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Intervencionismo estructural

REC Interv Cardiol. 2024;6:271-277

Pronóstico de los pacientes con fracción de eyección supranormal tratados con recambio valvular aórtico percutáneo

Prognosis of patients with supranormal ejection fraction undergoing percutaneous aortic valve replacement

Edgar Martínez Gómeza,, Ximena Solara, Daniel Fariab, Luis Nombela Francob, Pilar Jiménez Quevedob, Gabriela Tiradob, Eduardo Pozo Osinaldea, Carmen Olmos Blancoa, Patricia Mahía Casadoa, Pedro Marcos Albercaa, María Luacesa, José Juan Gómez de Diegoa, Luis Collado Yurritac, Antonio Fernández-Ortiza, Julián Pérez-Villacastína y José Alberto de Agustína

aUnidad de Imagen Cardiaca, Hospital Clínico San Carlos, Madrid, España

bServicio de Hemodinámica, Hospital Clínico San Carlos, Madrid, España

cDepartamento de Medicina, Universidad Complutense de Madrid, Madrid, España

RESUMEN

Introducción y objetivos: Se ha evidenciado en diversos estudios que la fracción de eyección del ventrículo izquierdo (FEVI) reducida (< 50%) es un factor de riesgo independiente de eventos y mortalidad en pacientes con estenosis aórtica (EA) grave tratados con recambio valvular. A pesar de que aquellos con FEVI conservada (> 50%) muestran mejor pronóstico, existe un grupo con FEVI supranormal (≥ 70%) que parece tener un pronóstico diferente por sus características particulares. El objetivo de este estudio fue evaluar los resultados del implante percutáneo de válvula aórtica (TAVI) en pacientes con EA grave y FEVI supranormal.

Métodos: Estudio de cohorte retrospectiva que incluyó 1.160 pacientes tratados con TAVI en 2007-2021 en el Hospital Clínico San Carlos (Madrid, España). Se clasificaron según su FEVI preoperatoria en reducida (< 50%), normal (50-69%) y supranormal (≥ 70%). Se compararon variables clínicas y ecocardiográficas, y los siguientes desenlaces: mortalidad por cualquier causa a los 30 días y al año, muerte por causa cardiovascular al año y rehospitalización por causa cardiovascular al año.

Resultados: De los 1.160 pacientes con EA grave que recibieron un TAVI durante el periodo del estudio, 276 (23,8%) se registraron con FEVI reducida, 702 (60,5%) con FEVI normal y 182 (15,7%) con FEVI supranormal. Los pacientes con FEVI supranormal eran predominantemente varones (82,9 ± 5,3 años), tenían menores volúmenes ventriculares, mayor grosor parietal relativo y geometría concéntrica. No hubo diferencias en la mortalidad a 30 días ni al año; sin embargo, la rehospitalización por causa cardiovascular al año fue significativamente superior en el grupo de FEVI supranormal (FEVI < 50%, 9,2%; FEVI 50-69%, 27,4%; FEVI ≥ 70%, 34,4%; p < 0,043).

Conclusiones: Los pacientes con EA grave tratados con TAVI que presentaban FEVI supranormal (≥ 70%) preprocedimiento tuvieron una mayor tasa de rehospitalización por causa cardiovascular al año, sin diferencias en la mortalidad.

Palabras clave: Fracción de eyección supranormal. Estenosis aórtica grave. TAVI. Rehospitalización.

ABSTRACT

Introduction and objectives: Several studies have shown that reduced (< 50%) left ventricular ejection fraction (LVEF) is an independent risk factor for cardiovascular events and mortality in patients with severe aortic stenosis (AS) undergoing valve replacement. Although patients with preserved LVEF (> 50%) have a better prognosis, there is a group with supranormal LVEF (≥ 70%) whose prognosis seems to differ due to their characteristics. The aim of this study was to evaluate outcomes after transcatheter aortic valve implantation (TAVI) in patients with severe AS and supranormal LVEF.

Methods: We performed a retrospective cohort study that included 1160 patients undergoing TAVI between 2007 and 2021 at Hospital Clínico San Carlos (Madrid, Spain). The patients were classified according to preoperative LVEF into reduced (< 50%), normal (50% to 69%), and supranormal (≥ 70%). Clinical, echocardiographic variables, and the following outcomes were compared: death from any cause at 30 days and at 1 year, death from cardiovascular causes at 1 year, and rehospitalization due to cardiovascular causes at 1 year.

Results: Of the 1160 patients with severe AS who underwent TAVI during the study period, 276 (23.8%) had reduced LVEF, 702 (60.5%) had normal LVEF, and 182 (15.7%) had supranormal LVEF. Patients with supranormal LVEF were predominantly men (82.9 ± 5.3 years) and had lower ventricular volumes, higher relative wall thickness, and concentric geometry. There were no differences in 30-day or 1-year mortality. However, rehospitalization for cardiovascular causes at 1 year was significantly higher in the supranormal LVEF group (LVEF < 50%: 29.2%; LVEF 50% to 69%: 27.4%; LVEF ≥ 70%: 34.4%; P < .043).

Conclusions: Patients with severe AS and supranormal preprocedural LVEF (≥ 70%) who underwent TAVI had a higher rate of cardiovascular rehospitalization at 1 year, with no differences in mortality.

Keywords: Supranormal ejection fraction. Severe aortic stenosis. TAVI. Rehospitalization.

Abreviaturas EA: estenosis aórtica. FEVI: fracción de eyección del ventrículo izquierdo. GPR: grosor parietal relativo. ITV: integral tiempo-velocidad. TAVI: implante percutáneo de válvula aórtica. TSVI: tracto de salida del ventrículo izquierdo.

INTRODUCCIÓN

La estenosis aórtica (EA) es la segunda valvulopatía más frecuente; se encuentra en el 12% de la población mayor de 75 años1,2. La EA grave sintomática presenta una supervivencia inferior a 3 años si no es intervenida3. El implante percutáneo de válvula aórtica (TAVI) está indicado en pacientes sintomáticos y en asintomáticos con fracción de eyección del ventrículo izquierdo (FEVI) reducida (< 50%)4.

La FEVI reducida se reconoce como un factor de riesgo independiente de eventos y mortalidad en los pacientes con EA grave5. Sin embargo, existen muchos interrogantes sobre el pronóstico de la EA grave en los pacientes con FEVI conservada (> 50%), ya que se ha demostrado la presencia de marcadores de daño miocárdico subclínico, como hipertrofia y fibrosis6. Dentro de ellos, el subgrupo de los pacientes con FEVI supranormal (≥ 70%) puede tener peor pronóstico después del TAVI, debido a sus características particulares de geometría y funcionalidad ventricular7.

El objetivo de este estudio fue evaluar el pronóstico de los pacientes con FEVI supranormal (≥ 70%) tratados con TAVI, así como estudiar sus características ecocardiográficas y clínicas.

MÉTODOS

Estudio de cohorte retrospectivo que incluyó pacientes con EA grave tratados con TAVI en el Hospital Clínico San Carlos (Madrid, España) entre junio de 2007 y diciembre de 2021. La EA grave se definió según los criterios de las guías vigentes (gradiente medio > 40 mmHg, velocidad pico > 4 m/s, área valvular aórtica < 1 cm2 o área valvular aórtica indexada < 0,6 cm2/m2). La decisión de intervención fue consensuada y definida por el equipo médico-quirúrgico. Los pacientes se clasificaron en 3 grupos según la FEVI preprocedimiento evaluada por ecocardiograma: reducida (< 50%), normal (50-69%) y supranormal (≥ 70%). Los datos clínicos se recogieron de la historia clínica de los pacientes. Se excluyeron los que fallecieron durante procedimiento y aquellos con cirugías cardiacas valvulares previas, con presencia de miocardiopatía no relacionada con la enfermedad valvular, con expectativa de vida menor de 1 año o con falta de datos en el estudio ecocardiográfico preprocedimiento o en el seguimiento clínico.

El objetivo del estudio fue determinar la mortalidad por cualquier causa a los 30 días y al año, la mortalidad por causa cardiovascular al año y la rehospitalización por causa cardiovascular al año, así como su correlación con las características ecocardiográficas y clínicas.

El estudio cumplió la Declaración de Helsinki de la Asociación Médica Mundial y contó con la aprobación del comité de ética del Hospital Clínico San Carlos (Madrid, España). El estudio no supuso ningún tipo de riesgo para los pacientes. No se requirió consentimiento informado por tratarse de datos retrospectivos y toda la información obtenida se manejó con la más estricta confidencialidad por parte de los investigadores.

Ecocardiografía

La evaluación con ecocardiograma bidimensional y Doppler se llevó a cabo con los equipos disponibles y acorde con las recomendaciones de las guías de práctica clínica8. El grosor del septo, la pared posterior, el diámetro de fin de diástole y el tracto de salida del ventrículo izquierdo (TSVI) se midieron en proyección paraesternal en el eje largo. Los gradientes pico y medio valvulares se midieron usando el Doppler continuo en diferentes ventanas hasta obtener la velocidad más alta. La integral tiempo-velocidad (ITV) se midió con Doppler pulsado, localizando el volumen de muestra justo antes del anillo valvular aórtico. El área valvular aórtica se calculó por medio de la ecuación de continuidad:

Los volúmenes ventriculares y la FEVI se calcularon por el método de Simpson biplano. La masa del ventrículo izquierdo (VI) se calculó con la fórmula de Devereux e indexada por superficie corporal (SC). El grosor parietal relativo (GPR) se calculó por la siguiente fórmula:

El volumen sistólico indexado se obtuvo mediante la siguiente fórmula:

Análisis estadístico

El análisis estadístico se llevó a cabo con el software comercial disponible (IBM SPSS 28.0). Las variables continuas con distribución normal se expresaron como media y desviación estándar, con un intervalo de confianza del 95% (IC95%). Las variables categóricas se expresaron como números absolutos y su respectivo porcentaje. Para comparar variables normales se usó la prueba t de Student. El análisis de varianza y la prueba de Tukey post hoc se usaron para comparar las medias, y la prueba χ2 se usó para comparar las prevalencias entre los 3 grupos. Se aplicó un análisis de regresión logística univariable para evaluar los parámetros predictores de hospitalización y mortalidad. Se definió la significación estadística como un valor de p < 0,05.

RESULTADOS

De los 1.228 pacientes que recibieron un TAVI durante el periodo de estudio se incluyeron 1.160, de los cuales 276 (23,8%) tenían FEVI reducida (< 50%), 702 (60,5%) FEVI normal (50-69%) y 182 (15,7%) FEVI supranormal (≥ 70%). Se excluyeron 68 pacientes por cumplir criterios de exclusión: 23 por fallecimiento en el procedimiento, 15 por cirugías cardiacas valvulares previas, 6 por presencia de miocardiopatía no relacionada con la enfermedad valvular, 18 por expectativa de vida menor de 1 año y 6 por falta de datos en el estudio ecocardiográfico preprocedimiento o en el seguimiento clínico (figura 1).


Figura 1. Flow chart indicando los pacientes incluidos y excluidos en el estudio, así como la muestra final analizada y su distribución en los 3 grupos de estudio. FEVI: fracción de eyección del ventrículo izquierdo.


Las características basales de la población se detallan en la tabla 1. El promedio de edad fue de 82,2 ± 5,8 años, siendo ligeramente me- nor en el grupo de pacientes con FEVI reducida que en los otros 2 grupos. El sexo masculino fue más frecuente en el grupo de FEVI ≥ 70% (p < 0,005). El grupo con FEVI < 50% presentó con más frecuencia infarto previo, enfermedad coronaria y revascularización, con una mayor puntuación en el EuroSCORE II (22,5 [14,7-32,0]; p < 0,001); además, estos pacientes requirieron en mayor proporción la intervención como procedimiento de urgencia (p < 0,001).


