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um marcador mais relacionado com a morbi-mortalidade cardiovascular do que a PAP<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Nos doentes hipertensos h&#225; simult&#226;neos aumentos de PAP e de press&#227;o de pulso &#40;PP&#41;&#44; significando aumento da rigidez arterial a&#243;rtica&#44; havendo&#44; assim&#44; um aumento do risco cardiovascular por maior trabalho mec&#226;nico de distens&#227;o<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#44; particularmente em idosos&#46; &#201; sugerido que a terap&#234;utica com medicamentos que atuam no sistema renina-angiotensina-aldosterona &#40;SRAA&#41; resultar&#225; em melhores resultados de press&#227;o e distensibilidade centrais<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Pelo aumento da esperan&#231;a de vida&#44; a hipertens&#227;o arterial sist&#243;lica isolada &#40;HTAS&#41; &#233; hoje em dia a mais frequente forma de hipertens&#227;o arterial &#40;HTA&#41;&#44; colocando problemas farmacoterap&#234;uticos complicados e sendo uma das patologias mais frequentes na consulta de um m&#233;dico especialista em Medicina Geral e Familiar &#40;MGF&#41;&#46; A fisiopatologia subjacente a este quadro de HTAS reside na menor distensibilidade dos vasos arteriais mais centrais que&#44; por perda de elasticidade&#44; determinam um cont&#237;nuo aumento da PP&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A press&#227;o sist&#243;lica ao n&#237;vel das art&#233;rias centrais representa a press&#227;o que o cora&#231;&#227;o tem de vencer durante a eje&#231;&#227;o e a press&#227;o diast&#243;lica central significa a press&#227;o da perfus&#227;o coron&#225;ria&#46; Atualmente&#44; existem aparelhos que medem de forma n&#227;o invasiva a PAC&#44; sendo tais valores considerados fi&#225;veis<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; Tal &#233; realizado atrav&#233;s da tonometria planar de absor&#231;&#227;o&#44; que analisa a informa&#231;&#227;o obtida por sonda colocada na art&#233;ria radial atrav&#233;s de <span class="elsevierStyleItalic">software</span> padronizado que permite a interpreta&#231;&#227;o&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">O &#237;ndice de aumento &#40;IA&#41; &#233; um indicador complexo que permite medir a magnitude da onda de reflex&#227;o e&#44; assim&#44; conhecer a rigidez arterial&#46; Numa &#225;rvore arterial normal&#44; a onda sist&#243;lica &#233; refletida em todas as bifurca&#231;&#245;es e regressa &#224; raiz da aorta durante a di&#225;stole&#44; auxiliando o enchimento coron&#225;rio durante esta fase do ciclo card&#237;aco&#46; Em art&#233;rias pouco el&#225;sticas&#44; esta onda regressa prematuramente&#44; chegando &#224; raiz da aorta ainda durante a s&#237;stole&#44; aumentando a press&#227;o sist&#243;lica central&#44; impondo ao ventr&#237;culo esquerdo maior trabalho e comprometendo tamb&#233;m o enchimento coron&#225;rio<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">O IA pode ser avaliado de forma n&#227;o invasiva<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a> e associa-se positivamente ao risco cardiovascular&#46; Expresso como percentagem&#44; valores elevados indicam precocidade da onda de reflex&#227;o da periferia &#40;por rigidez&#41; e&#47;ou aumento do tempo de eje&#231;&#227;o ventricular&#46; O seu valor &#233; assim prospetivo&#44; devendo ser medido a intervalos regulares<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">A rigidez a&#243;rtica&#44; sin&#243;nimo de velocidade de onda de pulso&#44; &#233; presentemente considerada um fator independente e preditor de mortalidade cardiovascular em pacientes hipertensos&#44; ao ter-se demonstrado que&#44; em casos de mortalidade&#44; havia uma associa&#231;&#227;o estatisticamente significativa com o aumento da velocidade de onda de pulso<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a>&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Sabe-se atualmente que a press&#227;o e a hemodin&#226;mica centrais est&#227;o independentemente relacionadas com o risco cardiovascular e que a press&#227;o carot&#237;dea aumentada&#44; assim como o IA elevado&#44; est&#227;o relacionados com o aumento da massa ventricular esquerda<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; Al&#233;m disso&#44; a PAC est&#225; relacionada com a hipertrofia vascular e a progress&#227;o das les&#245;es de aterosclerose<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">A press&#227;o de pulso perif&#233;rica &#40;PPP&#41; &#233; uma medida indireta da rigidez arterial e est&#225; relacionada com a mortalidade cardiovascular&#46; No entanto&#44; a press&#227;o de pulso central &#40;PPC&#41;&#44; medida de forma indireta&#44; est&#225; mais relacionada com a ocorr&#234;ncia de eventos cardiovasculares do que a PPP<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;5</span></a><span class="elsevierStyleItalic">&#46;</span> O estudo CAFE<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> verificou que a PPC medida por tonometria planar de absor&#231;&#227;o na art&#233;ria radial prediz&#44; independentemente&#44; futuros acidentes vasculares em pacientes hipertensos tratados&#46; &#201;&#44; assim&#44; importante o estudo dos indicadores pass&#237;veis de obter pela t&#233;cnica da tonometria planar de absor&#231;&#227;o&#44; ao serem pensadas a PAP e a PAC como marcadores de tipo 2 &#40;surrogados&#41; para doen&#231;a