20d6b2221fc55b287e9b947f9ae6079d  337107.pdf
55ae8de210ec4e3a803331626de49fcf1e3941d7  337107.pdf
95b92c3727bb6ae7244d703a9f4921ff05a520e642bb7e26a5e2c72a61f24c0c  337107.pdf

Title:           Association Between Electrocardiographic Changes and Myocardial Injury or Death After Cardiac Surgery
Subject:         Canadian Journal of Cardiology, 41 (2025) 2601-2610. doi:10.1016/j.cjca.2025.09.035
Author:          Emilie P. Belley-Côté MD PhD
Creator:         Elsevier
Producer:        PDFlib+PDI 10.0.2p2 (C++/Win64)
CreationDate:    Sat Dec 13 03:59:01 2025 CET
ModDate:         Sat Dec 13 04:13:17 2025 CET
Custom Metadata: yes
Metadata Stream: yes
Tagged:          yes
UserProperties:  no
Suspects:        no
Form:            none
JavaScript:      no
Pages:           10
Encrypted:       no
Page size:       584.957 x 782.986 pts
Page rot:        0
File size:       575590 bytes
Optimized:       yes
PDF version:     1.7


name                                 type              encoding         emb sub uni object ID
------------------------------------ ----------------- ---------------- --- --- --- ---------
KPRKWM+FranklinGothic-DemiCnd        Type 1C           Custom           yes yes yes   2237  0
GlyphLessFont                        CID TrueType      Identity-H       yes no  yes   2239  0
AEYOAP+ITCFranklinGothicStd-Demi     Type 1C           Custom           yes yes yes   2243  0
HFMBAW+AGaramond-Regular             Type 1C           Custom           yes yes yes   2247  0
ERNRUV+TeX_CM_Roman                  Type 1C           Builtin          yes yes yes   2251  0
OPHJTA+AGaramond-Italic              Type 1C           Custom           yes yes yes   2257  0
DJKDIV+ESSTIX-Five                   Type 1C           Builtin          yes yes yes   2263  0
GOFEDS+PSSymbol                      Type 1C           Builtin          yes yes yes   2269  0
BIENBX+CM_Maths_Symbols              Type 1C           Builtin          yes yes yes     40  0
ABDOUL+AGaramond-Bold                Type 1C           Custom           yes yes yes     41  0
VCHGJU+FranklinGothic-Medium         Type 1C           Custom           yes yes yes     48  0
ZJSQQM+FranklinGothic-MediumItal     Type 1C           Custom           yes yes yes     59  0
HOYTFI+ITCFranklinGothicStd-Book     Type 1C           Custom           yes yes yes     60  0
ADBRKS+FranklinGothic-Heavy          Type 1C           Custom           yes yes yes     82  0
SHCWIO+ACaslon-Bold                  Type 1C           Custom           yes yes yes     83  0
VVCCGG+TeX_CM_Maths_Italic           Type 1C           Builtin          yes yes yes    111  0


Jhove (Rel. 1.28.0, 2023-05-18)
 Date: 2026-10-16 05:10:44 CEST
 RepresentationInformation: 337107.pdf
  ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16)
  LastModified: 2026-10-15 09:12:05 CEST
  Size: 575590
  Format: PDF
  Version: 1.7
  Status: Well-Formed, but not valid
  SignatureMatches:
   PDF-hul
  ErrorMessage: Invalid indirect destination - referenced object 'aff11' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff2' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff30' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff25' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff20' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff17' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff10' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff34' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff15' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff7' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff24' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff39' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff3' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff31' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff18' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff21' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'tbl3fnlowast' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff14' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff6' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff35' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff28' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff23' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff32' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff4' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff37' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff19' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff38' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff13' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff9' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff5' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff22' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff29' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'tbl5fnlowast' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff8' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff36' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff27' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff12' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff26' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff33' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff1' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: Invalid indirect destination - referenced object 'aff16' cannot be found