Tabla 1. Características basales de los pacientes

Características FEVI < 50% (n = 276) FEVI 50-69% (n = 702) ≥ 70% (n = 182) p
Edad 81,6 ± 6,3 82,2 ± 5,9 82,9 ± 5,3 < 0,050
Sexo, varón 38,1% 58,2% 68,3% < 0,001
Hipertensión arterial 80,7% 82,9% 86,0% 0,363
Diabetes mellitus 41,7% 35,6% 33,9% 0,182
Índice de masa corporal 27,1 ± 4,4 28,4 ± 5,2 27,7 ± 5,1 < 0,002
Hiperlipidemia 56,9% 59,8% 56,0% 0,254
ACTP previa 30,6% 19,4% 16,8% < 0,001
CABG previa 9,6% 4,5% 3,3% < 0,002
Infarto previo 20,6% 9,1% 7,6% < 0,001
Enfermedad coronaria 45,6% 32,7% 34,7% < 0,002
Enfermedad de tronco coronario izquierdo 5,6% 3,4% 1,8% 0,222
Revascularización incompleta 20,7% 30,4% 35,3% 0,174
EPOC 16,7% 15,1% 14,5% 0,714
Tabaquismo 37,2% 41,7% 14,4% 0,034
Fibrilación auricular 38,6% 37,8% 42,1% 0,570
Filtrado glomerular 61,2 (46,0-77,9) 63,1 (46,8-79,4) 60,9 (45,5-75,2) 0,311
Cáncer 16,0% 15,5% 18,7% 0,725
EuroSCORE II 22,5 (14,7-32,0) 14,3 (7,4-18,0) 11,8 (8,9-18,9) < 0,001
Disnea 87,5% 87,5% 91,7% 0,289
Procedimiento de urgencia 33,9% 17,5% 14,1% < 0,001
Valve-in-valve 3,6% 3,3% 2,7% 0,881
Resultado (post-TAVI)
 Gradiente pico, mmHg 18,3 ± 7,3 19,3 ± 8,9 19,4 ± 8,7 0,223
 Gradiente medio, mmHg 9,3 ± 3,8 9,9 ± 4,8 10,0 ± 5,7 0,229

ACTP: angioplastia coronaria transluminal percutánea; CABG: cirugía de revascularización coronaria; EPOC: enfermedad pulmonar obstructiva crónica; FEVI: fracción de eyección del ventrículo izquierdo; TAVI: implante percutáneo de válvula aórtica.


Datos ecocardiográficos

Los pacientes con FEVI ≥ 70% presentaron volúmenes del VI de fin de diástole y de fin de sístole menores, y grosor de la pared septal y GPR mayores que los otros 2 grupos. El índice de masa del ventrículo izquierdo (IMVI) en este grupo fue de 126,3 ± 32,8 g/m2, lo que constituye un fenotipo predominante de hipertrofia y remodelación concéntrica. Algo similar ocurrió en el grupo de FEVI normal (50-60%), pero en este con un volumen de fin de diástole del VI mayor (tabla 2). Los pacientes con FEVI < 50% presentaron mayor masa, con un IMVI de 147,6 ± 40,2 g/m2 (p < 0,001), un GPR bajo (< 0,42) y un volumen de fin de diástole elevado, mostrando un fenotipo predominante de hipertrofia excéntrica. Además, en este grupo el volumen sistólico indexado era menor (32,5 ± 11,8; p < 0,001).


Tabla 2. Características basales de los pacientes

Características FEVI < 50 % FEVI 50-69% ≥ 70% p
GPR 0,48 (0,41-0,58) 0,57 (0,50-0,65) 0,60 (0,52-0,69) < 0,001
VFSVI indexado, ml/m2 31 (25-39) 38 (31-45) 39 (31-49) < 0,001
VFDVI indexado, ml/m2 63 (48-80) 48 (38-59) 45 (35-56) < 0,001
IMVI, g/m2 147,6 ± 40,2 128,8 ± 34,2 126,3 ± 32,8 < 0,001
SIV, mm 12,1 ± 2,6 13,6 ± 2,4 14,1 ± 2,7 < 0,001
Volumen sistólico indexado, ml/m2 32,5 ± 11,8 38 ± 11,5 40 ± 11,6 < 0,001

FEVI: fracción de eyección del ventrículo izquierdo; GPR: grosor parietal relativo; IMVI: índice de masa ventricular izquierda; SIV: septo interventricular; VFDVI: volumen de fin de diástole del ventrículo izquierdo; VFSVI: volumen de fin de sístole del ventrículo izquierdo.


Resultados clínicos periprocedimiento

No se encontraron diferencias significativas entre los 3 grupos en cuanto a mortalidad intra- y posprocedimiento.

Resultados clínicos en el seguimiento

Durante el seguimiento de 1 año la mortalidad fue de 164 pacientes (14,13%) y no hubo diferencias significativas entre los 3 grupos (FEVI < 50%, 14,6%; FEVI 50-69%, 12,6%; FEVI ≥ 70%, 12,7%; p < 0,736). Sin embargo, sí se encontraron diferencias significativas en la rehospitalización por causa cardiovascular al año, siendo mayor en el grupo de FEVI supranormal (FEVI ≥ 70%, 34,4%; FEVI < 50%, 29,2%; FEVI 50-69%, 27,4%; p < 0,043). Los resultados clínicos se recogen en la tabla 3.


Tabla 3. Resultados clínicos

Variables FEVI < 50 % (n = 276) FEVI 50-69% (n = 702) ≥ 70% (n = 182) p
Periprocedimiento
 Muerte intraprocedimiento 0,4% 1,4% 0,6% 0,345
 Muerte posprocedimiento 2,8% 3,7% 4,3% 0,676
Seguimiento
 Muerte por cualquier causa a 30 días 2,4% 3,9% 5,0% 0,359
 Muerte por causa cardiovascular al año 12,8% 9,6% 15,2% 0,370
 Muerte por cualquier causa al año 14,6% 12,6% 12,7% 0,736
 Rehospitalización por causa cardiovascular al año 29,2% 27,4% 34,4% < 0,043

FEVI: fracción de eyección del ventrículo izquierdo.


Análisis de regresión univariable

En los pacientes con FEVI supranormal, la presencia de enfermedad coronaria y un grosor del septo interventricular aumentado fueron predictores de hospitalización por causa cardiovascular en el primer año (tabla 4). En este grupo, el volumen de fin de diástole del VI indexado y el antecedente de enfermedad coronaria fueron predictores de mortalidad por cualquier causa al año (tabla 5). En la población general, con excepción de la edad, no hubo predictores de mortalidad a 1 año (tabla 6).


Tabla 4. Fracción de eyección del ventrículo izquierdo supranormal y predictores de hospitalización por causa cardiovascular al año

Características HR IC95% p HR
Edad 1,077 0,991-1,169 0,080
Hipertensión arterial 1,687 0,546-5,213 0,364
Diabetes mellitus 1,846 0,767-4,440 0,171
Índice de masa corporal 1,012 0,933-1,099 0,770
Enfermedad coronaria 0,327 0,137-0,780 0,012
Tabaquismo 1,796 0,650-4,965 0,259
EuroSCORE II 1,046 0,998-1,096 0,060
GPR 1,004 0,041-24,392 0,998
VFDVI indexado 0,979 0,949-1,010 0,188
SIV 0,965 0,933-0,998 0,036
 

GPR: grosor parietal relativo; HR: hazard ratio; IC95%: intervalo de confianza del 95%; SIV: septo interventricular; VFDVI: volumen de fin de diástole del ventrículo izquierdo.


Tabla 5. Fracción de eyección del ventrículo izquierdo supranormal y predictores de mortalidad al año

Características HR IC95% p HR
Edad 1,180 0,976-1,426 0,087
Hipertensión arterial 2,181 0,167-28,575 0,552
Diabetes mellitus 0,875 0,154-4,968 0,154
Índice de masa corporal 1,004 0,796-1,265 0,976
Enfermedad coronaria 3,372 0,612-18,575 0,012
Tabaquismo 7,453 0,691-61,024 0,259
EuroSCORE II 0,921 0,831-1,022 0,12
GPR 0,011 0,00-154,979 0,998
VFDVI indexado 1,094 1,018-1,177 0,015
SIV 1,004 0,943-1,068 0,912
 

GPR: grosor parietal relativo; HR: hazard ratio; IC95%: intervalo de confianza del 95%; SIV: septo interventricular; VFDVI: volumen de fin de diástole del ventrículo izquierdo.


Tabla 6. Predictores de mortalidad a 1 año en población general

Características HR IC95% p HR
Edad 1,070 1,002-1,143 0,043
Hipertensión arterial 1,268 0,545-2,947 0,582
Diabetes mellitus 1,458 0,764-2,784 0,253
Índice de masa corporal 0,949 0,882-1,020 0,152
Enfermedad coronaria 1,593 0,867-2,929 0,134
Tabaquismo 1,794 0,899-3,581 0,097
EuroSCORE II 1,046 0,973-1,033 0,868
GPR 0,252 0,022-2,836 0,264
VFDVI indexado 0,986 0,967-1,006 0,188
SIV 1,000 0,974-1,027 0,036
 

GPR: grosor parietal relativo; HR: hazard ratio; IC95%: intervalo de confianza del 95%; SIV: septo interventricular; VFDVI: volumen de fin de diástole del ventrículo izquierdo.


DISCUSIÓN

El estudio muestra que la FEVI es un importante factor pronóstico en los pacientes con EA grave tratados con TAVI. Si bien no se encontraron diferencias en la mortalidad a 1 mes y a 1 año, se demostró que los pacientes con FEVI supranormal (≥ 70%) presentan una mayor tasa de rehospitalización al año que aquellos con FEVI reducida (< 50%) o normal (50-69%).

La FEVI ha sido ampliamente reconocida en la literatura como un factor pronóstico en cualquier contexto clínico. En el estudio de Wehner et al.9 se encontró que una FEVI del 60-65% tiene el mejor pronóstico, y que los pacientes con FEVI ≥ 70% presentan una tasa de mortalidad a 5 años similar a la de los pacientes con FEVI reducida. En el estudio de Gu et al.10 también se hallaron mayores tasas de mortalidad y de hospitalización a 5 años en los pacientes hospitalizados por insuficiencia cardiaca y con FEVI > 65% en comparación con los pacientes con FEVI normal.

En cuanto a los pacientes con EA tratados con TAVI, el registro OCEAN-TAVI mostró que la FEVI > 65% era un predictor independiente de muerte y de rehospitalización en el seguimiento a 3 años (hazard ratio [HR] = 1,16; IC95%, 1,02-1,31; p = 0,023)11. No se encontraron diferencias significativas en cuanto a mortalidad entre los grupos de estudio, salvo en la tasa de rehospitalización. Queda por determinar si un seguimiento a más largo plazo detectaría también diferencias en la mortalidad.

En los pacientes con EA intervenidos quirúrgicamente, la FEVI es un reconocido marcador pronóstico. En el estudio realizado por Dahl et al.12 se halló que la FEVI reducida (< 50%) es un claro predictor de riesgo a 5 años. Se detectó que los pacientes con FEVI supranormal presentaron mayores tiempos de hospitalización, ventilación mecánica e incidencia de hemodiálisis, así como también una mayor tasa de rehospitalización. Este último hallazgo es similar a lo observado en nuestro estudio. Al no existir una explicación exacta para estos resultados, se sugiere que pueden tener relación con que la hipertrofia miocárdica o la disfunción diastólica no regresen después de la intervención13.

Según estudios previos, los volúmenes ventriculares tanto aumentados (> 80 ml/m2) como reducidos (< 55 ml/m2) son otra condición de riesgo que hay que tener en cuenta en los pacientes con EA grave14,15. En este análisis, en el subgrupo de pacientes con FEVI supranormal, el volumen de fin de diástole del VI fue predictor de la mortalidad al año (HR = 1,094; IC95%, 1,018-1,177; p < 0,015). Un volumen sistólico indexado bajo también se ha asociado con peor pronóstico en los pacientes con EA, tanto con FEVI reducida como con FEVI conservada16. Los pacientes con FEVI conservada pueden presentar un volumen sistólico bajo cuando la cavidad ventricular es pequeña y presentan fisiología restrictiva limitando el volumen sistólico, incluso con una fracción de eyección supranormal17. En la mayoría de los estudios, estos pacientes han mostrado tener un peor pronóstico, con mayor riesgo de mortalidad y menos tiempo libre de eventos18,19.