cardiovascular<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">A raz&#227;o de viabilidade subendoc&#225;rdica &#40;acr&#243;nimo em ingl&#234;s de SEVR&#41;&#44; ou &#237;ndice de Buckberg&#44; &#233; a raz&#227;o entre a &#225;rea dist&#243;lica e a sist&#243;lica na curva de press&#227;o a&#243;rtica observada pela tonometria de absor&#231;&#227;o planar&#46; Relaciona o tempo de di&#225;stole com o de s&#237;stole&#46; A &#225;rea diast&#243;lica est&#225; associada &#224; press&#227;o e ao tempo de perfus&#227;o coron&#225;ria&#44; logo&#44; com o suprimento de energia ao mioc&#225;rdio&#44; e a &#225;rea sist&#243;lica est&#225; relacionada com o trabalho do cora&#231;&#227;o e consequente consumo de energia&#46; Assim&#44; quando esta raz&#227;o &#233; inferior a um&#44; existe hipoperfus&#227;o&#44; como se pode depreender dos resultados do estudo CAFE<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A facilidade e disponibilidade encontradas para a medi&#231;&#227;o da PAC determinou a realiza&#231;&#227;o de trabalho de campo em que se procurou perceber qual o controlo dos valores centrais de indiv&#237;duos com o diagn&#243;stico de HTA&#44; utilizando o aparelho <span class="elsevierStyleItalic">SphygmoCor</span><span class="elsevierStyleSup">&#174;</span> que &#233;&#44; entre os v&#225;rios comercializados&#44; o mais utilizado em estudos cl&#237;nicos com avalia&#231;&#227;o da PAC atrav&#233;s do pulso radial e ou carot&#237;deo estimando a PAC<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Objetivos</span><p id="par0060" class="elsevierStylePara elsevierViewall">Verificar&#44; segundo o controlo da PAC e da PAP&#44; como se distribuem os valores de IA&#44; de PPC&#44; de PPP e SEVR&#44; em pacientes com o pr&#233;vio diagn&#243;stico de HTA&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Material</span><p id="par0065" class="elsevierStylePara elsevierViewall">Indiv&#237;duos com o diagn&#243;stico de HTA&#44; seguidos na sede de um Centro de Sa&#250;de de caracter&#237;sticas populacionais mistas na periferia da cidade de Coimbra&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Aparelhos SphygmoCor<span class="elsevierStyleSup">&#174;</span> Aecor Medical para medi&#231;&#227;o de PAC e DINAMAP &#40;OMRON 705IT&#41; para medi&#231;&#227;o de PAP&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Software</span> Sphygmocor Cardiovascular Management Suite&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">T&#233;cnicos experimentados na utiliza&#231;&#227;o dos aparelhos acima mencionados&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Metodologia</span><p id="par1585" class="elsevierStylePara elsevierViewall">Estudo observacional&#44; transversal e anal&#237;tico em amostra de conveni&#234;ncia definida como a dos indiv&#237;duos com o diagn&#243;stico de HTA que&#44; nos dias 19&#44; 20&#44; 27 e 28 de maio de 2010&#44; recorreram a consulta no Centro de Sa&#250;de e aceitaram a sugest&#227;o de estudo da PAC&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Os pacientes estiveram em repouso durante pelo menos 4<span class="elsevierStyleHsp" style=""></span>min antes do in&#237;cio da medi&#231;&#227;o&#44; sendo feito inqu&#233;rito inicial de caracteriza&#231;&#227;o epidemiolol&#243;gica&#44; obtida a PAP&#44; com DINAMAP e as curvas de PAC com o SphygmoCor<span class="elsevierStyleSup">&#174;</span>&#46; Para cada caso&#44; foi elaborado relat&#243;rio com gr&#225;fico e quadros de valores&#46; Os valores foram obtidos com o membro superior esquerdo desnudado e confortavelmente apoiado em mesa protegida&#44; ap&#243;s 4<span class="elsevierStyleHsp" style=""></span>min de repouso&#46; A PAP foi obtida como a m&#233;dia de duas leituras&#44; estando o aparelho colocado fora do alcance da vista do paciente&#46; A PAC foi obtida ap&#243;s calibra&#231;&#227;o e visualiza&#231;&#227;o da melhor janela para cada indiv&#237;duo&#44; de acordo com o gr&#225;fico desenhado pelo <span class="elsevierStyleItalic">software</span> e interpretativo das ondas&#44; estando o terminal de colheita situado por cima da art&#233;ria radial&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Foram colhidas as vari&#225;veis sexo&#44; idade&#44; considerando-se dois grupos et&#225;rios&#58; o menor de 65 anos e o maior de 64 anos&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Definiram-se&#58; controlo de PAP valores &#60;&#160;140&#47;90<span class="elsevierStyleHsp" style=""></span>mmHg&#44; de PAC valores &#60;&#160;130&#47;80&#44; de PPP valores &#60;&#160;55<span class="elsevierStyleHsp" style=""></span>mmHg e de PPC valores &#60;&#160;45<span class="elsevierStyleHsp" style=""></span>mmHg e para SEVR valores &#62;&#160;1&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Realizou-se estat&#237;stica descritiva e anal&#237;tica com recurso a t de <span class="elsevierStyleItalic">Student</span> para vari&#225;veis n&#227;o emparelhadas &#8211; tendo sido verificada a normalidade dos dados &#8211;&#44; &#967;<span class="elsevierStyleSup">2</span> para vari&#225;veis nominais e correla&#231;&#227;o de Pearson&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Resultados</span><p id="par0110" class="elsevierStylePara elsevierViewall">Foram avaliados 92 indiv&#237;duos&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Foi verificada a normalidade de distribui&#231;&#227;o dos dados atrav&#233;s do teste de Kolmogorov-Smirnov que mostrou ser a amostra normal para a idade&#44; PA