   ID: PDF-HUL-149
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff16' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff4' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff20' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff21' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff25' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff30' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff35' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff9' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff11' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff24' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff31' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff27' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff34' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff38' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff3' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff10' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff17' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff28' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff6' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'tbl3fnlowast' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff13' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff32' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff14' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff7' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff2' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff37' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff18' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff23' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'tbl5fnlowast' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff36' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff5' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff12' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff29' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff15' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff33' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff39' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff26' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff22' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff19' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff1' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'aff8' cannot be found
   ID: PDF-HUL-122
   Offset: 513259
  MIMEtype: application/pdf
  Profile: Linearized PDF, Tagged PDF
  PDFMetadata: 
   Objects: 2401
   FreeObjects: 1
   IncrementalUpdates: 1
   DocumentCatalog: 
    ViewerPreferences: 
     HideToolbar: false
     HideMenubar: false
     HideWindowUI: false
     FitWindow: false
     CenterWindow: false
     DisplayDocTitle: true
     NonFullScreenPageMode: UseNone
     Direction: L2R
     ViewArea: CropBox
     ViewClip: CropBox
     PrintArea: CropBox
     PageClip: CropBox
    PageLayout: SinglePage
    PageMode: UseOutlines
    Language: en
    Outlines: 
     Item: 
      Title: Association Between Electrocardiographic Changes and Myocardial Injury or Death After Cardiac Surgery
      Destination: titlink1
      Children: 
       Item: 
        Title: Methods
        Destination: flink1
        Children: 
         Item: 
          Title: Study organization and funding
          Destination: slink1
         Item: 
          Title: Patients
          Destination: slink2
         Item: 
          Title: Procedures
          Destination: slink3
         Item: 
          Title: ECG adjudication
          Destination: slink4
         Item: 
          Title: Statistical analysis
          Destination: slink5
       Item: 
        Title: Results
        Destination: flink2
        Children: 
         Item: 
          Title: Study population
          Destination: slink6
         Item: 
          Title: Potential ischemic ECG changes and mortality
          Destination: slink7
         Item: 
          Title: Associations between postoperative ECG changes and outcomes
          Destination: slink8
         Item: 
          Title: Exploratory analyses for reciprocal changes and territories
          Destination: slink9
         Item: 
          Title: Diagnostic criteria for MICS
          Destination: slink10
         Item: 
          Title: Associations between MICS and outcomes
          Destination: slink11
       Item: 
        Title: Discussion
        Destination: flink3
        Children: 
         Item: 
          Title: Key findings
          Destination: slink12
         Item: 