La FEVI supranormal se presenta como un nuevo fenotipo dentro de los pacientes con FEVI conservada (> 50%), con características clínicas y hemodinámicas distintivas. No hay un consenso definitivo sobre qué valor de FEVI es considerado supranormal; según el American College of Cardiology, es supranormal una FEVI ≥ 70%20, y otros grupos la definen como una FEVI ≥ 65%. Para el objetivo de este estudio se tomó como referencia una FEVI ≥ 70% con la finalidad de destacar más las diferencias clínicas y ecocardiográficas entre los grupos de estudio, lo que probablemente condicionó la prevalencia encontrada en la población estudiada.

En el estudio de Wehner et al.9 se revisaron 403.977 ecocardiogramas de 203.135 pacientes sin diagnóstico preespecificado, y se encontró una FEVI ≥ 70% en el 3% (13.553) de ellos. En el presente estudio en pacientes con EA grave, el 15% presentaron FEVI ≥ 70%. En otros estudios, como el registro OCEAN-TAVI11 antes mencionado, los pacientes con FEVI supranormal y EA supusieron un porcentaje más alto (47%), debido probablemente a que el punto de corte de la FEVI supranormal fue menor (≥ 65%). Estos datos reflejan que la EA grave se asocia a una FEVI mayor de lo normal, debido probablemente a la remodelación y la hipertrofia concéntrica del VI por el efecto de la elevada poscarga21-24. En este estudio, el IMVI fue elevado en la mayoría de los pacientes sin importar la FEVI, destacando que los pacientes con FEVI normal y supranormal presentaron predominantemente una geometría concéntrica con una cavidad ventricular izquierda reducida y mayor grosor septal. En los pacientes con FEVI reducida, en cambio, la geometría fue predominantemente excéntrica con el VI dilatado.

Por último, nuestros resultados señalan que, aunque las escalas de riesgo muy usadas (como el EuroSCORE II) siguen siendo válidas, podrían tenerse en cuenta factores ecocardiográficos al elegir el momento adecuado y el tipo de intervención25.

Limitaciones

Se trata de un estudio retrospectivo, observacional y realizado en un solo centro. Todos los pacientes habían recibido un TAVI y no se compararon con otros tratados con recambio valvular quirúrgico. No se especificó el tratamiento médico-farmacológico empleado; detalle importante, teniendo en cuenta los avances que ha habido en los últimos tiempos en el tratamiento de la insuficiencia cardiaca. El seguimiento a 1 año puede ser demasiado corto para obtener diferencias en cuanto a mortalidad entre los grupos; un seguimiento a largo plazo podría mostrar diferencias.

CONCLUSIONES

La FEVI es aún un importante factor pronóstico para la toma de decisiones en los pacientes con EA grave. En este estudio, los pacientes con FEVI preprocedimiento reducida (< 50%), normal (50-69%) o supranormal (≥ 70%) que recibieron un TAVI no presentaron diferencias en cuanto a mortalidad a 1 año de seguimiento. Sin embargo, aquellos con FEVI supranormal (≥ 70%) tuvieron una mayor tasa de rehospitalización por causa cardiovascular al año, lo que sugiere que este subgrupo presenta factores desfavorables, como la presencia de disfunción diastólica significativa. Son necesarios más estudios que investiguen y confirmen estos hallazgos.

FINANCIACIÓN

No hubo financiación externa.

CONSIDERACIONES ÉTICAS

El presente estudio se adhirió a la Declaración de Helsinki de la Asociación Médica Mundial y contó con la aprobación del comité de ética del Hospital Clínico San Carlos (Madrid, España). El estudio no supuso ningún tipo de riesgo para los pacientes. No se requirió consentimiento informado por tratarse de datos retrospectivos y toda la información obtenida se manejó con la más estricta confidencialidad por parte de los investigadores. Se reclutaron pacientes consecutivos durante los años definidos para el estudio, sin realizar muestreo ni aleatorización, por lo que no se han tenido en cuenta sesgos de sexo o género en el análisis.

DECLARACIÓN SOBRE EL USO DE INTELIGENCIA ARTIFICIAL

No se usaron herramientas de inteligencia artificial durante el desarrollo del estudio.

CONTRIBUCIÓN DE LOS AUTORES

E. Martínez Gómez, X. Solar, D. Faria, L. Nombela Franco y J.A. de Agustín contribuyeron en la concepción y el diseño, la adquisición de datos, su análisis e interpretación. E. Martínez Gómez, X. Solar, D. Faria, L. Nombela Franco, P. Jiménez Quevedo, G. Tirado, E. Pozo Osinalde, C. Olmos Blanco, P. Mahía Casado, P. Marcos Alberca, M. Luaces, J.J. Gómez de Diego, L. Collado Yurrita, A. Fernández-Ortiz, J. Pérez-Villacastín y J.A. de Agustín contribuyeron en la redacción del artículo o en su revisión crítica. Todos los autores han dado su aprobación a la versión final del artículo.

CONFLICTO DE INTERESES

No hay conflicto de intereses.

¿QUÉ SE SABE DEL TEMA?

  • La FEVI es un parámetro pronóstico con gran importancia en cardiología. Paradójicamente, los estudios han mostrado que los pacientes con FEVI supranormal presentan un peor pronóstico en algunos escenarios, como la EA.

¿QUÉ APORTA DE NUEVO?

  • El estudio muestra que los pacientes tratados con TAVI que presentan una FEVI supranormal (≥ 70%) tienen una mayor tasa de rehospitalización al año que aquellos con FEVI reducida (< 50%) o normal (50-69%).

BIBLIOGRAFÍA

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20. Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults:an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015;28:1-39.14.

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* Autor para correspondencia.

Correo electrónico: eimartin1980@gmail.com (E. Martínez Gómez).