sist&#243;lica perif&#233;rica&#44; PA diast&#243;lica perif&#233;rica e PA central com&#44; respetivamente&#44; valores de 0&#44;062&#44; 1&#44;163&#44; 0&#44;678 e 0&#44;814&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Dos avaliados&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>38 &#40;41&#44;3&#37;&#41; eram homens&#46; A idade m&#233;dia da amostra foi de 62&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#44;1 anos&#44; sendo de 64&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#44;5 anos para o homem e de 60&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#44;7 anos para a mulher &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>ns&#41;&#46; A idade m&#237;nima foi de 36 anos e a m&#225;xima de 82 anos&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Tendo como valores de refer&#234;ncia para a PAP&#44; 140<span class="elsevierStyleHsp" style=""></span>mmHg para a sist&#243;lica e 90<span class="elsevierStyleHsp" style=""></span>mmHg para a diast&#243;lica&#44; 55 &#40;59&#44;8&#37;&#41; dos hipertensos encontravam-se controlados&#46; Apenas 5 &#40;5&#44;4&#37;&#41; dos 92 estudados apresentavam HTA sistodiast&#243;lica&#44; apresentando os restantes HTA sist&#243;lica isolada&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Quanto ao controlo da PAC&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>53 &#40;57&#44;6&#37;&#41; da amostra apresentava valores dentro do desej&#225;vel&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Estavam medicados n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>82 &#40;90&#44;1&#37;&#41; da amostra&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a> apresenta uma s&#237;ntese dos valores m&#233;dios dos par&#226;metros avaliados&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0145" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0010">Tabela 2</a> mostra os valores m&#233;dios em fun&#231;&#227;o do controlo ou n&#227;o da PAP e da PAC&#46; Verificam-se diferen&#231;as com significado&#44; n&#227;o se verificando&#44; tamb&#233;m&#44; diferen&#231;a com significado no IA&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0150" class="elsevierStylePara elsevierViewall">Quanto &#224; terap&#234;utica&#44; verifica-se que 78&#44;4&#37; dos estudados estavam a tomar um medicamento que atuasse no SRAA&#46; Em fun&#231;&#227;o de tomar ou n&#227;o medicamentos que atuam no SRAA&#44; verifica-se que&#44; para o IA&#44; n&#227;o h&#225; diferen&#231;a com significado &#40;0&#44;80<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#44;08 e 0&#44;79<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#44;08&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>ns&#41;&#44; o mesmo se verificando para controlo de PAP&#44; PAP&#44; PPP&#44; PPC e SEVR segundo a <a class="elsevierStyleCrossRef" href="#tbl0015">Tabela 3</a>&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0155" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0020">Tabela 4</a> apresenta o cruzamento de dados entre o controlo da PP e PP central&#44; sendo de destacar que 50 &#40;54&#44;3&#37;&#41; dos estudados est&#227;o simultaneamente controlados na PAP e na PAC&#44; enquanto 34 &#40;37&#44;0&#37;&#41; est&#227;o simultaneamente n&#227;o controlados&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0160" class="elsevierStylePara elsevierViewall">Pela <a class="elsevierStyleCrossRef" href="#fig0005">Figura 1</a>&#44; verifica-se que as curvas de PPP e de PPC n&#227;o s&#227;o diferentes com um p bi-caudado da correla&#231;&#227;o de Pearson<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01 e r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;957&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0165" class="elsevierStylePara elsevierViewall">Quanto ao SEVR&#44; percentagem do ciclo card&#237;aco em di&#225;stole&#44; 83 indiv&#237;duos tinham um valor desej&#225;vel &#40;92&#44;2&#37; do total&#41;&#46; Verifica-se controlo de SEVR em 94&#44;4&#37; dos estudados do sexo masculino e de 90&#44;7&#37; no sexo feminino&#44; sendo os n&#227;o controlados mais idosos &#40;idade m&#233;dia n&#227;o controlo 72&#44;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#44;0 anos <span class="elsevierStyleItalic">versus</span> idade m&#233;dia nos controlados 60&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#44;0 anos&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;008&#41;&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Na <a class="elsevierStyleCrossRef" href="#tbl0025">Tabela 5</a> s&#227;o apresentados os dados quanto &#224; distribui&#231;&#227;o do controlo de SEVR em fun&#231;&#227;o do grupo et&#225;rio considerado&#44; sendo de real&#231;ar que&#44; sem significado&#44; &#233; no grupo et&#225;rio mais idoso que h&#225; menor controlo de SEVR&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0175" class="elsevierStylePara elsevierViewall">Segundo a <a class="elsevierStyleCrossRef" href="#tbl0030">Tabela 6</a>&#44; na situa&#231;&#227;o de controlo de PAP&#44; apenas um &#40;1&#44;8&#37;&#41; dos controlados n&#227;o tem o SEVR normal&#44; enquanto nos n&#227;o controlados tal frequ&#234;ncia relativa &#233; de 17&#44;1&#37;&#44; tendo esta distribui&#231;&#227;o diferen&#231;a significativa &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01 com corre&#231;&#227;o de Yates&#41;&#46;</p><elsevierMultimedia ident="tbl0030"></elsevierMultimedia><p id="par0180" class="elsevierStylePara elsevierViewall">Segundo