          Title: Findings in context
          Destination: slink13
         Item: 
          Title: Strengths and limitations
          Destination: slink14
       Item: 
        Title: Conclusions
        Destination: flink4
       Item: 
        Title: Data Availability
        Destination: flink5
       Item: 
        Title: Ethics Statement
        Destination: flink6
       Item: 
        Title: Patient Consent
        Destination: flink7
       Item: 
        Title: Funding Sources
        Destination: flink8
       Item: 
        Title: Disclosures
        Destination: flink9
       Item: 
        Title: Editorial Disclaimer
        Destination: flink10
       Item: 
        Title: References
        Destination: blink1
       Item: 
        Title: Supplementary Material
        Destination: applink1
   Info: 
    Title: Association Between Electrocardiographic Changes and Myocardial Injury or Death After Cardiac Surgery
    Author: Emilie P. Belley-Côté MD PhD
    Subject: Canadian Journal of Cardiology, 41 (2025) 2601-2610. doi:10.1016/j.cjca.2025.09.035
    Creator: Elsevier
    Producer: PDFlib+PDI 10.0.2p2 (C++/Win64)
    CreationDate: Sat Dec 13 04:29:01 CET 2025
    ModDate: Sat Dec 13 04:43:17 CET 2025
   ID: 0x713d133271cec289c4ef60b5b9ae4293, 0x5dd5394fbc5ba0489cabdfaccd7127f3
   Filters: 
    FilterPipeline: FlateDecode
   Fonts: 
    Type0: 
     Font: 
      BaseFont: GlyphLessFont
      Encoding: Identity-H
      ToUnicode: true
    Type1: 
     Font: 
      BaseFont: AEYOAP+ITCFranklinGothicStd-Demi
      FontSubset: true
      FirstChar: 1
      LastChar: 40
      FontDescriptor: 
       FontName: AEYOAP+ITCFranklinGothicStd-Demi
       Flags: Nonsymbolic
       FontBBox: -199, -250, 1014, 934
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
     Font: 
      BaseFont: HFMBAW+AGaramond-Regular
      FontSubset: true
      FirstChar: 1
      LastChar: 81
      FontDescriptor: 
       FontName: HFMBAW+AGaramond-Regular
       Flags: Nonsymbolic
       FontBBox: -183, -269, 1099, 851
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
     Font: 
      BaseFont: BIENBX+CM_Maths_Symbols
      FontSubset: true
      FirstChar: 1
      LastChar: 138
      FontDescriptor: 
       FontName: BIENBX+CM_Maths_Symbols
       Flags: Symbolic
       FontBBox: -50, -180, 1000, 720
       FontFile3: true
      ToUnicode: true
     Font: 
      BaseFont: ABDOUL+AGaramond-Bold
      FontSubset: true
      FirstChar: 1
      LastChar: 19
      FontDescriptor: 
       FontName: ABDOUL+AGaramond-Bold
       Flags: Nonsymbolic, ForceBold
       FontBBox: -158, -269, 1147, 862
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
     Font: 
      BaseFont: ERNRUV+TeX_CM_Roman
      FontSubset: true
      FirstChar: 1
      LastChar: 128
      FontDescriptor: 
       FontName: ERNRUV+TeX_CM_Roman
       Flags: Symbolic
       FontBBox: -50, -180, 1000, 720
       FontFile3: true
      ToUnicode: true
     Font: 
      BaseFont: VVCCGG+TeX_CM_Maths_Italic
      FontSubset: true
      FirstChar: 1
      LastChar: 128
      FontDescriptor: 
       FontName: VVCCGG+TeX_CM_Maths_Italic
       Flags: Symbolic
       FontBBox: -50, -180, 1000, 720
       FontFile3: true
      ToUnicode: true
     Font: 
      BaseFont: VCHGJU+FranklinGothic-Medium
      FontSubset: true
      FirstChar: 1
      LastChar: 69
      FontDescriptor: 
       FontName: VCHGJU+FranklinGothic-Medium
       Flags: Nonsymbolic
       FontBBox: -169, -250, 1093, 891
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
     Font: 
      BaseFont: OPHJTA+AGaramond-Italic
      FontSubset: true
      FirstChar: 1
      LastChar: 61
      FontDescriptor: 
       FontName: OPHJTA+AGaramond-Italic
       Flags: Nonsymbolic, Italic
       FontBBox: -182, -285, 1150, 851
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
     Font: 
      BaseFont: ADBRKS+FranklinGothic-Heavy
      FontSubset: true
      FirstChar: 1
      LastChar: 29
      FontDescriptor: 
       FontName: ADBRKS+FranklinGothic-Heavy
       Flags: Nonsymbolic
       FontBBox: -208, -250, 1044, 931
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
     Font: 
      BaseFont: SHCWIO+ACaslon-Bold
      FontSubset: true
      FirstChar: 1
      LastChar: 36
      FontDescriptor: 
       FontName: SHCWIO+ACaslon-Bold
       Flags: Nonsymbolic, ForceBold
       FontBBox: -104, -275, 1168, 947
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
     Font: 
      BaseFont: DJKDIV+ESSTIX-Five
      FontSubset: true
      FirstChar: 33
      LastChar: 116
      FontDescriptor: 
       FontName: DJKDIV+ESSTIX-Five
       Flags: Symbolic
       FontBBox: -50, -180, 1000, 720
       FontFile3: true
      ToUnicode: true
     Font: 
      BaseFont: ZJSQQM+FranklinGothic-MediumItal
      FontSubset: true
      FirstChar: 1
      LastChar: 1
      FontDescriptor: 
       FontName: ZJSQQM+FranklinGothic-MediumItal
       Flags: Nonsymbolic, Italic
       FontBBox: -210, -250, 1047, 891