  @DoctordeAgustin

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  • afterRenderRawModule mod_menu (Footer Final ES) (27.89KB) (872μs)
  • beforeRenderModule mod_menu (Footer Final ES) (720B) (5μs)
  • afterRenderModule mod_menu (Footer Final ES) (3.55KB) (140μs)
  • afterRender (1.04MB) (77.36ms)
  • 1 x afterRenderModule mod_custom (Lo más leído) (1.17MB) (31.76%)
    464ms
    1 x afterRenderModule mod_custom (Lo más compartido) (516.58KB) (31.66%)
    463ms
    1 x afterRenderComponent com_content (272.26KB) (8.05%)
    118ms
    1 x afterRender (1.04MB) (5.29%)
    77.36ms
    1 x Before Access::getAssetRules (id:8 name:com_content) (1.24MB) (2.8%)
    40.99ms
    1 x afterInitialise (3.34MB) (2.78%)
    40.67ms
    1 x afterRenderModule mod_custom (Article Herramientas Estadísticas) (685.49KB) (1.66%)
    24.32ms
    1 x beforeRenderRawModule mod_breadcrumbs (Breadcrumbs ES) (1.06MB) (1.35%)
    19.81ms
    1 x afterRenderModule mod_custom (Header Article) (513.45KB) (1.13%)
    16.51ms
    1 x afterRoute (514.18KB) (1.09%)
    15.87ms
    1 x afterRenderRawModule mod_dms3_refs (Article Herramientas Exportar) (94.41KB) (0.62%)
    9.08ms
    1 x afterRenderModule mod_custom (Article Herramientas Traducción) (256.34KB) (0.58%)
    8.49ms
    1 x afterRenderModule mod_custom (Article - Referencia ) (267.05KB) (0.56%)
    8.18ms
    1 x Before Access::getAssetRules (id:1 name:root.1) (395.36KB) (0.55%)
    7.98ms
    1 x afterRenderModule mod_custom (Article Herramientas Compartir) (262.32KB) (0.54%)
    7.95ms
    1 x afterRenderModule mod_custom (Article DOI activo) (256.45KB) (0.52%)
    7.62ms
    1 x afterRenderModule mod_custom (Debate Title) (380.8KB) (0.52%)
    7.58ms
    1 x afterRenderModule mod_custom (Article Subtitulo) (1.25MB) (0.47%)
    6.93ms
    1 x afterDispatch (366.43KB) (0.46%)
    6.68ms
    1 x afterRenderModule mod_custom (Article Category) (212.14KB) (0.41%)
    5.94ms
    1 x afterRenderModule mod_custom (Innovacion Herramientas Compartir) (204.58KB) (0.4%)
    5.86ms
    1 x afterRenderModule mod_custom (Article Herramientas Material Adicional) (169.11KB) (0.38%)
    5.61ms
    1 x afterRenderModule mod_custom (Article Authors) (156.07KB) (0.38%)
    5.53ms
    1 x afterRenderModule mod_custom (Article Related contents) (167.99KB) (0.38%)
    5.50ms
    1 x afterRenderModule mod_custom (Foto Autor) (214.35KB) (0.37%)
    5.44ms
    1 x After Access::preloadPermissions (com_content) (957.3KB) (0.37%)
    5.42ms
    1 x afterRenderModule mod_custom (Article Translated Title) (148.9KB) (0.36%)
    5.21ms
    1 x afterRenderModule mod_custom (Article Title) (139.5KB) (0.33%)
    4.86ms
    1 x afterRenderModule mod_custom (Innovacion Herramientas Traducción) (140.4KB) (0.33%)
    4.83ms
    1 x afterRenderModule mod_custom (Separador) (119.41KB) (0.33%)
    4.80ms
    1 x afterRenderModule mod_custom (Innovacion Herramientas Estadísticas) (128.25KB) (0.32%)
    4.65ms
    1 x afterRenderModule mod_custom (EMAIL Y TWITTER) (183.98KB) (0.31%)
    4.59ms
    1 x afterRenderModule mod_custom (Innovacion Herramientas Imprimir) (118.91KB) (0.31%)
    4.56ms
    1 x afterRenderModule mod_custom (Article Herramientas Imprimir) (119.06KB) (0.31%)
    4.54ms
    1 x afterRenderModule mod_custom (Article Herramientas Descargar) (118.57KB) (0.31%)
    4.52ms
    1 x afterLoad (74.49KB) (0.2%)
    2.91ms
    1 x beforeRenderRawModule mod_custom (Publicación de la Sociedad Española de Cardiología) (10.5KB) (0.15%)
    2.24ms
    1 x afterRenderRawModule mod_languages (Cambiar Idioma) (34.14KB) (0.12%)
    1.73ms
    1 x afterRenderRawModule mod_articles_good_search (Articles Good Search Total (Lateral)) (34.48KB) (0.09%)
    1.34ms
    1 x afterRenderRawModule mod_breadcrumbs (Breadcrumbs ES) (10.02KB) (0.08%)
    1.15ms
    1 x After Access::preloadComponents (all components) (129.18KB) (0.07%)
    976μs
    1 x beforeRenderRawModule mod_custom (Separador) (4.71KB) (0.06%)
    947μs
    1 x afterRenderRawModule mod_menu (Footer Final ES) (27.89KB) (0.06%)
    872μs
    1 x afterRenderRawModule mod_menu (Publicar) (29.62KB) (0.06%)
    841μs
    1 x beforeRenderRawModule mod_menu (Footer Final ES) (4.28KB) (0.05%)
    798μs
    1 x afterRenderRawModule mod_menu (Contenido) (18.41KB) (0.05%)
    749μs
    1 x afterRenderRawModule mod_menu (Sobre nosotros) (22.12KB) (0.05%)
    749μs
    1 x Before Access::preloadComponents (all components) (35.46KB) (0.05%)
    736μs
    1 x beforeRenderRawModule mod_menu (Contenido) (4.88KB) (0.05%)
    724μs
    1 x afterRenderRawModule mod_menu (Sidebar Menú ES) (9.53KB) (0.05%)
    682μs
    1 x afterRenderRawModule mod_esmedicodisclaimer (esmedicodisclaimer esmedicodisclaimer) (6.73KB) (0.04%)
    548μs
    1 x afterRenderRawModule mod_menu (Sidebar - REC: Publications) (15.85KB) (0.04%)
    543μs
    1 x afterRenderRawModule mod_menu (Publicaciones Permanyer) (10.02KB) (0.03%)
    481μs
    1 x afterRenderModule mod_custom (Home Concurso Hemodinamica) (4.48KB) (0.03%)
    409μs
    1 x afterRenderRawModule mod_custom (Header Article) (4.16KB) (0.03%)
    374μs
    1 x afterRenderModule mod_breadcrumbs (Breadcrumbs ES) (4.09KB) (0.02%)
    349μs
    1 x beforeRenderComponent com_content (12.75KB) (0.02%)
    338μs
    1 x afterRenderRawModule mod_lightbox (Lightbox) (8.16KB) (0.02%)
    321μs
    1 x beforeRenderRawModule mod_custom (Debate Title) (576B) (0.02%)
    286μs
    1 x afterRenderModule mod_articles_good_search (Articles Good Search Total (Lateral)) (10.48KB) (0.02%)
    253μs
    1 x beforeRenderRawModule mod_custom (Header Article) (1.6KB) (0.01%)
    213μs
    1 x beforeRenderRawModule mod_custom (Home Concurso Hemodinamica) (496B) (0.01%)
    211μs
    1 x afterRenderModule mod_dms3_refs (Article Herramientas Exportar) (3.27KB) (0.01%)
    151μs
    1 x afterRenderModule mod_esmedicodisclaimer (esmedicodisclaimer esmedicodisclaimer) (5.39KB) (0.01%)
    149μs
    1 x afterRenderModule mod_menu (Contenido) (3.3KB) (0.01%)
    143μs
    1 x afterRenderModule mod_custom (Publicación de la Sociedad Española de Cardiología) (2.81KB) (0.01%)
    143μs
    1 x afterRenderModule mod_menu (Footer Final ES) (3.55KB) (0.01%)
    140μs
    1 x afterRenderModule mod_languages (Cambiar Idioma) (3.88KB) (0.01%)
    135μs
    1 x afterRenderModule mod_custom (Factor de Impacto) (2.84KB) (0.01%)
    133μs
    1 x afterRenderModule mod_menu (Publicar) (3.55KB) (0.01%)
    133μs
    1 x afterRenderModule mod_menu (Sidebar Menú ES) (2.92KB) (0.01%)
    132μs
    1 x afterRenderModule mod_lightbox (Lightbox) (4.36KB) (0.01%)
    132μs
    1 x beforeRenderRawModule mod_menu (Publicar) (1.38KB) (0.01%)
    132μs
    1 x afterRenderRawModule mod_custom (Separador) (1.13KB) (0.01%)
    131μs
    1 x afterRenderModule mod_menu (Sobre nosotros) (3.42KB) (0.01%)
    127μs
    1 x afterRenderModule mod_custom (Article - Disponible Online) (2.67KB) (0.01%)
    126μs
    1 x afterRenderModule mod_menu (Sidebar - REC: Publications) (3.45KB) (0.01%)
    124μs
    1 x afterRenderModule mod_menu (Publicaciones Permanyer) (3.11KB) (0.01%)
    122μs
    1 x beforeRenderRawModule mod_menu (Sobre nosotros) (400B) (0.01%)
    116μs
    1 x beforeRenderRawModule mod_lightbox (Lightbox) (6.94KB) (0.01%)
    115μs
    1 x afterRenderRawModule mod_custom (Foto Autor) (1.02KB) (0.01%)
    112μs
    1 x beforeRenderRawModule mod_menu (Publicaciones Permanyer) (384B) (0.01%)
    110μs
    1 x beforeRenderRawModule mod_languages (Cambiar Idioma) (5.67KB) (0.01%)
    107μs
    1 x afterRenderRawModule mod_custom (Publicación de la Sociedad Española de Cardiología) (1.09KB) (0.01%)
    100μs
    1 x afterRenderRawModule mod_custom (Factor de Impacto) (976B) (0.01%)
    96μs
    1 x afterRenderRawModule mod_custom (Lo más compartido) (912B) (0.01%)
    93μs
    1 x After Access::getAssetRules (id:432 name:com_content.article.1317) (8.3KB) (0.01%)
    90μs
    1 x afterRenderRawModule mod_custom (Debate Title) (976B) (0.01%)
    89μs
    1 x afterRenderRawModule mod_custom (Innovacion Herramientas Compartir) (928B) (0.01%)
    89μs
    1 x afterRenderRawModule mod_custom (Article Herramientas Descargar) (992B) (0.01%)
    88μs
    1 x afterRenderRawModule mod_custom (Article Herramientas Estadísticas) (928B) (0.01%)
    88μs
    1 x afterRenderRawModule mod_custom (Innovacion Herramientas Estadísticas) (928B) (0.01%)
    88μs
    1 x afterRenderRawModule mod_custom (Innovacion Herramientas Traducción) (1.03KB) (0.01%)
    86μs
    1 x afterRenderRawModule mod_custom (Article Herramientas Compartir) (928B) (0.01%)
    86μs
    1 x afterRenderRawModule mod_custom (Article Translated Title) (992B) (0.01%)
    85μs
    1 x afterRenderRawModule mod_custom (Article Herramientas Imprimir) (928B) (0.01%)
    85μs
    1 x afterRenderRawModule mod_custom (Innovacion Herramientas Imprimir) (11.91KB) (0.01%)
    84μs
    1 x afterRenderRawModule mod_custom (Article DOI activo) (1.02KB) (0.01%)
    84μs
    1 x afterRenderRawModule mod_custom (Article Herramientas Material Adicional) (944B) (0.01%)
    84μs
    1 x afterRenderRawModule mod_custom (Article Herramientas Traducción) (1.16KB) (0.01%)
    83μs
    1 x afterRenderRawModule mod_custom (Article Authors) (976B) (0.01%)
    83μs
    1 x afterRenderRawModule mod_custom (Article Related contents) (3.41KB) (0.01%)
    82μs
    1 x afterRenderRawModule mod_custom (EMAIL Y TWITTER) (1.02KB) (0.01%)
    82μs
    1 x afterRenderRawModule mod_custom (Article - Referencia ) (1.02KB) (0.01%)
    81μs
    1 x afterRenderRawModule mod_custom (Article - Disponible Online) (2.23KB) (0.01%)
    80μs
    1 x afterRenderRawModule mod_custom (Article Title) (976B) (0.01%)
    80μs
    1 x afterRenderRawModule mod_custom (Article Subtitulo) (976B) (0.01%)
    80μs
    1 x afterRenderRawModule mod_custom (Home Concurso Hemodinamica) (928B) (0.01%)
    80μs
    1 x afterRenderRawModule mod_custom (Lo más leído) (912B) (0.01%)
    77μs
    1 x afterRenderRawModule mod_custom (Article Category) (1.02KB) (0.01%)
    74μs
    1 x Before Access::getAssetRules (id:432 name:com_content.article.1317) (34.65KB) (0%)
    42μs
    1 x beforeRenderRawModule mod_custom (Lo más compartido) (2.38KB) (0%)
    35μs
    1 x beforeRenderRawModule mod_articles_good_search (Articles Good Search Total (Lateral)) (9.73KB) (0%)
    34μs
    1 x beforeRenderRawModule mod_custom (Innovacion Herramientas Compartir) (6.36KB) (0%)
    33μs
    1 x beforeRenderRawModule mod_custom (Innovacion Herramientas Estadísticas) (5.47KB) (0%)
    32μs
    1 x beforeRenderRawModule mod_custom (Article Herramientas Estadísticas) (3.52KB) (0%)
    30μs
    1 x beforeRenderRawModule mod_custom (Article Herramientas Descargar) (1.45KB) (0%)
    29μs
    1 x beforeRenderRawModule mod_custom (Article Translated Title) (1.11KB) (0%)
    28μs
    1 x beforeRenderRawModule mod_custom (Innovacion Herramientas Traducción) (2.11KB) (0%)
    28μs
    1 x beforeRenderRawModule mod_custom (Article Herramientas Imprimir) (1.27KB) (0%)
    27μs
    1 x beforeRenderRawModule mod_custom (Article Herramientas Compartir) (432B) (0%)
    26μs
    1 x beforeRenderRawModule mod_custom (Article Related contents) (1.14KB) (0%)
    26μs
    1 x beforeRenderRawModule mod_custom (EMAIL Y TWITTER) (1.41KB) (0%)
    25μs
    1 x beforeRenderRawModule mod_custom (Article Herramientas Traducción) (1.48KB) (0%)
    25μs
    1 x beforeRenderRawModule mod_custom (Innovacion Herramientas Imprimir) (1.73KB) (0%)
    25μs
    1 x beforeRenderRawModule mod_custom (Article DOI activo) (1.22KB) (0%)
    24μs
    1 x beforeRenderRawModule mod_custom (Article Subtitulo) (1.44KB) (0%)
    24μs
    1 x beforeRenderRawModule mod_custom (Article Herramientas Material Adicional) (3.53KB) (0%)