a <a class="elsevierStyleCrossRef" href="#tbl0035">Tabela 7</a> e para o controlo da PAC verifica-se que dos controlados 7&#44;5&#37; n&#227;o t&#234;m o SEVR controlado enquanto nos n&#227;o controlados tal frequ&#234;ncia relativa &#233; de 8&#44;1&#37;&#46;</p><elsevierMultimedia ident="tbl0035"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discuss&#227;o</span><p id="par0185" class="elsevierStylePara elsevierViewall">A realiza&#231;&#227;o de estudos como o presente tem&#44; desde logo&#44; a inerente quest&#227;o t&#233;cnica&#44; ao n&#227;o ser na pr&#225;tica poss&#237;vel a uma institui&#231;&#227;o vocacionada para a Medicina Geral e Familiar ter acesso continuado aos materiais que foram utilizados<span class="elsevierStyleBold">&#46;</span></p><p id="par0190" class="elsevierStylePara elsevierViewall">Ao ter sido facilitada a presen&#231;a de SphygmoCor<span class="elsevierStyleSup">&#174;</span> e DINAMAP&#44; operados por t&#233;cnicos experimentados e conhecedores&#44; por per&#237;odos limitados de tempo&#44; colocava-se a quest&#227;o da metodologia de escolha da popula&#231;&#227;o a estudar&#46; A op&#231;&#227;o foi feita para os hipertensos que recorressem &#224; sede do Centro de Sa&#250;de nos dias aprazados&#44; por dificuldades log&#237;sticas na eventual convocat&#243;ria ap&#243;s aleatoriza&#231;&#227;o dos indiv&#237;duos a estudar&#46;</p><p id="par0195" class="elsevierStylePara elsevierViewall">Como principal vi&#233;s&#44; este estudo comporta o facto de os estudados terem&#44; no pr&#243;prio dia&#44; estado em consulta com os seus m&#233;dicos e de apenas terem sido avaliados os que aceitaram o convite&#44; constituindo-se uma amostra de conveni&#234;ncia&#46; Igualmente como vi&#233;ses t&#233;cnicos citamos a defini&#231;&#227;o do controlo de PAP&#44; PAP&#44; PPP e PPC&#44; assim como os dos aparelhos de medi&#231;&#227;o o Dinamap e o Sphygmocor&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">O tamanho da amostra &#233; julgado suficiente para garantir a qualidade dos resultados&#44; segundo a metodologia utilizada e para o estudo dos objetivos propostos&#46; Nem todos os pacientes sofrendo de HTA ter&#227;o seguido o aconselhamento de medi&#231;&#227;o&#44; sendo certo que os estudados t&#234;m idades e distribui&#231;&#227;o por sexos&#44; semelhantes &#224;s vari&#225;veis constantes no relat&#243;rio de atividades do Centro de Sa&#250;de na distribui&#231;&#227;o da popula&#231;&#227;o hipertensa&#46;</p><p id="par0205" class="elsevierStylePara elsevierViewall">A tecnologia utilizada e j&#225; acima descrita&#44; estando j&#225; padronizada<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#44; oferece garantias de qualidade&#46;</p><p id="par0210" class="elsevierStylePara elsevierViewall">Os resultados mostram que&#44; para as vari&#225;veis consideradas&#44; em fun&#231;&#227;o de haver controlo ou n&#227;o da PAC e da PAP&#44; h&#225; diferen&#231;as significativas nas vari&#225;veis medidas&#44; excetuando-se o IA na PAC&#46; Tais resultados traduzem a import&#226;ncia de trabalhar mais e melhor com os n&#227;o controlados quer na motiva&#231;&#227;o para a ades&#227;o e manuten&#231;&#227;o em terap&#234;utica &#8211; com todo o conjunto de condicionantes que este importante cap&#237;tulo tem &#8211; quer na adequa&#231;&#227;o terap&#234;utica<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a>&#46;</p><p id="par0215" class="elsevierStylePara elsevierViewall">Em particular&#44; salientam-se os valores do IA que assume valores mais pr&#243;ximos da unidade para os n&#227;o controlados e o SEVR em que&#44; pela PAC&#44; h&#225; piores resultados implicando melhoria da terap&#234;utica&#46; De facto&#44; na situa&#231;&#227;o de controlo de PAP apenas um &#40;1&#44;8&#37;&#41; dos controlados n&#227;o t&#234;m o SEVR normal&#44; enquanto&#44; nos n&#227;o controlados&#44; tal frequ&#234;ncia relativa &#233; de 17&#44;1&#37;&#46; Para a situa&#231;&#227;o de controlo da PAC verifica-se que&#44; dos controlados&#44; 7&#44;5&#37; n&#227;o t&#234;m o SEVR controlado&#44; enquanto&#44; nos n&#227;o controlados&#44; tal frequ&#234;ncia relativa &#233; de 8&#44;1&#37;&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">O que este estudo permite desde j&#225; verificar &#233; a elevada preval&#234;ncia de controlo de PAP na amostra&#44; quando comparamos os resultados com os de outros estudos<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46; H&#225; semelhan&#231;a com estudos j&#225; publicados em Portugal<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;11</span></a>&#44; podendo a realiza&#231;&#227;o da medi&#231;&#227;o da PAC em muito ajudar a melhorar a terap&#234;utica de doentes&#46;</p><p id="par0225" class="elsevierStylePara elsevierViewall">Um aspeto de relevo &#233; a constata&#231;&#227;o de que nem todos os indiv&#237;duos controlados perifericamente o est&#227;o centralmente&#44; estando nesta situa&#231;&#227;o 9&#44;1&#37; da amostra&#46; Tendo em conta que a PAC est&#225; mais relacionada com a morbi-mortalidade cardiovascular&#44; isto significa que estes indiv&#237;duos passaram&#44; ap&#243;s este exame&#44; a necessitar de cuidados diferentes&#44; que podem estar quer no esquema terap&#234;utico quer no padr&#227;o de manuten&#231;&#227;o terap&#234;utica&#44; quer mesmo na altura do dia em que os medicamentos devem ser tomados&#44; para eventuais futuros ganhos em sa&#250;de<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;9</span></a>&#46; De