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
     Font: 
      BaseFont: HOYTFI+ITCFranklinGothicStd-Book
      FontSubset: true
      FirstChar: 1
      LastChar: 38
      FontDescriptor: 
       FontName: HOYTFI+ITCFranklinGothicStd-Book
       Flags: Nonsymbolic
       FontBBox: -164, -250, 1014, 914
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
     Font: 
      BaseFont: GOFEDS+PSSymbol
      FontSubset: true
      FirstChar: 33
      LastChar: 254
      FontDescriptor: 
       FontName: GOFEDS+PSSymbol
       Flags: Symbolic
       FontBBox: -50, -180, 1000, 720
       FontFile3: true
      ToUnicode: true
     Font: 
      BaseFont: KPRKWM+FranklinGothic-DemiCnd
      FontSubset: true
      FirstChar: 1
      LastChar: 11
      FontDescriptor: 
       FontName: KPRKWM+FranklinGothic-DemiCnd
       Flags: Nonsymbolic
       FontBBox: -141, -250, 941, 903
       FontFile3: true
      EncodingDictionary: 
       BaseEncoding: WinAnsiEncoding
       Differences: true
      ToUnicode: true
    CIDFontType2: 
     Font: 
      BaseFont: GlyphLessFont
      CIDSystemInfo: 
       Registry: Adobe
       Registry: Identity
       Supplement: 0
      FontDescriptor: 
       FontName: GlyphLessFont
       Flags: FixedPitch, Symbolic
       FontBBox: 0, 0, 500, 1000
       FontFile2: true
   XMP: <x:xmpmeta xmlns:x="adobe:ns:meta/" x:xmptk="Adobe XMP Core 4.0-c316 44.253921, Sun Oct 01 2006 17:14:39">
   <rdf:RDF xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#">
      <rdf:Description rdf:about=""
            xmlns:dc="http://purl.org/dc/elements/1.1/">
         <dc:format>application/pdf</dc:format>
         <dc:identifier>doi:10.1016/j.cjca.2025.09.035</dc:identifier>
         <dc:title>
            <rdf:Alt>
               <rdf:li xml:lang="x-default">Association Between Electrocardiographic Changes and Myocardial Injury or Death After Cardiac Surgery</rdf:li>
            </rdf:Alt>
         </dc:title>
         <dc:creator>
            <rdf:Seq>
               <rdf:li>Emilie P. Belley-Côté MD PhD</rdf:li>
               <rdf:li>Richard P. Whitlock MD PhD</rdf:li>
               <rdf:li>André Lamy MD MHSc</rdf:li>
               <rdf:li>Muhammad Mustafa Alhussein MD</rdf:li>
               <rdf:li>Vladimir Lomivorotov MD PhD</rdf:li>
               <rdf:li>Katheryn Brady BSc</rdf:li>
               <rdf:li>Matthew T.V. Chan MBBS PhD</rdf:li>
               <rdf:li>Rene V. Allard MD</rdf:li>
               <rdf:li>Silvia Ajello MD</rdf:li>
               <rdf:li>Chew Yin Wang MBChB</rdf:li>
               <rdf:li>Domenico Paparella MD</rdf:li>
               <rdf:li>Stephen Fremes MD MSc</rdf:li>
               <rdf:li>Gerard Urrútia PhD</rdf:li>
               <rdf:li>Ludhmila A. Hajjar MD</rdf:li>
               <rdf:li>Graham S. Hillis MB ChB PhD</rdf:li>
               <rdf:li>Dmitry Shukevich MD PhD</rdf:li>
               <rdf:li>Nicholas L. Mills MD PhD</rdf:li>
               <rdf:li>Vito Margari MD</rdf:li>
               <rdf:li>Joseph D. Mills MD</rdf:li>
               <rdf:li>J. Stephen Billing MA DPhil</rdf:li>
               <rdf:li>Emily Methangkool MD MPH</rdf:li>
               <rdf:li>Carisi A. Polanczyk MD ScD</rdf:li>
               <rdf:li>Roberto Sant’Anna MD</rdf:li>
               <rdf:li>William F. McIntyre MD PhD</rdf:li>
               <rdf:li>Jai Mathur BSc MBBS</rdf:li>
               <rdf:li>Yasser Binbraik MBBS MPH</rdf:li>
               <rdf:li>Narendra Jathappa MD DM</rdf:li>
               <rdf:li>Adrian Baranchuk MD</rdf:li>
               <rdf:li>Alexander Romanov MD</rdf:li>
               <rdf:li>Roman Zhizhov MD PhD</rdf:li>
               <rdf:li>Denis Losik MD PhD</rdf:li>
               <rdf:li>Daniele De Viti MD</rdf:li>
               <rdf:li>Xue Lin Chan MBChB</rdf:li>
               <rdf:li>Tyng Yan Ng MD</rdf:li>
               <rdf:li>Francesco Amendolagine MD</rdf:li>
               <rdf:li>Mario Gaudino MD PhD</rdf:li>
               <rdf:li>Jessica D. Spence MD PhD</rdf:li>
               <rdf:li>Harvey White DSc</rdf:li>
               <rdf:li>Allan S. Jaffe MD</rdf:li>
               <rdf:li>Joseph S. Alpert MD</rdf:li>
               <rdf:li>Rajibul Mian PhD</rdf:li>
               <rdf:li>Stéphanie Bouvier MD</rdf:li>
               <rdf:li>Jessica Vincent MSc</rdf:li>
               <rdf:li>Salim Yusuf DPhil</rdf:li>
               <rdf:li>P.J. Devereaux MD PhD</rdf:li>
            </rdf:Seq>
         </dc:creator>
         <dc:subject>
            <rdf:Bag>
               <rdf:li>cardiac surgery</rdf:li>
               <rdf:li>electrocardiogram</rdf:li>
               <rdf:li>myocardial infarction</rdf:li>
               <rdf:li>myocardial injury</rdf:li>
            </rdf:Bag>
         </dc:subject>
         <dc:description>
            <rdf:Alt>
               <rdf:li xml:lang="x-default">Canadian Journal of Cardiology, 41 (2025) 2601-2610. doi:10.1016/j.cjca.2025.09.035</rdf:li>
            </rdf:Alt>
         </dc:description>
