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Cardiac MR Provides Clues on Little Known Heart Muscle Condition

By MedImaging International staff writers
Posted on 15 Dec 2010

Left ventricular noncompaction (LVNC), a cardiomyopathy about which little is fully understood is associated with heart failure (HF), stroke, and ventricular arrhythmias, according to recent findings. The researchers reported that sophisticated imaging technologies reveal that developing these cardiac risks appear to progress over time in patients with LVNC.

LVNC is an inherited heart muscle condition in which the muscular wall of the left ventricle appears to be spongy and noncompacted, consisting of a meshwork of numerous muscle bands (trabeculations). However, its cause, development, clinical course, and treatment are the focus of ongoing research. As a result, the study investigators reported that the cardiology community's "understanding of the natural history of LVNC continues to evolve.”

The study's findings were presented November 2010 at the 2010 American Heart Association (AHA) scientific sessions in Chicago, IL, USA. "Our ability to detect and recognize this condition has grown considerably over the past decade, as our imaging technologies have advanced,” said study investigator William T. Katsiyiannis, MD, director of the Genetic Arrhythmia Center and a clinical cardiac electrophysiologist at the Minneapolis Heart Institute at Abbott Northwestern Hospital (Minneapolis, USA). "Fifteen years ago, the main tool to examine cardiac muscle was echocardiography, which was not as sensitive as it is today. Now, with the advent of cardiac MR [magnetic resonance], we are able to see far more detail of the heart.”

Whereas the current incidence rate of LVNC is unknown, Dr. Katsiyiannis theorized that the condition might be far more common than has been previously postulated, due to a lack of diagnosis. Earlier research had indicated complications for patients with LVNC include stroke from blood clots that form in the noncompacted tissue, the development of heart failure or left ventricular dysfunction, and the development of potentially dangerous ventricular arrhythmias.

To evaluate the association of LVNC with these traditional risk factors, the researchers assessed patients by echocardiography or cardiac MR, and diagnosed 125 patients with LVNC. Only 38.2% were diagnosed by echocardiography. "The incidence rates are unclear because echo has been the gold standard,” stated Dr. Katsiyiannis. "Echo missed the majority of patients with LVNC. Therefore, LVNC cannot be ruled out based on a normal echo.”

The study's patients had a higher than expected incidence of congestive heart failure (38.5%), left ventricular dysfunction with ejection fraction of less than 45% by cardiac MR (31.9%), and ventricular tachycardia (24.8%). Moreover, the researchers at the Minneapolis Heart Institute reported that 3.1% of patients experienced stroke and 3.1% experienced sudden death.

Dr. Katsiyiannis concluded that LVNC requires "much more research before clinical decisions are based on its diagnosis.”

Related Links:
Minneapolis Heart Institute at Abbott Northwestern Hospital

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61 (130.17654418945): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (635.14709472656): SELECT fid FROM jos_deeppockets WHERE id=294732517 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294732517 AND published='1' LIMIT 1

63 (63.896179199219): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

64 (78.201293945312): select jos_twitters.link from jos_twitters where cat=10

65 (43.153762817383): select jos_facebook.link from jos_facebook where cat=10

66 (42.200088500977): select jos_google_plus.link from jos_google_plus where cat=10

67 (38.14697265625): select jos_linkedin.link from jos_linkedin where cat=10

68 (67.949295043945): SELECT fid FROM jos_deeppockets WHERE id=294732517 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294732517 AND published='1' LIMIT 1

69 (46.968460083008): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

70 (482.08236694336): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (376.93977355957): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (77.962875366211): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (69.141387939453): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (67.949295043945): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (76.055526733398): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

105 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

106 (!!!!! 1059.0553283691): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294732517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (64.13459777832): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294732517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (699.04327392578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

109 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

110 (324.96452331543): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294732517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (462.05520629883): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294732517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (735.04447937012): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (539.06440734863): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (167.8466796875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

115 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

116 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

117 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

118 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

119 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

120 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

121 (57.220458984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

122 (406.02684020996): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 28723.001480103): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (751.01852416992): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732517 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732517 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 10489.940643311): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (184.05914306641): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (87.976455688477): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (47.922134399414): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (73.909759521484): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (44.822692871094): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (456.09474182129): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (55.074691772461): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (53.167343139648): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (414.13307189941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (313.99726867676): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (38.862228393555): SELECT name FROM jos_deeppockets WHERE id=212

138 (29.087066650391): SELECT name FROM jos_deeppockets WHERE id=212

139 (547.17063903809): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (499.96376037598): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

142 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

143 (!!!!! 10262.012481689): TRUNCATE TABLE jos_trademed_module

144 (112.05673217773): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294732517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (71.048736572266): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294732517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (899.07646179199): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

149 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

150 (!!!!! 1564.0258789062): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

152 (62.227249145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

153 (65.803527832031): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732517 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732517 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (41.007995605469): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

155 (36.954879760742): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

156 (40.054321289062): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

158 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732517 AND published='1' LIMIT 1

159 (53.882598876953): select jos_twitters.link from jos_twitters where cat=10

160 (51.021575927734): select jos_facebook.link from jos_facebook where cat=10

161 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

162 (33.140182495117): select jos_linkedin.link from jos_linkedin where cat=10

163 (379.08554077148): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1593.1129455566): insert into jos_banners_delta values (14615,'2025-06-27 17:46:12','216.73.216.249','view'),(14202,'2025-06-27 17:46:12','216.73.216.249','view'),(14203,'2025-06-27 17:46:12','216.73.216.249','view')

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