igual modo&#44; 5&#44;6&#37; da amostra encontra-se controlada centralmente&#44; mas n&#227;o perifericamente&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">O IA &#233; diferente&#44; em m&#233;dia&#44; entre os controlados de PAP e PAC&#44; tendo tal diferen&#231;a significado no caso da PAC&#46; Assumimos que a inexist&#234;ncia de diferen&#231;a significativa no IA entre controlados e n&#227;o controlados de PAP se pode dever ao tamanho de amostra&#46;</p><p id="par0235" class="elsevierStylePara elsevierViewall">O facto de as curvas de PPP e de PPC n&#227;o terem diferen&#231;a quando correlacionadas &#233; um bom indicador da qualidade de seguimento destes pacientes&#44; sendo certo que o facto de terem sido estudados em dias em que frequentaram a consulta&#44; exatamente pela HTA&#44; pode de alguma forma ter enviesado os resultados&#46;</p><p id="par0240" class="elsevierStylePara elsevierViewall">O facto de o SEVR estar maioritariamente controlado &#233; muito importante&#44; pois permite pensar que&#44; ao menos&#44; a les&#227;o card&#237;aca estar&#225; de alguma forma a ser adiada&#46; &#201; nos mais idosos que h&#225; pior controlo do SEVR&#44; o que n&#227;o pode deixar de preocupar e de ser motivo de reflex&#227;o quanto ao esquema de controlo farmacoterap&#234;utico destes indiv&#237;duos&#46;</p><p id="par0245" class="elsevierStylePara elsevierViewall">A terap&#234;utica com medicamentos que atuam no SRAA n&#227;o determina diferen&#231;as significativas entre as vari&#225;veis comparadas&#44; n&#227;o se verificando&#44; assim&#44; o que outros estudos mostraram&#44; em amostras mais pequenas<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#46;</p><p id="par0250" class="elsevierStylePara elsevierViewall">A avalia&#231;&#227;o da PAC parece assim poder ser parte do exame peri&#243;dico de um paciente com HTA&#44; por dar mais informa&#231;&#245;es quanto aos resultados que est&#227;o a ser atingidos com a terap&#234;utica&#44; apesar de alguns dos indicadores medidos no &#226;mbito deste estudo terem falhado em demonstrar poder discriminante como indicadores de morbi-mortalidade cardiovascular&#44; como o SEVR e o IA&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Conclus&#245;es</span><p id="par0255" class="elsevierStylePara elsevierViewall">Numa amostra de conveni&#234;ncia de 92 indiv&#237;duos hipertensos&#44; 59&#44;8&#37; tinham a doen&#231;a controlada pela medi&#231;&#227;o em art&#233;ria perif&#233;rica e 57&#44;6&#37; tinham valores de PAC controlada&#46;</p><p id="par0260" class="elsevierStylePara elsevierViewall">Nesta amostra 54&#44;3&#37; estavam simultaneamente controlados na PAP e na PAC&#44; enquanto 37&#44;0&#37; estavam simultaneamente n&#227;o controlados para PAP e PAC&#46;</p><p id="par1085" class="elsevierStylePara elsevierViewall">&#201; de 9&#44;1&#37; a frequ&#234;ncia dos que tinham PAP controlada e a PAC n&#227;o controlada e de 8&#44;1&#37; a dos que tinham a PAP n&#227;o controlada e a PAC controlada&#46;</p><p id="par0270" class="elsevierStylePara elsevierViewall">A percentagem do ciclo card&#237;aco em di&#225;stole tinha valores desej&#225;veis para 92&#44;2&#37; dos estudados&#46;</p><p id="par0275" class="elsevierStylePara elsevierViewall">O esquema terap&#234;utico farmacol&#243;gico n&#227;o parece ter impacto nos valores medidos&#46;</p><p id="par0280" class="elsevierStylePara elsevierViewall">S&#227;o necess&#225;rios mais estudos com esta metodologia&#44; em situa&#231;&#227;o de ambulat&#243;rio&#44; para que se possam tirar conclus&#245;es mais seguras&#44; nomeadamente quanto ao SEVR e &#224; import&#226;ncia da realiza&#231;&#227;o peri&#243;dica deste exame&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflito de interesses</span><p id="par0285" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o ter qualquer conflito de interesses para este trabalho&#46;</p></span></span>"
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            0 => "Hipertens&#227;o arterial"
            1 => "Press&#227;o arterial perif&#233;rica&#58; Press&#227;o arterial central"
            2 => "&#205;ndice de aumento"
            3 => "Raz&#227;o de viabilidade subendoc&#225;rdica"
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        "titulo" => "Resumo"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Introdu&#231;&#227;o</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A press&#227;o arterial central &#40;PAC&#41; &#233; a press&#227;o exercida pela coluna sangu&#237;nea&#44; em cada momento&#44; nas art&#233;rias aorta e car&#243;tidas&#44; sendo uma aproxima&#231;&#227;o &#224; press&#227;o arterial no cora&#231;&#227;o e no c&#233;rebro e&#44; assim&#44; um marcador mais relacionado com a morbi-mortalidade cardiovascular do que a press&#227;o arterial perif&#233;rica &#40;PAP&#41;&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0015">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Verificar&#44; segundo o controlo da PAC e da PAP&#44; como se distribuem os valores de &#237;ndice de aumento &#40;IA&#41;&#44; de press&#227;o de pulso central &#40;PPC&#41;&#44; de press&#227;o de pulso perif&#233;rica &#40;PPP&#41; e raz&#227;o de viabilidade subendoc&#225;rdica &#40;SEVR&#41;&#44; em pacientes com o pr&#233;vio diagn&#243;stico de hipertens&#227;o arterial &#40;HTA&#41;&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0020">Material e m&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudo observacional transversal em amostra de conveni&#234;ncia no ambiente de Medicina Geral e Familiar &#40;MGF&#41; em 4&#160;dias do m&#234;s de maio de 2010&#46; Os pacientes estiveram em repouso durante pelo menos 4&#160;min antes do in&#237;cio das 2 medi&#231;&#245;es&#46; Definiram-se&#58; controlo de PAP valores &#60;&#160;140&#47;90<span class="elsevierStyleHsp" style=""></span>mmHg&#44; de PAC valores &#60;&#160;130&#47;80&#44; de PPP valores &#60;&#160;55<span class="elsevierStyleHsp" style=""></span>mmHg e de PPC valores &#60;&#160;45<span class="elsevierStyleHsp" style=""></span>mmHg&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0025">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Amostra de n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>92&#44; sendo 38 homens &#40;41&#44;3&#37;&#41;&#46; Idade m&#233;dia de 62&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#44;1 anos&#44; sem diferen&#231;a por sexos&#46; PAP controlada em n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>55 &#40;59&#44;8&#37;&#41; e PAC controlada em n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>53 &#40;57&#44;6&#37;&#41;&#46; Para n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50 &#40;54&#44;3&#37;&#41; havia simult&#226;neo controlo da PAP e da PAC e para n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>34 &#40;37&#44;0&#37;&#41; havia simult&#226;neo n&#227;o controlo&#46; A PPP e a PPC &#233; significativamente menor nos controlados de PAP &#40;p&#160;&#60;&#160;0&#44;001&#41; e de PAC &#40;p&#160;&#60;&#160;0&#44;001&#41; na compara&#231;&#227;o com os n&#227;o controlados&#46; O IA &#233; menor sem significado nos controlados da PAP &#40;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#41; que nos n&#227;o controlados da PAP &#40;80<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7&#41; e &#233; tamb&#233;m menor nos controlados da PAC &#40;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#41; do que nos n&#227;o controlados &#40;81<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7 &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#41;&#46; Para n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>93 &#40;92&#44;2&#37;&#41;&#44; o SEVR tinha um valor desej&#225;vel&#46; Medicados com medicamentos atuando no sistema renina-angiotensina-aldosterona &#40;SRAA&#41;&#58; 78&#44;4&#37; dos estudados&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0030">Conclus&#245;es</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Numa amostra de n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>92 indiv&#237;duos&#44; 59&#44;8&#37; tinham PAP controlada e 57&#44;6&#37; tinham a PAC controlada&#46; H&#225;&#44; para a PAP&#44; valores melhores nos controlados e com significado&#44; em press&#227;o arterial sist&#243;lica perif&#233;rica&#44; press&#227;o arterial diast&#243;lica perif&#233;rica&#44; press&#227;o arterial central&#44; press&#227;o de pulso perif&#233;rica e press&#227;o de pulso central&#46; O mesmo se verifica para o controlo da press&#227;o arterial central com associada diferen&#231;a significativa para o &#237;ndice de aumento &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#41;&#46; A percentagem do ciclo card&#237;aco em di&#225;stole tinha valores desej&#225;veis para 92&#44;2&#37; dos estudados&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0040">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Central blood pressure &#40;CBP&#41; is the pressure exerted by the blood column at any given moment on the aortic and carotid artery walls&#44; which is a close proxy for the blood pressure inside the brain and the heart&#44; and is thus a better marker of cardiovascular morbidity and mortality than peripheral blood pressure &#40;PBP&#41;&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0045">Objective</span><p id="spar0135" class="elsevierStyleSimplePara elsevierViewall">To assess how the augmentation index &#40;AI&#41;&#44; peripheral pulse pressure &#40;pPP&#41;&#44; central pulse pressure &#40;cPP&#41; and subendocardial viability ratio &#40;SEVR&#41; vary in hypertensive patients according to level of control of CBP and PBP&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0050">Methods</span><p id="spar0140" class="elsevierStyleSimplePara elsevierViewall">We performed an observational&#44; cross-sectional study in a convenience sample from a general practice in Central Portugal over a period of four days in May 2010&#46; Measurements were taken after a four-minute resting period&#46; The following values were considered to reflect controlled pressures&#58; PBP &#60;140&#47;90 mmHg&#44; CBP &#60;130&#47;80 mmHg&#44; pPP &#60;55 mmHg and cPP &#60;45 mmHg&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0055">Results</span><p id="spar0145" class="elsevierStyleSimplePara elsevierViewall">The sample included 92 patients&#44; 38 male &#40;41&#46;3&#37;&#41;&#44; mean age 62&#46;3&#177;11&#46;1 years&#44; with no significant difference in gender distribution&#46; PBP was controlled in 55 &#40;59&#46;8&#37;&#41;&#44; and CBP in 53 &#40;57&#46;6&#37;&#41;&#46; Both PBP and CBP were controlled in 50 patients &#40;54&#46;3&#37;&#41; and neither was controlled in 34 &#40;37&#46;9&#37;&#41;&#46; pPP and cPP were significantly lower in those with controlled PBP &#40;p&#60;0&#46;001&#41; and CBP &#40;p&#60;0&#46;001&#41;&#46; AI was non-significantly lower in those with controlled PBP &#40;78&#177;9 vs&#46; 80&#46;7&#41; and