%)	116μs
1 x afterRenderModule mod_dms3_refs (Article Herramientas Exportar - ENG) (2.39KB) (0.02%)	114μs
1 x afterRenderRawModule mod_custom (Article Herramientas Descargar - ENG) (12.08KB) (0.02%)	113μs
1 x beforeRenderRawModule mod_languages (Language Switcher) (6.92KB) (0.01%)	109μs
1 x afterRenderRawModule mod_custom (Most shared) (912B) (0.01%)	104μs
1 x afterRenderRawModule mod_custom (Home Superior Izquierda -EN) (928B) (0.01%)	104μs
1 x afterRenderRawModule mod_custom (Article - Comments Section) (3.41KB) (0.01%)	102μs
1 x afterRenderRawModule mod_custom (Article Subtitulo) (976B) (0.01%)	99μs
1 x afterRenderRawModule mod_custom (Article Translated Title) (992B) (0.01%)	97μs
1 x afterRenderRawModule mod_custom (Article Title) (976B) (0.01%)	96μs
1 x afterRenderRawModule mod_custom (Caso clínico 2) (1.14KB) (0.01%)	96μs
1 x afterRenderRawModule mod_custom (Home Debate Enlaces EN) (928B) (0.01%)	96μs
1 x afterRenderRawModule mod_custom (Article Authors) (976B) (0.01%)	96μs
1 x afterRenderRawModule mod_custom (Article Herramientas Compartir -EN) (928B) (0.01%)	96μs
1 x afterRenderRawModule mod_custom (Foto Autor) (1.02KB) (0.01%)	95μs
1 x afterRenderRawModule mod_custom (Caso clínico 1) (1.14KB) (0.01%)	95μs
1 x afterRenderRawModule mod_custom (Article Related contents EN) (1.03KB) (0.01%)	95μs
1 x afterRenderRawModule mod_custom (Home Inferior Derecha -EN) (928B) (0.01%)	95μs
1 x afterRenderRawModule mod_custom (Innovacion Herramientas Estadísticas -EN) (944B) (0.01%)	94μs
1 x afterRenderRawModule mod_custom (Article DOI activo) (1.02KB) (0.01%)	93μs
1 x afterRenderRawModule mod_custom (Article Herramientas Traducción - ENG) (1.05KB) (0.01%)	92μs
1 x afterRenderRawModule mod_custom (Article - Disponible Online -EN) (992B) (0.01%)	91μs
1 x afterRenderRawModule mod_custom (Article - Referencia ) (1.02KB) (0.01%)	91μs
1 x afterRenderRawModule mod_custom (Article Herramientas Estadísticas - ENG) (944B) (0.01%)	91μs
1 x afterRenderRawModule mod_custom (Article Herramientas Material Adicional) (944B) (0.01%)	88μs
1 x afterRenderRawModule mod_custom (Innovacion Herramientas Compartir -EN) (928B) (0.01%)	87μs
1 x afterRenderRawModule mod_custom (Innovacion Herramientas Traducción EN) (1.05KB) (0.01%)	86μs
1 x afterRenderRawModule mod_custom (Separador) (1.02KB) (0.01%)	85μs
1 x afterRenderRawModule mod_custom (EMAIL Y TWITTER INGLES) (1.03KB) (0.01%)	84μs
1 x afterRenderRawModule mod_custom (Factor de Impacto EN) (976B) (0.01%)	83μs
1 x afterRenderRawModule mod_custom (Home Concurso Hemodinamica EN) (928B) (0.01%)	83μs
1 x afterRenderRawModule mod_custom (Article Herramientas Imprimir -EN) (928B) (0.01%)	83μs
1 x afterRenderRawModule mod_custom (Innovacion Herramientas Imprimir -EN) (992B) (0.01%)	83μs
1 x afterRenderRawModule mod_custom (Most read) (912B) (0.01%)	81μs
1 x afterRenderRawModule mod_custom (Article Category -EN) (2.27KB) (0.01%)	79μs
1 x Before Access::getAssetRules (id:1396 name:com_content.article.367) (34.65KB) (0.01%)	69μs
1 x beforeRenderRawModule mod_custom (Article Subtitulo) (1.25KB) (0.01%)	38μs
1 x beforeRenderRawModule mod_articles_good_search (Articles Good Search Total (Lateral) (EN)) (9.75KB) (0%)	36μs
1 x beforeRenderRawModule mod_custom (Article Title) (1.53KB) (0%)	35μs
1 x beforeRenderRawModule mod_custom (Article Translated Title) (1.55KB) (0%)	35μs
1 x beforeRenderRawModule mod_custom (Foto Autor) (1.66KB) (0%)	35μs
1 x beforeRenderRawModule mod_custom (Caso clínico 2) (2.72KB) (0%)	34μs
1 x beforeRenderRawModule mod_custom (Home Inferior Derecha -EN) (8.86KB) (0%)	33μs
1 x beforeRenderRawModule mod_custom (Article - Disponible Online -EN) (1.95KB) (0%)	33μs
1 x beforeRenderRawModule mod_custom (Article - Referencia ) (1.64KB) (0%)	33μs
1 x beforeRenderRawModule mod_custom (Caso clínico 1) (2KB) (0%)	33μs
1 x beforeRenderRawModule mod_custom (Most shared) (1.88KB) (0%)	33μs
1 x beforeRenderRawModule mod_custom (Article DOI activo) (1.22KB) (0%)	32μs
1 x beforeRenderRawModule mod_custom (Article Authors) (1.56KB) (0%)	32μs
1 x beforeRenderRawModule mod_custom (Article Related contents EN) (1.27KB) (0%)	32μs
1 x After Access::getAssetRules (id:1 name:root.1) (6.48KB) (0%)	31μs
1 x beforeRenderRawModule mod_custom (Article Herramientas Traducción - ENG) (1.19KB) (0%)	31μs
1 x beforeRenderRawModule mod_custom (Article Herramientas Compartir -EN) (3.77KB) (0%)	29μs
1 x beforeRenderRawModule mod_custom (Innovacion Herramientas Estadísticas -EN) (9KB) (0%)	29μs
1 x beforeRenderRawModule mod_custom (Separador) (1.69KB) (0%)	27μs
1 x beforeRenderRawModule mod_custom (EMAIL Y TWITTER INGLES) (1.52KB) (0%)	26μs
1 x beforeRenderRawModule mod_custom (Article Herramientas Estadísticas - ENG) (8.75KB) (0%)	26μs
1 x beforeRenderRawModule mod_custom (Article Herramientas Material Adicional) (8.5KB) (0%)	26μs