         <dc:publisher>
            <rdf:Bag>
               <rdf:li>The Authors</rdf:li>
            </rdf:Bag>
         </dc:publisher>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:prism="http://prismstandard.org/namespaces/basic/3.0/">
         <prism:aggregationType>journal</prism:aggregationType>
         <prism:publicationName>Canadian Journal of Cardiology</prism:publicationName>
         <prism:copyright>© 2025 The Authors. Published by Elsevier Inc. on behalf of the Canadian Cardiovascular Society.</prism:copyright>
         <prism:issn>0828-282X</prism:issn>
         <prism:volume>41</prism:volume>
         <prism:number>12</prism:number>
         <prism:coverDisplayDate>December 2025</prism:coverDisplayDate>
         <prism:pageRange>2601-2610</prism:pageRange>
         <prism:startingPage>2601</prism:startingPage>
         <prism:endingPage>2610</prism:endingPage>
         <prism:doi>10.1016/j.cjca.2025.09.035</prism:doi>
         <prism:url>https://doi.org/10.1016/j.cjca.2025.09.035</prism:url>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:crossmark="http://crossref.org/crossmark/1.0/">
         <crossmark:MajorVersionDate>2010-04-23</crossmark:MajorVersionDate>
         <crossmark:CrossmarkDomainExclusive>true</crossmark:CrossmarkDomainExclusive>
         <crossmark:DOI>10.1016/j.cjca.2025.09.035</crossmark:DOI>
         <crossmark:CrossMarkDomains>
            <rdf:Seq>
               <rdf:li>elsevier.com</rdf:li>
               <rdf:li>sciencedirect.com</rdf:li>
            </rdf:Seq>
         </crossmark:CrossMarkDomains>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:jav="http://www.niso.org/schemas/jav/1.0/">
         <jav:journal_article_version>VoR</jav:journal_article_version>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:pdfx="http://ns.adobe.com/pdfx/1.3/">
         <pdfx:ElsevierWebPDFSpecifications>7.0.1</pdfx:ElsevierWebPDFSpecifications>
         <pdfx:doi>10.1016/j.cjca.2025.09.035</pdfx:doi>
         <pdfx:robots>noindex</pdfx:robots>
         <pdfx:CrossmarkMajorVersionDate>2010-04-23</pdfx:CrossmarkMajorVersionDate>
         <pdfx:CrossmarkDomainExclusive>true</pdfx:CrossmarkDomainExclusive>
         <pdfx:EPSprocessor>PStill version 1.84.42</pdfx:EPSprocessor>
         <pdfx:CrossMarkDomains>
            <rdf:Seq>
               <rdf:li>sciencedirect.com</rdf:li>
               <rdf:li>elsevier.com</rdf:li>
            </rdf:Seq>
         </pdfx:CrossMarkDomains>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:xap="http://ns.adobe.com/xap/1.0/">
         <xap:CreatorTool>Elsevier</xap:CreatorTool>
         <xap:CreateDate>2025-12-13T08:29:01+05:30</xap:CreateDate>
         <xap:ModifyDate>2025-12-13T08:43:17+05:30</xap:ModifyDate>
         <xap:MetadataDate>2025-12-13T08:43:17+05:30</xap:MetadataDate>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:xapRights="http://ns.adobe.com/xap/1.0/rights/">
         <xapRights:Marked>True</xapRights:Marked>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:tdm="http://www.w3.org/ns/tdmrep/">
         <tdm:reservation>1</tdm:reservation>
         <tdm:policy>https://www.elsevier.com/tdm/tdmrep-policy.json</tdm:policy>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:pdf="http://ns.adobe.com/pdf/1.3/">
         <pdf:Producer>PDFlib+PDI 10.0.2p2 (C++/Win64)</pdf:Producer>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:xapMM="http://ns.adobe.com/xap/1.0/mm/">
         <xapMM:DocumentID>uuid:9128f6b6-59a2-4387-8844-f4632118f4d7</xapMM:DocumentID>
         <xapMM:InstanceID>uuid:fe77a5ee-9f7b-4710-b032-52b5be5265cf</xapMM:InstanceID>
      </rdf:Description>
      <rdf:Description rdf:about=""
            xmlns:ali="http://www.niso.org/schemas/ali/1.0/">
         <ali:license_ref>
            <rdf:Bag>
               <rdf:li rdf:parseType="Resource">
                  <ali:uri>http://creativecommons.org/licenses/by/4.0/</ali:uri>
               </rdf:li>
            </rdf:Bag>
         </ali:license_ref>
      </rdf:Description>
   </rdf:RDF>
</x:xmpmeta>
   Pages: 
    Page: 
     Label: 2601
     Annotations: 
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 43, 675, 43, 675
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 267, 588, 271, 601
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 273, 588, 278, 601
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 281, 588, 285, 601
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 287, 588, 292, 601
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 466, 588, 471, 601
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 474, 588, 477, 601
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 480, 588, 485, 601
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 487, 588, 491, 601
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 248, 570, 253, 583
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 256, 570, 259, 583
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 262, 570, 267, 583