    24μs
    1 x beforeRenderRawModule mod_custom (Article - Disponible Online) (1.98KB) (0%)
    23μs
    1 x beforeRenderRawModule mod_custom (Article Authors) (1.5KB) (0%)
    23μs
    1 x beforeRenderRawModule mod_custom (Foto Autor) (1.69KB) (0%)
    23μs
    1 x beforeRenderRawModule mod_custom (Factor de Impacto) (13.19KB) (0%)
    23μs
    1 x beforeRenderRawModule mod_dms3_refs (Article Herramientas Exportar) (2.83KB) (0%)
    23μs
    1 x beforeRenderRawModule mod_custom (Article Title) (1.44KB) (0%)
    22μs
    1 x beforeRenderRawModule mod_custom (Article - Referencia ) (1.61KB) (0%)
    22μs
    1 x beforeRenderRawModule mod_menu (Sidebar - REC: Publications) (880B) (0%)
    22μs
    1 x beforeRenderRawModule mod_menu (Sidebar Menú ES) (NANB) (0%)
    21μs
    1 x beforeRenderRawModule mod_esmedicodisclaimer (esmedicodisclaimer esmedicodisclaimer) (2.36KB) (0%)
    20μs
    1 x beforeRenderRawModule mod_custom (Lo más leído) (2.64KB) (0%)
    19μs
    1 x beforeRenderRawModule mod_custom (Article Category) (832B) (0%)
    18μs
    1 x After Access::getAssetRules (id:1 name:root.1) (6.48KB) (0%)
    16μs
    1 x beforeRenderModule mod_custom (Separador) (720B) (0%)
    13μs
    1 x Before Access::preloadPermissions (com_content) (1.79KB) (0%)
    11μs
    1 x After Access::getAssetRules (id:8 name:com_content) (1.28KB) (0%)
    9μs
    1 x beforeRenderModule mod_breadcrumbs (Breadcrumbs ES) (704B) (0%)
    6μs
    1 x beforeRenderModule mod_custom (Factor de Impacto) (720B) (0%)
    5μs
    1 x beforeRenderModule mod_dms3_refs (Article Herramientas Exportar) (736B) (0%)
    5μs
    1 x beforeRenderModule mod_menu (Footer Final ES) (720B) (0%)
    5μs
    1 x beforeRenderModule mod_custom (Header Article) (720B) (0%)
    4μs
    1 x beforeRenderModule mod_menu (Sidebar Menú ES) (720B) (0%)
    4μs
    1 x beforeRenderModule mod_menu (Sidebar - REC: Publications) (736B) (0%)
    4μs
    1 x beforeRenderModule mod_menu (Contenido) (704B) (0%)
    4μs
    1 x beforeRenderModule mod_menu (Sobre nosotros) (720B) (0%)
    4μs
    1 x beforeRenderModule mod_menu (Publicaciones Permanyer) (720B) (0%)
    4μs
    1 x beforeRenderModule mod_custom (Article DOI activo) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article - Disponible Online) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Category) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Foto Autor) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Title) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Subtitulo) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Authors) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Publicación de la Sociedad Española de Cardiología) (752B) (0%)
    3μs
    1 x beforeRenderModule mod_lightbox (Lightbox) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_languages (Cambiar Idioma) (704B) (0%)
    3μs
    1 x beforeRenderModule mod_articles_good_search (Articles Good Search Total (Lateral)) (752B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Home Concurso Hemodinamica) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Innovacion Herramientas Compartir) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Innovacion Herramientas Estadísticas) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Herramientas Material Adicional) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_esmedicodisclaimer (esmedicodisclaimer esmedicodisclaimer) (752B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Debate Title) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article - Referencia ) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Translated Title) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Related contents) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Lo más compartido) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Herramientas Descargar) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Herramientas Traducción) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Innovacion Herramientas Traducción) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Herramientas Imprimir) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Innovacion Herramientas Imprimir) (736B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (EMAIL Y TWITTER) (720B) (0%)
    3μs
    1 x beforeRenderModule mod_menu (Publicar) (704B) (0%)
    3μs
    1 x beforeRenderModule mod_custom (Article Herramientas Compartir) (736B) (0%)
    2μs
    1 x beforeRenderModule mod_custom (Lo más leído) (720B) (0%)
    2μs
    1 x beforeRenderModule mod_custom (Article Herramientas Estadísticas) (736B) (0%)
    2μs
102 statements were executed, 26 of which were duplicates, 76 unique992ms2.2MB
  • SELECT @@SESSION.sql_mode;127μs968B/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:308Copy
  • SELECT `data` FROM `yzfp0_session` WHERE `session_id` = ?202μs1008BParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:250Copy
  • SELECT `session_id` FROM `yzfp0_session` WHERE `session_id` = :session_id LIMIT 1123μs1.3KBParams/libraries/src/Session/MetadataManager.php:187Copy
  • INSERT INTO `yzfp0_session` (`session_id`,`guest`,`time`,`userid`,`username`,`client_id`) VALUES (:session_id, :guest, :time, :user_id, :username, :client_id)767μs944BParams/libraries/src/Session/MetadataManager.php:260Copy
  • SELECT `extension_id` AS `id`,`element` AS `option`,`params`,`enabled` FROM `yzfp0_extensions` WHERE `type` = 'component' AND `state` = 0 AND `enabled` = 1579μs1.73KB/libraries/src/Component/ComponentHelper.php:399Copy
  • SELECT `id`,`rules` FROM `yzfp0_viewlevels`163μs656B/libraries/src/Access/Access.php:955Copy
  • SELECT `b`.`id` FROM `yzfp0_usergroups` AS `a` LEFT JOIN `yzfp0_usergroups` AS `b` ON `b`.`lft` <= `a`.`lft` AND `b`.`rgt` >= `a`.`rgt` WHERE `a`.`id` = :guest238μs1.33KBParams/libraries/src/Access/Access.php:868Copy
  • SELECT `folder` AS `type`,`element` AS `name`,`params` AS `params`,`extension_id` AS `id` FROM `yzfp0_extensions` WHERE `enabled` = 1 AND `type` = 'plugin' AND `state` IN (0,1) AND `access` IN (:preparedArray1,:preparedArray2) ORDER BY `ordering`1.05ms21.48KBParams/libraries/src/Plugin/PluginHelper.php:294Copy
  • SELECT * FROM `yzfp0_languages` WHERE `published` = 1 ORDER BY `ordering` ASC231μs2.23KB/libraries/src/Language/LanguageHelper.php:177Copy
  • SELECT `element`,`name`,`client_id`,`extension_id` FROM `yzfp0_extensions` WHERE `type` = 'language' AND `state` = 0 AND `enabled` = 1200μs784B/libraries/src/Language/LanguageHelper.php:250Copy
  • SELECT `m`.`id`,`m`.`menutype`,`m`.`title`,`m`.`alias`,`m`.`note`,`m`.`link`,`m`.`type`,`m`.`level`,`m`.`language`,`m`.`browserNav`,`m`.`access`,`m`.`params`,`m`.`home`,`m`.`img`,`m`.`template_style_id`,`m`.`component_id`,`m`.`parent_id`,`m`.`path` AS `route`,`e`.`element` AS `component` FROM `yzfp0_menu` AS `m` LEFT JOIN `yzfp0_extensions` AS `e` ON `m`.`component_id` = `e`.`extension_id` WHERE ( (`m`.`published` = 1 AND `m`.`parent_id` > 0 AND `m`.`client_id` = 0) AND (`m`.`publish_up` IS NULL OR `m`.`publish_up` <= :currentDate1)) AND (`m`.`publish_down` IS NULL OR `m`.`publish_down` >= :currentDate2) ORDER BY `m`.`lft`1.59ms199.3KBParams/libraries/src/Menu/SiteMenu.php:166Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray1,:preparedArray2)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`639μs3.92KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `id` FROM `yzfp0_content` WHERE `alias` = :segment AND `catid` = :id312μs1.34KBParams/components/com_content/src/Service/Router.php:263Copy
  • SELECT `id`,`home`,`template`,`s`.`params`,`inheritable`,`parent` FROM `yzfp0_template_styles` AS `s` LEFT JOIN `yzfp0_extensions` AS `e` ON `e`.`element` = `s`.`template` AND `e`.`type` = 'template' AND `e`.`client_id` = `s`.`client_id` WHERE `s`.`client_id` = 0 AND `e`.`enabled` = 1315μs1.23KB/administrator/components/com_templates/src/Model/StyleModel.php:775Copy
  • SELECT s.id, s.template, s.home, s.title AS long_title, s.params FROM yzfp0_template_styles AS s WHERE s.client_id = 0 AND s.template = 'g5_helium' ORDER BY s.id239μs1.17KB/libraries/gantry5/src/classes/Gantry/Joomla/StyleHelper.php:69Copy
  • SELECT `id`,`name`,`rules`,`parent_id` FROM `yzfp0_assets` WHERE `name` IN (:preparedArray1,:preparedArray2,:preparedArray3,:preparedArray4,:preparedArray5,:preparedArray6,:preparedArray7,:preparedArray8,:preparedArray9,:preparedArray10,:preparedArray11,:preparedArray12,:preparedArray13,:preparedArray14,:preparedArray15,:preparedArray16,:preparedArray17,:preparedArray18,:preparedArray19,:preparedArray20,:preparedArray21,:preparedArray22,:preparedArray23,:preparedArray24,:preparedArray25,:preparedArray26,:preparedArray27,:preparedArray28,:preparedArray29,:preparedArray30,:preparedArray31,:preparedArray32,:preparedArray33,:preparedArray34,:preparedArray35,:preparedArray36,:preparedArray37,:preparedArray38,:preparedArray39,:preparedArray40,:preparedArray41,:preparedArray42,:preparedArray43,:preparedArray44,:preparedArray45)649μs7.81KBParams/libraries/src/Access/Access.php:357Copy
  • SELECT `id`,`name`,`rules`,`parent_id` FROM `yzfp0_assets` WHERE `name` LIKE :asset OR `name` = :extension OR `parent_id` = 04.14ms94.73KBParams/libraries/src/Access/Access.php:301Copy
  • SHOW FULL COLUMNS FROM `yzfp0_content`436μs1.77KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:587Copy
  • UPDATE `yzfp0_content` SET `hits` = (`hits` + 1) WHERE `id` = '1317'635μs48B/libraries/src/Table/Table.php:1348Copy
  • SELECT `a`.`id`,`a`.`asset_id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`state`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`version`,`a`.`ordering`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`metadata`,`a`.`featured`,`a`.`language`,`fp`.`featured_up`,`fp`.`featured_down`,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`language` AS `category_language`,`fp`.`ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language`,ROUND(`v`.`rating_sum` / `v`.`rating_count`, 1) AS `rating`,`v`.`rating_count` AS `rating_count` FROM `yzfp0_content` AS `a` INNER JOIN `yzfp0_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `yzfp0_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` LEFT JOIN `yzfp0_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `yzfp0_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `yzfp0_content_rating` AS `v` ON `a`.`id` = `v`.`content_id` WHERE ( (`a`.`id` = :pk AND `c`.`published` > 0 AND `a`.`language` IN (:preparedArray1,:preparedArray2)) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp)) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown) AND `a`.`state` IN (:preparedArray3,:preparedArray4)590μs110.19KBParams/components/com_content/src/Model/ArticleModel.php:215Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`445μs3.98KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `m`.`tag_id`,`t`.* FROM `yzfp0_contentitem_tag_map` AS `m` INNER JOIN `yzfp0_tags` AS `t` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :contentType AND `m`.`content_item_id` = :id AND `t`.`published` = 1 AND `t`.`access` IN (:preparedArray1,:preparedArray2)526μs3.98KBParams/libraries/src/Helper/TagsHelper.php:388Copy
  • SHOW FULL COLUMNS FROM `yzfp0_users`369μs1.58KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:587Copy
  • SELECT * FROM `yzfp0_users` WHERE `id` = :userid230μs3.16KBParams/libraries/src/Table/User.php:106Copy
  • SELECT `g`.`id`,`g`.`title` FROM `yzfp0_usergroups` AS `g` INNER JOIN `yzfp0_user_usergroup_map` AS `m` ON `m`.`group_id` = `g`.`id` WHERE `m`.`user_id` = :muserid250μs1.37KBParams/libraries/src/Table/User.php:134Copy
  • SELECT * FROM `yzfp0_users` WHERE `id` = :userid206μs3.16KBParams/libraries/src/Table/User.php:106Copy