1 x beforeRenderRawModule mod_custom (Innovacion Herramientas Traducción EN) (1.94KB) (0%)	25μs
1 x beforeRenderRawModule mod_custom (Article Herramientas Imprimir -EN) (1.52KB) (0%)	24μs
1 x beforeRenderRawModule mod_custom (Innovacion Herramientas Imprimir -EN) (1.39KB) (0%)	24μs
1 x beforeRenderRawModule mod_dms3_refs (Article Herramientas Exportar - ENG) (2.81KB) (0%)	23μs
1 x beforeRenderRawModule mod_custom (Innovacion Herramientas Compartir -EN) (320B) (0%)	23μs
1 x beforeRenderRawModule mod_esmedicodisclaimer (esmedicodisclaimer esmedicodisclaimer) (2.23KB) (0%)	23μs
1 x beforeRenderRawModule mod_custom (Factor de Impacto EN) (13.11KB) (0%)	22μs
1 x beforeRenderRawModule mod_menu (Sidebar Menú EN) (NANB) (0%)	22μs
1 x beforeRenderRawModule mod_custom (Article Category -EN) (800B) (0%)	21μs
1 x beforeRenderRawModule mod_menu (Sidebar - REC: Publications) (880B) (0%)	21μs
1 x beforeRenderRawModule mod_custom (Most read) (2.64KB) (0%)	20μs
1 x Before Access::preloadPermissions (com_content) (1.79KB) (0%)	14μs
1 x After Access::getAssetRules (id:8 name:com_content) (1.28KB) (0%)	12μs
1 x beforeRenderModule mod_breadcrumbs (Breadcrumbs EN) (704B) (0%)	5μs
1 x beforeRenderModule mod_dms3_refs (Article Herramientas Exportar - ENG) (736B) (0%)	5μs
1 x beforeRenderModule mod_menu (About us) (704B) (0%)	5μs
1 x beforeRenderModule mod_custom (Debate Title) (720B) (0%)	4μs
1 x beforeRenderModule mod_custom (Article Title) (720B) (0%)	4μs
1 x beforeRenderModule mod_custom (Article Authors) (720B) (0%)	4μs
1 x beforeRenderModule mod_custom (Article - Comments Section) (736B) (0%)	4μs
1 x beforeRenderModule mod_custom (Home Superior Izquierda -EN) (736B) (0%)	4μs
1 x beforeRenderModule mod_custom (Home Inferior Derecha -EN) (736B) (0%)	4μs
1 x beforeRenderModule mod_languages (Language Switcher) (704B) (0%)	4μs
1 x beforeRenderModule mod_articles_good_search (Articles Good Search Total (Lateral) (EN)) (752B) (0%)	4μs
1 x beforeRenderModule mod_custom (Innovacion Herramientas Estadísticas -EN) (752B) (0%)	4μs
1 x beforeRenderModule mod_custom (Article Herramientas Estadísticas - ENG) (752B) (0%)	4μs
1 x beforeRenderModule mod_menu (Content) (704B) (0%)	4μs
1 x beforeRenderModule mod_esmedicodisclaimer (esmedicodisclaimer esmedicodisclaimer) (752B) (0%)	4μs
1 x beforeRenderModule mod_menu (Publish) (704B) (0%)	4μs
1 x beforeRenderModule mod_menu (Permanyer Publications) (720B) (0%)	4μs
1 x beforeRenderModule mod_menu (Footer Final EN) (720B) (0%)	4μs
1 x beforeRenderModule mod_custom (Article Category -EN) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article Subtitulo) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article Translated Title) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article Related contents EN) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Caso clínico 2) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Publication of Sociedad Española de Cardiología) (752B) (0%)	3μs
1 x beforeRenderModule mod_custom (Home Concurso Hemodinamica EN) (736B) (0%)	3μs
1 x beforeRenderModule mod_menu (Sidebar Menú EN) (720B) (0%)	3μs
1 x beforeRenderModule mod_menu (Sidebar - REC: Publications) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article Herramientas Descargar - ENG) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article Herramientas Traducción - ENG) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Innovacion Herramientas Traducción EN) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article Herramientas Imprimir -EN) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Innovacion Herramientas Imprimir -EN) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (EMAIL Y TWITTER INGLES) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Separador) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article Herramientas Compartir -EN) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article Herramientas Material Adicional) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article DOI activo) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article - Disponible Online -EN) (736B) (0%)	3μs
1 x beforeRenderModule mod_custom (Article - Referencia ) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Foto Autor) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Caso clínico 1) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Home Debate Enlaces EN) (720B) (0%)	3μs
1 x beforeRenderModule mod_lightbox (Lightbox) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Factor de Impacto EN) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Most read) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Most shared) (720B) (0%)	3μs
1 x beforeRenderModule mod_custom (Innovacion Herramientas Compartir -EN) (736B) (0%)	2μs