those with controlled CBP &#40;78&#177;9 vs&#46;81&#177;7&#41; &#40;p&#61;0&#46;02&#41;&#46; SEVR was within the desirable range in 92 patients &#40;92&#46;2&#37;&#41;&#46; 78&#46;4&#37; of individuals were taking drugs acting on the renin angiotensin aldosterone system &#40;RAAS&#41;&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0060">Conclusions</span><p id="spar0150" class="elsevierStyleSimplePara elsevierViewall">In a convenience sample of 92 patients&#44; PBP and CBP were controlled in 59&#46;8&#37; and 57&#46;6&#37;&#44; respectively&#46; Those with controlled PBP had significantly better peripheral systolic and diastolic blood pressure&#44; CBP&#44; pPP and cPP&#59; the same was true of those with controlled CBP&#44; who also had a significantly better AI&#46; The percentage of the cardiac cycle in diastole had a desirable value for 92&#44;2&#37; of the subjects&#46;</p>"
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          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Correla&#231;&#227;o entre press&#227;o de pulso perif&#233;rica e da press&#227;o de pulso central&#46;</p> <p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Correla&#231;&#227;o de Pearson&#44; p bi-caudado<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#59; r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;957&#46;</p>"
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          "leyenda" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">IA&#58; &#237;ndice de aumento&#59; PP central&#58; press&#227;o de pulso central&#59; PP perif&#233;rica&#58; press&#227;o de pulso perif&#233;rica&#59; PAC sist&#243;lica&#58; press&#227;o arterial central sist&#243;lica&#59; PAP diast&#243;lica&#58; press&#227;o arterial perif&#233;rica diast&#243;lica&#59; PAP sist&#243;lica&#58; press&#227;o arterial perif&#233;rica sist&#243;lica&#46;</p>"
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t">75&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#44;5<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PAC sist&#243;lica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">127&#44;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>18&#44;4<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PP perif&#233;rica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">62&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>18&#44;15<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PP central&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&#44;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>16<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IA &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">79<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Frequ&#234;ncia card&#237;aca m&#233;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">69&#44;7<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Aumento de press&#227;o a&#243;rtica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab335353.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Valores m&#233;dios das vari&#225;veis estudadas</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "tbl0010"
        "etiqueta" => "Tabela 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">IA&#58; &#237;ndice de aumento&#59; ns&#58; n&#227;o sabe&#59; PP central&#58; press&#227;o de pulso central&#59; PP perif&#233;rica&#58; press&#227;o de pulso perif&#233;rica&#59; PAC sist&#243;lica&#58; press&#227;o arterial central sist&#243;lica&#59; PAP diast&#243;lica&#58; press&#227;o arterial perif&#233;rica diast&#243;lica&#59; PAP sist&#243;lica&#58; press&#227;o arterial perif&#233;rica sist&#243;lica&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Press&#227;o arterial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Par&#226;metro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Controlados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#227;o controlados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Perif&#233;rica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PAP sist&#243;lica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">125&#44;5<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#44;6<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">156&#44;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>13&#44;4<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PAP diast&#243;lica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">72&#44;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#44;5<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">79&#44;7<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#44;4<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PAC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">115&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#44;0<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">143&#44;7<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>13&#44;0<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PP perif&#233;rica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&#44;7<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#44;5<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">77&#44;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#44;1<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PP central&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#44;0<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#44;3<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#44;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>15&#44;6<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IA &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ns&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Central&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PAP sist&#243;lica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">125&#44;7<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>13&#44;6<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">154&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#44;4<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PAP diast&#243;lica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">71&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#44;1<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#44;0<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PAC sist&#243;lica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">114&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#44;4<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">143&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#44;2<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PP perif&#233;rica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53&#44;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#44;2<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">74&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>18&#44;2<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PP central&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">41&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#44;4<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">62&#44;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>15&#44;8<span class="elsevierStyleHsp" style=""></span>mmHg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IA &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">81<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;02&nbsp;\t\t\t\t\t\t\n
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          "pt" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Valores m&#233;dios das vari&#225;veis medidas em fun&#231;&#227;o do controlo da press&#227;o arterial perif&#233;rica e da press&#227;o arterial central</p>"
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">29 &#40;42&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">8 &#40;42&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Controlo de press&#227;o arterial central&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">39 &#40;56&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11 &#40;57&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30 &#40;43&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">24 &#40;34&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;65&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">11 &#40;57&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Controlo de press&#227;o de pulso central&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;57&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Controlo de raz&#227;o de viabilidade subendoc&#225;rdica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Controlo perif&#233;rico&#47;Controlo central&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">50 &#40;90&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3 &#40;8&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53 &#40;57&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">5 &#40;9&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">34 &#40;91&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">39 &#40;42&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">55 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">37 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">92 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Grupo et&#225;rio&#47;SEVR&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&#62;&#160;64 anos<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">52 &#40;96&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">31 &#40;86&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">83 &#40;92&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;3&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">5 &#40;13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">7 &#40;7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">54 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">36 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Controlo PA perif&#233;rica&#47;SEVR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">N&#227;o<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">54 &#40;98&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">29 &#40;82&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;92&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;1&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;17&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Controlo PA central&#47;SEVR&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">49 &#40;92&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34 &#40;91&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;92&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;7&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;8&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">7 &#40;7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">53 &#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">37 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
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