  • SELECT `g`.`id`,`g`.`title` FROM `yzfp0_usergroups` AS `g` INNER JOIN `yzfp0_user_usergroup_map` AS `m` ON `m`.`group_id` = `g`.`id` WHERE `m`.`user_id` = :muserid173μs1.37KBParams/libraries/src/Table/User.php:134Copy
  • SELECT `b`.`id` FROM `yzfp0_user_usergroup_map` AS `map` LEFT JOIN `yzfp0_usergroups` AS `a` ON `a`.`id` = `map`.`group_id` LEFT JOIN `yzfp0_usergroups` AS `b` ON `b`.`lft` <= `a`.`lft` AND `b`.`rgt` >= `a`.`rgt` WHERE `map`.`user_id` = :userId171μs1.33KBParams/libraries/src/Access/Access.php:868Copy
  • SELECT r.* FROM yzfp0_rereplacer AS r WHERE r.published = 1 AND (r.area = 'articles' OR r.params LIKE '%\"use_xml\":\"1\"%') ORDER BY r.ordering, r.id425μs1.48KB/plugins/system/rereplacer/src/Items.php:97Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`419μs3.98KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT DISTINCT a.id, a.title, a.name, a.checked_out, a.checked_out_time, a.note, a.state, a.access, a.created_time, a.created_user_id, a.ordering, a.language, a.fieldparams, a.params, a.type, a.default_value, a.context, a.group_id, a.label, a.description, a.required, a.only_use_in_subform,l.title AS language_title, l.image AS language_image,uc.name AS editor,ag.title AS access_level,ua.name AS author_name,g.title AS group_title, g.access as group_access, g.state AS group_state, g.note as group_note FROM yzfp0_fields AS a LEFT JOIN `yzfp0_languages` AS l ON l.lang_code = a.language LEFT JOIN yzfp0_users AS uc ON uc.id=a.checked_out LEFT JOIN yzfp0_viewlevels AS ag ON ag.id = a.access LEFT JOIN yzfp0_users AS ua ON ua.id = a.created_user_id LEFT JOIN yzfp0_fields_groups AS g ON g.id = a.group_id LEFT JOIN `yzfp0_fields_categories` AS fc ON fc.field_id = a.id WHERE ( (`a`.`context` = :context AND (`fc`.`category_id` IS NULL OR `fc`.`category_id` IN (:preparedArray1,:preparedArray2,:preparedArray3)) AND `a`.`access` IN (:preparedArray4,:preparedArray5)) AND (`a`.`group_id` = 0 OR `g`.`access` IN (:preparedArray6,:preparedArray7)) AND `a`.`state` = :state) AND (`a`.`group_id` = 0 OR `g`.`state` = :gstate) AND `a`.`only_use_in_subform` = :only_use_in_subform AND `a`.`language` IN (:preparedArray8,:preparedArray9) ORDER BY a.ordering ASC1.62ms53.69KBParams/libraries/src/MVC/Model/BaseDatabaseModel.php:164Copy
  • SELECT `field_id`,`value` FROM `yzfp0_fields_values` WHERE `field_id` IN (:preparedArray1,:preparedArray2,:preparedArray3,:preparedArray4,:preparedArray5,:preparedArray6,:preparedArray7,:preparedArray8,:preparedArray9,:preparedArray10,:preparedArray11,:preparedArray12,:preparedArray13,:preparedArray14,:preparedArray15,:preparedArray16,:preparedArray17,:preparedArray18,:preparedArray19,:preparedArray20,:preparedArray21,:preparedArray22,:preparedArray23,:preparedArray24,:preparedArray25,:preparedArray26,:preparedArray27,:preparedArray28,:preparedArray29,:preparedArray30,:preparedArray31,:preparedArray32,:preparedArray33,:preparedArray34,:preparedArray35,:preparedArray36,:preparedArray37,:preparedArray38,:preparedArray39,:preparedArray40,:preparedArray41,:preparedArray42,:preparedArray43,:preparedArray44,:preparedArray45,:preparedArray46,:preparedArray47,:preparedArray48,:preparedArray49) AND `item_id` = :itemid1.19ms7.45KBParams/administrator/components/com_fields/src/Model/FieldModel.php:739Copy
  • SELECT a.id,a.asset_id,a.title,a.alias,a.introtext,a.fulltext,a.state,a.catid,a.created,a.created_by,a.created_by_alias,CASE WHEN a.modified = '0000-00-00 00:00:00' THEN a.created ELSE a.modified END as modified,a.modified_by,a.checked_out,a.checked_out_time,a.publish_up,a.publish_down,a.images,a.urls,a.attribs,a.version,a.ordering,a.metakey,a.metadesc,a.access,a.hits,a.metadata,a.featured,a.language,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`lft` AS `category_lft`,`c`.`lft` AS `category_ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,ROUND(v.rating_sum / v.rating_count, 0) AS rating,`v`.`rating_count` AS `rating_count` FROM `yzfp0_content` AS `a` INNER JOIN `yzfp0_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `yzfp0_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `yzfp0_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `yzfp0_content_rating` AS `v` ON `v`.`content_id` = `a`.`id` WHERE `a`.`id` = 2588 AND `c`.`published` > 0 AND (`a`.`state` = 1 AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= '2025-02-21 23:35:14') AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` = '0000-00-00 00:00:00' OR `a`.`publish_down` > '2025-02-21 23:35:14'))1.29ms95.44KB/libraries/regularlabs/src/Article.php:94Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`377μs3.98KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `a`.`id`,`a`.`asset_id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`state`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`version`,`a`.`ordering`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`metadata`,`a`.`featured`,`a`.`language`,`fp`.`featured_up`,`fp`.`featured_down`,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`language` AS `category_language`,`fp`.`ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language`,ROUND(`v`.`rating_sum` / `v`.`rating_count`, 1) AS `rating`,`v`.`rating_count` AS `rating_count` FROM `yzfp0_content` AS `a` INNER JOIN `yzfp0_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `yzfp0_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` LEFT JOIN `yzfp0_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `yzfp0_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `yzfp0_content_rating` AS `v` ON `a`.`id` = `v`.`content_id` WHERE ( (`a`.`id` = :pk AND `c`.`published` > 0 AND `a`.`language` IN (:preparedArray1,:preparedArray2)) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp)) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown) AND `a`.`state` IN (:preparedArray3,:preparedArray4)478μs110.23KBParams/components/com_content/src/Model/ArticleModel.php:215Copy
  • SELECT `m`.`tag_id`,`t`.* FROM `yzfp0_contentitem_tag_map` AS `m` INNER JOIN `yzfp0_tags` AS `t` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :contentType AND `m`.`content_item_id` = :id AND `t`.`published` = 1 AND `t`.`access` IN (:preparedArray1,:preparedArray2)419μs3.98KBParams/libraries/src/Helper/TagsHelper.php:388Copy
  • SELECT c.id FROM yzfp0_content AS c LEFT JOIN yzfp0_fields_values AS f1 ON c.id = f1.item_id AND f1.field_id = (SELECT id FROM yzfp0_fields WHERE name = "orden-nuevo") LEFT JOIN yzfp0_fields_values AS f2 ON c.id = f2.item_id AND f2.field_id = (SELECT id FROM yzfp0_fields WHERE name = "dms3-volumen") LEFT JOIN yzfp0_fields_values AS f3 ON c.id = f3.item_id AND f3.field_id = (SELECT id FROM yzfp0_fields WHERE name = "dms3-numero") WHERE c.language = 'es-ES' AND f1.value = '5' AND f2.value = '6' AND f3.value = '4' LIMIT 128.49ms536B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:168Copy
  • SELECT c.id FROM yzfp0_content AS c LEFT JOIN yzfp0_fields_values AS f1 ON c.id = f1.item_id AND f1.field_id = (SELECT id FROM yzfp0_fields WHERE name = "orden-nuevo") LEFT JOIN yzfp0_fields_values AS f2 ON c.id = f2.item_id AND f2.field_id = (SELECT id FROM yzfp0_fields WHERE name = "dms3-volumen") LEFT JOIN yzfp0_fields_values AS f3 ON c.id = f3.item_id AND f3.field_id = (SELECT id FROM yzfp0_fields WHERE name = "dms3-numero") WHERE c.language = 'es-ES' AND f1.value = '3' AND f2.value = '6' AND f3.value = '4' LIMIT 149.53ms536B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:168Copy
  • SELECT `catid`,`alias`,`language` FROM `yzfp0_content` WHERE `id` = '1260'218μs656B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:227Copy
  • SELECT `alias` FROM `yzfp0_categories` WHERE `id` = '118'141μs536B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:239Copy
  • SELECT `catid`,`alias`,`language` FROM `yzfp0_content` WHERE `id` = '1311'144μs656B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:227Copy
  • SELECT `alias` FROM `yzfp0_categories` WHERE `id` = '38'130μs536B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:239Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`452μs3.98KBParams/libraries/src/Categories/Categories.php:375Copy
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  • SELECT `language`,`id` FROM `yzfp0_menu` WHERE `home` = '1' AND `published` = 1 AND `client_id` = 0306μs624B/libraries/src/Language/Multilanguage.php:123Copy
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  • SELECT `c2`.`language`,CONCAT_WS(':', `c2`.`id`, `c2`.`alias`) AS `id`,CONCAT_WS(':', `ca`.`id`, `ca`.`alias`) AS `catid` FROM `yzfp0_content` AS `c` INNER JOIN `yzfp0_associations` AS `a` ON `a`.`id` = `c`.`id` AND `a`.`context` = :context INNER JOIN `yzfp0_associations` AS `a2` ON `a`.`key` = `a2`.`key` INNER JOIN `yzfp0_content` AS `c2` ON `a2`.`id` = `c2`.`id` INNER JOIN `yzfp0_categories` AS `ca` ON `c2`.`catid` = `ca`.`id` AND `ca`.`extension` = :extension2 WHERE `c`.`id` = :id AND c2.access IN (1,5) AND c2.language != 'es-ES' AND (c2.publish_up IS NULL OR c2.publish_up <= '2025-02-21 23:35:14') AND (c2.publish_down IS NULL OR c2.publish_down >= '2025-02-21 23:35:14') AND c2.state = 1407μs1.48KBParams/libraries/src/Language/Associations.php:145Copy
  • SELECT `m`.`id`,`m`.`title`,`m`.`module`,`m`.`position`,`m`.`content`,`m`.`showtitle`,`m`.`params`,`mm`.`menuid` FROM `yzfp0_modules` AS `m` LEFT JOIN `yzfp0_modules_menu` AS `mm` ON `mm`.`moduleid` = `m`.`id` LEFT JOIN `yzfp0_extensions` AS `e` ON `e`.`element` = `m`.`module` AND `e`.`client_id` = `m`.`client_id` WHERE ( ( (`m`.`published` = 1 AND `e`.`enabled` = 1 AND `m`.`client_id` = :clientId AND `m`.`access` IN (:preparedArray1,:preparedArray2)) AND (`m`.`publish_up` IS NULL OR `m`.`publish_up` <= :publishUp)) AND (`m`.`publish_down` IS NULL OR `m`.`publish_down` >= :publishDown)) AND (`mm`.`menuid` = :itemId OR `mm`.`menuid` <= 0) AND `m`.`language` IN (:preparedArray3,:preparedArray4) ORDER BY `m`.`position`,`m`.`ordering`2.2ms163.59KBParams/libraries/src/Cache/Controller/CallbackController.php:51Copy
  • SELECT `a`.`menutype`,`a`.`title` FROM `yzfp0_menu_types` AS `a` WHERE `a`.`client_id` = 0161μs1KB/libraries/gantry5/src/classes/Gantry/Framework/Menu.php:138Copy
  • SELECT m.id, m.alias, m.path AS route, m.level, m.parent_id FROM yzfp0_menu AS m WHERE m.menutype = 'menu-es-new' AND m.parent_id > 0 AND m.client_id = 0 AND m.published >= 0 ORDER BY m.lft368μs1.61KB/libraries/gantry5/src/classes/Gantry/Framework/Menu.php:791Copy
  • SHOW FULL COLUMNS FROM `yzfp0_content`411μs1.77KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:587Copy
  • SELECT `article`.`id` AS `article.id`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[821] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 1317 LIMIT 1152μs592B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT category.id,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[263] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getUnpublishedCategoryIds\n[711] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_categories` AS `category` LEFT JOIN `yzfp0_categories` AS `parent` ON `category`.`parent_id` = `parent`.`id` WHERE `category`.`extension` = 'com_content' AND (`category`.`published` IN (0,-1,-2) OR `parent`.`published` IN (0,-1,-2)) GROUP BY category.id324μs592B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[883] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getArticleIdsByFilters\n[329] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE ((`article`.`state` = 1 AND (`article`.`publish_up` IS NULL OR `article`.`publish_up` <= '2025-02-21 23:35:14') AND (`article`.`publish_down` IS NULL OR `article`.`publish_down` = '0000-00-00 00:00:00' OR `article`.`publish_down` > '2025-02-21 23:35:14')) AND `article`.`access` IN (1,5) AND `article`.`language` IN ('es-ES','*')) AND `article`.`id` = 1317 AND `article`.`catid` != 121 ORDER BY FIELD(article.id, 1317)153μs592B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,`article`.`catid` AS `article.catid`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[885] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 1317 ORDER BY `article`.`title` IS NULL, CAST(`article`.`title` AS CHAR(1)) = '', CAST(`article`.`title` AS CHAR(10)) = '0000-00-00', CAST(`article`.`title` AS SIGNED INTEGER) = 0, CAST(`article`.`title` AS SIGNED INTEGER) ASC, `article`.`title` ASC LIMIT 1149μs656B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `m`.`tag_id`,`t`.* FROM `yzfp0_contentitem_tag_map` AS `m` INNER JOIN `yzfp0_tags` AS `t` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :contentType AND `m`.`content_item_id` = :id AND `t`.`published` = 1 AND `t`.`access` IN (:preparedArray1,:preparedArray2)457μs3.98KBParams/libraries/src/Helper/TagsHelper.php:388Copy
  • SELECT `m`.`tag_id`,`t`.* FROM `yzfp0_contentitem_tag_map` AS `m` INNER JOIN `yzfp0_tags` AS `t` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :contentType AND `m`.`content_item_id` = :id AND `t`.`published` = 1 AND `t`.`access` IN (:preparedArray1,:preparedArray2)422μs3.98KBParams/libraries/src/Helper/TagsHelper.php:388Copy
  • SELECT `alias` FROM `yzfp0_content` WHERE `id` = :id139μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`249μs3.94KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `alias` FROM `yzfp0_content` WHERE `id` = :id189μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT field.name,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[834] RegularLabs.Plugin.System.ArticlesAnywhere.DataGroups.Field.getFieldNames\n[829] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_fields` AS `field` WHERE field.context = 'com_content.article'247μs33.81KB/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,`article`.`catid` AS `article.catid`,`article`.`language` AS `article.language`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[821] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 1317 LIMIT 1238μs704B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,`article`.`title` AS `article.title`,`article`.`catid` AS `article.catid`,`article`.`language` AS `article.language`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[885] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 1317 ORDER BY `article`.`title` IS NULL, CAST(`article`.`title` AS CHAR(1)) = '', CAST(`article`.`title` AS CHAR(10)) = '0000-00-00', CAST(`article`.`title` AS SIGNED INTEGER) = 0, CAST(`article`.`title` AS SIGNED INTEGER) ASC, `article`.`title` ASC LIMIT 1138μs768B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,`article`.`catid` AS `article.catid`,`article`.`language` AS `article.language`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[885] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 1317 ORDER BY `article`.`title` IS NULL, CAST(`article`.`title` AS CHAR(1)) = '', CAST(`article`.`title` AS CHAR(10)) = '0000-00-00', CAST(`article`.`title` AS SIGNED INTEGER) = 0, CAST(`article`.`title` AS SIGNED INTEGER) ASC, `article`.`title` ASC LIMIT 1218μs11.69KB/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,`article`.`catid` AS `article.catid`,`category`.`id` AS `category.id`,`category`.`title` AS `category.title`,`article`.`language` AS `article.language`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[885] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` LEFT JOIN `yzfp0_categories` AS `category` ON `category`.`id` = `article`.`catid` WHERE `article`.`id` = 1317 ORDER BY `article`.`title` IS NULL, CAST(`article`.`title` AS CHAR(1)) = '', CAST(`article`.`title` AS CHAR(10)) = '0000-00-00', CAST(`article`.`title` AS SIGNED INTEGER) = 0, CAST(`article`.`title` AS SIGNED INTEGER) ASC, `article`.`title` ASC LIMIT 1202μs832B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `m`.`tag_id`,`t`.* FROM `yzfp0_contentitem_tag_map` AS `m` INNER JOIN `yzfp0_tags` AS `t` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :contentType AND `m`.`content_item_id` = :id AND `t`.`published` = 1 AND `t`.`access` IN (:preparedArray1,:preparedArray2)528μs3.98KBParams/libraries/src/Helper/TagsHelper.php:388Copy
  • SELECT `m`.`tag_id`,`t`.* FROM `yzfp0_contentitem_tag_map` AS `m` INNER JOIN `yzfp0_tags` AS `t` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :contentType AND `m`.`content_item_id` = :id AND `t`.`published` = 1 AND `t`.`access` IN (:preparedArray1,:preparedArray2)442μs3.98KBParams/libraries/src/Helper/TagsHelper.php:388Copy
  • SELECT `c2`.`language`,`c2`.`id` FROM `yzfp0_menu` AS `c` INNER JOIN `yzfp0_associations` AS `a` ON `a`.`id` = `c`.`id` AND `a`.`context` = :context INNER JOIN `yzfp0_associations` AS `a2` ON `a`.`key` = `a2`.`key` INNER JOIN `yzfp0_menu` AS `c2` ON `a2`.`id` = `c2`.`id` WHERE `c`.`id` = :id347μs1.41KBParams/libraries/src/Language/Associations.php:145Copy
  • SELECT * FROM `yzfp0_fields` AS `a` WHERE a.state IN (:preparedArray1,:preparedArray2) AND `a`.`context` = 'com_content.article'510μs52.86KBParams/plugins/system/articlesanywhere/src/DataGroups/Helpers/Fields.php:105Copy
  • SELECT *,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[620] RegularLabs.Plugin.System.ArticlesAnywhere.DataGroups.Field.getFieldFromDatabase\n[800] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_fields` AS `field` WHERE field.context = 'com_content.article' AND `field`.`name` = 'dms3-content-type'360μs2.84KB/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT value.item_id,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[479] RegularLabs.Plugin.System.ArticlesAnywhere.DataGroups.Field.getWhere\n[700] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_fields_values` AS `value` INNER JOIN `yzfp0_fields` AS `field` ON `field`.`id` = `value`.`field_id` WHERE `field`.`name` = 'dms3-content-type' AND `field`.`state` = 1 AND `field`.`context` = 'com_content.article' AND `value`.`value` = 'dms3_article'3.28ms468.56KB/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[770] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getArticleIdsByFilters\n[329] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` LEFT JOIN `yzfp0_fields` AS `field-dms3-content-type` ON `field-dms3-content-type`.`name` = 'dms3-content-type' AND `field-dms3-content-type`.`state` = 1 AND `field-dms3-content-type`.`context` = 'com_content.article' LEFT JOIN `yzfp0_fields_values` AS `field_value-dms3-content-type` ON `field_value-dms3-content-type`.`field_id` = `field-dms3-content-type`.`id` AND `field_value-dms3-content-type`.`item_id` = article.id WHERE ((`article`.`state` = 1 AND (`article`.`publish_up` IS NULL OR `article`.`publish_up` <= '2025-02-21 23:35:14') AND (`article`.`publish_down` IS NULL OR `article`.`publish_down` = '0000-00-00 00:00:00' OR `article`.`publish_down` > '2025-02-21 23:35:14')) AND `article`.`access` IN (1,5) AND `article`.`language` IN ('es-ES','*')) AND `article`.`id` IN 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AND `article`.`catid` != 121428ms220.56KB/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[800] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getArticleIdsByArticleIds\n[301] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` IN (1259,3,4,5,6,7,8,9,10,11,12,13,15,16,21,22,23,31,36,37,1288,1287,1286,1279,1278,1277,1276,1303,261,1315,260,753,1053,1272,242,241,240,239,230,229,228,227,226,225,214,213,212,211,210,1309,1310,1311,1314,1322,1323,1324,1331,1332,1335,1298,1297,1293,1292,1291,1290,1265,1264,1263,1262,1258,1257,1256,1255,1251,1244,1234,1230,1229,1227,1224,1223,1222,1220,1214,1212,1211,1210,1209,1208,1207,1206,1205,1204,1199,1195,1190,1185,1184,1179,1178,1174,1165,1164,1163,1159,1158,1157,1156,1154,1153,1152,1151,1149,1148,1147,1144,1139,1138,1137,1135,1123,1119,1118,1117,1116,1115,1113,1107,1105,1104,1098,1097,1096,1095,1094,1091,1084,1083,1082,1081,1076,1075,1074,1073,1072,1066,1065,1060,1057,1052,1047,1046,1045,1044,1043,1037,1033,1032,1031,1027,1025,1024,1022,1020,1019,1016,1012,1010,1008,1007,1004,1003,1000,995,992,984,979,977,976,975,974,973,972,971,970,969,968,967,966,965,964,963,962,961,949,938,935,934,933,927,926,925,923,919,918,917,916,914,908,906,905,904,903,899,897,892,890,884,883,882,881,880,878,877,873,862,861,860,857,856,852,850,849,848,838,837,836,835,833,831,830,829,828,823,821,805,804,803,801,800,799,798,797,793,792,791,790,789,780,779,778,767,55,755,754,752,751,750,749,748,747,746,744,743,742,741,737,735,734,731,729,723,719,718,717,712,711,710,708,707,706,704,689,686,685,683,676,675,672,671,666,665,664,649,648,647,643,642,637,634,633,629,628,622,621,614,613,608,605,604,603,602,561,560,556,547,543,542,540,535,528,520,519,518,509,508,506,505,503,502,484,483,482,479,477,476,460,459,458,457,455,454,453,452,450,433,432,431,430,429,423,422,421,420,413,412,411,410,403,402,401,399,385,384,383,382,381,376,375,374,373,372,371,370,369,361,360,359,358,356,354,353,352,351,350,276,275,274,273,272,271,270,264,54,59,60,253,345,344,339,333,332,331,322,321,320,319,318,317,316,315,314,308,307,305,300,299,298,287,286,285,587,584,572,183,182,181,178,177,175,171,170,169,164,163,161,1261,847,846,1317,1260,663,607,570,569,567,566,565,564,563,562,493,492,491,438,437,436,435,434,283,258,256,255,254,184,174,173,172,166,165,160,159,158,149,148,147,139,138,137,136,134,133,132,131,130,124,121,119,116,115,113,2586,2589,2590,2591,2592,2594,2595,2596,2598,2599,2600,2605,2611,2612,2622,2623,2624,2625,2630,2632,2633,2634,2635,2638,2640) AND `article`.`catid` != 121 ORDER BY `article`.`hits` IS NULL, CAST(`article`.`hits` AS CHAR(1)) = '', CAST(`article`.`hits` AS CHAR(10)) = '0000-00-00', CAST(`article`.`hits` AS SIGNED INTEGER) = 0, CAST(`article`.`hits` AS SIGNED INTEGER) DESC, `article`.`hits` DESC LIMIT 31.81ms624B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,`article`.`title` AS `article.title`,`article`.`alias` AS `article.alias`,`article`.`catid` AS `article.catid`,`article`.`language` AS `article.language`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[808] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` IN (320,344,211) ORDER BY FIELD(article.id,320,344,211)330μs864B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`434μs3.97KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`454μs3.98KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`378μs3.98KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `alias` FROM `yzfp0_content` WHERE `id` = :id166μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `yzfp0_content` WHERE `id` = :id137μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `article`.`id` AS `article.id`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[800] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getArticleIdsByArticleIds\n[301] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` LEFT JOIN `yzfp0_fields` AS `field-dms3-shares` ON `field-dms3-shares`.`name` = 'dms3-shares' AND `field-dms3-shares`.`state` = 1 AND `field-dms3-shares`.`context` = 'com_content.article' LEFT JOIN `yzfp0_fields_values` AS `field_value-dms3-shares` ON `field_value-dms3-shares`.`field_id` = `field-dms3-shares`.`id` AND `field_value-dms3-shares`.`item_id` = article.id WHERE `article`.`id` IN (1259,3,4,5,6,7,8,9,10,11,12,13,15,16,21,22,23,31,36,37,1288,1287,1286,1279,1278,1277,1276,1303,261,1315,260,753,1053,1272,242,241,240,239,230,229,228,227,226,225,214,213,212,211,210,1309,1310,1311,1314,1322,1323,1324,1331,1332,1335,1298,1297,1293,1292,1291,1290,1265,1264,1263,1262,1258,1257,1256,1255,1251,1244,1234,1230,1229,1227,1224,1223,1222,1220,1214,1212,1211,1210,1209,1208,1207,1206,1205,1204,1199,1195,1190,1185,1184,1179,1178,1174,1165,1164,1163,1159,1158,1157,1156,1154,1153,1152,1151,1149,1148,1147,1144,1139,1138,1137,1135,1123,1119,1118,1117,1116,1115,1113,1107,1105,1104,1098,1097,1096,1095,1094,1091,1084,1083,1082,1081,1076,1075,1074,1073,1072,1066,1065,1060,1057,1052,1047,1046,1045,1044,1043,1037,1033,1032,1031,1027,1025,1024,1022,1020,1019,1016,1012,1010,1008,1007,1004,1003,1000,995,992,984,979,977,976,975,974,973,972,971,970,969,968,967,966,965,964,963,962,961,949,938,935,934,933,927,926,925,923,919,918,917,916,914,908,906,905,904,903,899,897,892,890,884,883,882,881,880,878,877,873,862,861,860,857,856,852,850,849,848,838,837,836,835,833,831,830,829,828,823,821,805,804,803,801,800,799,798,797,793,792,791,790,789,780,779,778,767,55,755,754,752,751,750,749,748,747,746,744,743,742,741,737,735,734,731,729,723,719,718,717,712,711,710,708,707,706,704,689,686,685,683,676,675,672,671,666,665,664,649,648,647,643,642,637,634,633,629,628,622,621,614,613,608,605,604,603,602,561,560,556,547,543,542,540,535,528,520,519,518,509,508,506,505,503,502,484,483,482,479,477,476,460,459,458,457,455,454,453,452,450,433,432,431,430,429,423,422,421,420,413,412,411,410,403,402,401,399,385,384,383,382,381,376,375,374,373,372,371,370,369,361,360,359,358,356,354,353,352,351,350,276,275,274,273,272,271,270,264,54,59,60,253,345,344,339,333,332,331,322,321,320,319,318,317,316,315,314,308,307,305,300,299,298,287,286,285,587,584,572,183,182,181,178,177,175,171,170,169,164,163,161,1261,847,846,1317,1260,663,607,570,569,567,566,565,564,563,562,493,492,491,438,437,436,435,434,283,258,256,255,254,184,174,173,172,166,165,160,159,158,149,148,147,139,138,137,136,134,133,132,131,130,124,121,119,116,115,113,2586,2589,2590,2591,2592,2594,2595,2596,2598,2599,2600,2605,2611,2612,2622,2623,2624,2625,2630,2632,2633,2634,2635,2638,2640) AND `article`.`catid` != 121 ORDER BY `field_value-dms3-shares`.`value` IS NULL, CAST(`field_value-dms3-shares`.`value` AS CHAR(1)) = '', CAST(`field_value-dms3-shares`.`value` AS CHAR(10)) = '0000-00-00', CAST(`field_value-dms3-shares`.`value` AS SIGNED INTEGER) = 0, CAST(`field_value-dms3-shares`.`value` AS SIGNED INTEGER) DESC, `field_value-dms3-shares`.`value` DESC LIMIT 3437ms624B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,`article`.`title` AS `article.title`,`article`.`alias` AS `article.alias`,`article`.`catid` AS `article.catid`,`article`.`language` AS `article.language`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[808] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` IN (543,1314,354) ORDER BY FIELD(article.id,543,1314,354)305μs864B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`464μs3.97KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`445μs3.98KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `a`.`id`,`a`.`asset_id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`state`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`version`,`a`.`ordering`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`metadata`,`a`.`featured`,`a`.`language`,`fp`.`featured_up`,`fp`.`featured_down`,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`language` AS `category_language`,`fp`.`ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language`,ROUND(`v`.`rating_sum` / `v`.`rating_count`, 1) AS `rating`,`v`.`rating_count` AS `rating_count` FROM `yzfp0_content` AS `a` INNER JOIN `yzfp0_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `yzfp0_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` LEFT JOIN `yzfp0_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `yzfp0_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `yzfp0_content_rating` AS `v` ON `a`.`id` = `v`.`content_id` WHERE ( (`a`.`id` = :pk AND `c`.`published` > 0 AND `a`.`language` IN (:preparedArray1,:preparedArray2)) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp)) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown) AND `a`.`state` IN (:preparedArray3,:preparedArray4)746μs110.23KBParams/components/com_content/src/Model/ArticleModel.php:215Copy
  • SELECT `article`.`id` AS `article.id`,`article`.`title` AS `article.title`,`article`.`alias` AS `article.alias`,`article`.`catid` AS `article.catid`,`article`.`language` AS `article.language`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[885] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 1317 ORDER BY `article`.`title` IS NULL, CAST(`article`.`title` AS CHAR(1)) = '', CAST(`article`.`title` AS CHAR(10)) = '0000-00-00', CAST(`article`.`title` AS SIGNED INTEGER) = 0, CAST(`article`.`title` AS SIGNED INTEGER) ASC, `article`.`title` ASC LIMIT 1185μs832B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT `article`.`id` AS `article.id`,`article`.`hits` AS `article.hits`,'https://recintervcardiol.org/es/intervencionismo-estructural/pronostico-de-los-pacientes-con-fraccion-de-eyeccion-supranormal-tratados-con-recambio-valvular-aortico-percutaneo\n[885] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[871] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 1317 ORDER BY `article`.`title` IS NULL, CAST(`article`.`title` AS CHAR(1)) = '', CAST(`article`.`title` AS CHAR(10)) = '0000-00-00', CAST(`article`.`title` AS SIGNED INTEGER) = 0, CAST(`article`.`title` AS SIGNED INTEGER) ASC, `article`.`title` ASC LIMIT 1183μs656B/plugins/system/articlesanywhere/src/Database.php:123Copy
  • SELECT * FROM `yzfp0_schemaorg` WHERE `itemId` = :itemId AND `context` = :context225μs1.55KBParams/plugins/system/schemaorg/src/Extension/Schemaorg.php:403Copy
  • SELECT `a`.`id`,`a`.`asset_id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`state`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`version`,`a`.`ordering`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`metadata`,`a`.`featured`,`a`.`language`,`fp`.`featured_up`,`fp`.`featured_down`,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`language` AS `category_language`,`fp`.`ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language`,ROUND(`v`.`rating_sum` / `v`.`rating_count`, 1) AS `rating`,`v`.`rating_count` AS `rating_count` FROM `yzfp0_content` AS `a` INNER JOIN `yzfp0_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `yzfp0_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` LEFT JOIN `yzfp0_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `yzfp0_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `yzfp0_content_rating` AS `v` ON `a`.`id` = `v`.`content_id` WHERE ( (`a`.`id` = :pk AND `c`.`published` > 0 AND `a`.`language` IN (:preparedArray1,:preparedArray2)) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp)) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown) AND `a`.`state` IN (:preparedArray3,:preparedArray4)527μs110.23KBParams/components/com_content/src/Model/ArticleModel.php:215Copy
  • SELECT `a`.`id`,`a`.`asset_id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`state`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`version`,`a`.`ordering`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`metadata`,`a`.`featured`,`a`.`language`,`fp`.`featured_up`,`fp`.`featured_down`,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`language` AS `category_language`,`fp`.`ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language`,ROUND(`v`.`rating_sum` / `v`.`rating_count`, 1) AS `rating`,`v`.`rating_count` AS `rating_count` FROM `yzfp0_content` AS `a` INNER JOIN `yzfp0_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `yzfp0_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` LEFT JOIN `yzfp0_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `yzfp0_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `yzfp0_content_rating` AS `v` ON `a`.`id` = `v`.`content_id` WHERE ( (`a`.`id` = :pk AND `c`.`published` > 0 AND `a`.`language` IN (:preparedArray1,:preparedArray2)) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp)) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown) AND `a`.`state` IN (:preparedArray3,:preparedArray4)369μs110.23KBParams/components/com_content/src/Model/ArticleModel.php:215Copy
  • SELECT SUM(CASE WHEN `a`.`next_execution` <= :now THEN 1 ELSE 0 END) AS due_count,SUM(CASE WHEN `a`.`locked` IS NULL THEN 0 ELSE 1 END) AS locked_count FROM `yzfp0_scheduler_tasks` AS `a` WHERE `a`.`state` = 1195μs1.37KBParams/administrator/components/com_scheduler/src/Model/TasksModel.php:465Copy
  • SELECT r.* FROM yzfp0_rereplacer AS r WHERE r.published = 1 AND (r.area = 'head' OR r.params LIKE '%\"use_xml\":\"1\"%') ORDER BY r.ordering, r.id443μs1.52KB/plugins/system/rereplacer/src/Items.php:97Copy
  • SELECT m.condition_id,m.item_id FROM yzfp0_conditions_map as m LEFT JOIN yzfp0_conditions as c ON c.id = m.condition_id WHERE `m`.`extension` = 'com_rereplacer' AND `c`.`published` = 1241μs576B/administrator/components/com_conditions/src/Model/ItemModel.php:821Copy
  • SELECT r.* FROM yzfp0_rereplacer AS r WHERE r.published = 1 AND (r.area = 'body' OR r.params LIKE '%\"use_xml\":\"1\"%') ORDER BY r.ordering, r.id498μs17.8KB/plugins/system/rereplacer/src/Items.php:97Copy
  • SELECT `value` FROM `yzfp0_fields_values` WHERE `item_id` = '1317' AND `field_id` = 30332μs536B/tmp/regularlabs/custom_php/25895_af27ee991d0d77889539c6cba39057bf:36Copy
  • SELECT `value` FROM `yzfp0_fields_values` WHERE `item_id` = '1317' AND `field_id` = 19217μs536B/tmp/regularlabs/custom_php/25895_af27ee991d0d77889539c6cba39057bf:61Copy
  • SELECT a.id,a.asset_id,a.title,a.alias,a.introtext,a.fulltext,a.state,a.catid,a.created,a.created_by,a.created_by_alias,CASE WHEN a.modified = '0000-00-00 00:00:00' THEN a.created ELSE a.modified END as modified,a.modified_by,a.checked_out,a.checked_out_time,a.publish_up,a.publish_down,a.images,a.urls,a.attribs,a.version,a.ordering,a.metakey,a.metadesc,a.access,a.hits,a.metadata,a.featured,a.language,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`lft` AS `category_lft`,`c`.`lft` AS `category_ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,ROUND(v.rating_sum / v.rating_count, 0) AS rating,`v`.`rating_count` AS `rating_count` FROM `yzfp0_content` AS `a` INNER JOIN `yzfp0_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `yzfp0_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `yzfp0_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `yzfp0_content_rating` AS `v` ON `v`.`content_id` = `a`.`id` WHERE `a`.`id` = 1317 AND `c`.`published` > 0 AND (`a`.`state` = 1 AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= '2025-02-21 23:35:14') AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` = '0000-00-00 00:00:00' OR `a`.`publish_down` > '2025-02-21 23:35:14'))485μs108.94KB/libraries/regularlabs/src/Article.php:94Copy
  • SELECT `value` FROM `yzfp0_fields_values` WHERE `field_id` = 18 AND `item_id` = 13171.77ms536B/tmp/regularlabs/custom_php/25895_20d16d1e6db57666571c51c2623628e6:28Copy
  • SELECT COUNT(*) FROM `yzfp0_contentitem_tag_map` WHERE `type_alias` = 'com_content.article' AND `content_item_id` = 1317354μs536B/tmp/regularlabs/custom_php/25895_2242f97af332d54d4fb204c150bc00a4:36Copy
  • SELECT r.* FROM yzfp0_rereplacer AS r WHERE r.published = 1 AND (r.area = 'everywhere' OR r.params LIKE '%\"use_xml\":\"1\"%') ORDER BY r.ordering, r.id276μs1.56KB/plugins/system/rereplacer/src/Items.php:97Copy
  • SELECT `session_id` FROM `yzfp0_session` WHERE `session_id` = ?189μs1KBParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:277Copy
  • UPDATE `yzfp0_session` SET `data` = ? , `time` = ? WHERE `session_id` = ?595μs592BParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:301Copy
  • infoplg_system_j2xml - plgSystemJ2xml::__construct
  • infoplg_system_basicauth - plgSystemBasicauth::__construct
  • infoplg_system_basicauth - PHP_SAPI: fpm-fcgi
  • infoplg_system_basicauth - authorization:
  • infoplg_system_basicauth - plgSystemBasicauth::onAfterRoute
  • infoplg_system_j2xml - plgSystemJ2xml::onAfterDispatch
  • infoplg_system_basicauth - plgSystemBasicauth::onBeforeRender