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 269, 570, 273, 583
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 470, 570, 473, 583
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 221, 552, 226, 565
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 228, 552, 233, 565
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 348, 552, 353, 565
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 538, 552, 541, 565
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 148, 534, 151, 547
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 244, 534, 249, 547
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 388, 534, 390, 547
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 526, 534, 533, 547
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 536, 534, 541, 547
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 225, 516, 229, 529
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 232, 516, 237, 529
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 352, 516, 357, 529
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 360, 516, 363, 529
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 500, 516, 504, 529
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 297, 498, 300, 511
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 462, 498, 467, 511
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 247, 480, 251, 493
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 253, 480, 260, 493
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 363, 480, 368, 493
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 486, 480, 490, 493
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 280, 463, 284, 475
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 459, 463, 463, 475
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 292, 445, 300, 458
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 302, 445, 312, 458
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 446, 445, 454, 458
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 211, 427, 215, 440
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 218, 427, 223, 440
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 225, 427, 229, 440
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 231, 427, 236, 440
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 366, 427, 375, 440
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 537, 427, 541, 440
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 222, 409, 229, 422
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 359, 409, 365, 422
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 505, 409, 509, 422
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 511, 409, 520, 422
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 234, 391, 239, 404
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 368, 391, 372, 404
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 491, 391, 496, 404
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 212, 373, 214, 386
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 322, 373, 332, 386
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 495, 373, 500, 386
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 211, 355, 216, 368
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 373, 355, 378, 368
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 380, 355, 384, 368
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 386, 355, 391, 368
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 394, 355, 399, 368
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 508, 355, 517, 368
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 146, 337, 151, 350
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 271, 337, 286, 350
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 393, 337, 398, 350
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 400, 337, 404, 350
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 533, 337, 537, 350
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 185, 319, 190, 332
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 296, 319, 300, 332
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 303, 319, 307, 332
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 310, 319, 314, 332
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 316, 319, 321, 332
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 484, 319, 488, 332
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 491, 319, 495, 332
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 498, 319, 502, 332
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 504, 319, 509, 332
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 205, 673, 380, 681
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 97, 693, 140, 736
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 43, 42, 176, 50
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 68, 24, 205, 32
       Flags: Print
    Page: 
     Label: 2602
     Sequence: 2
     Annotations: 
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 105, 280, 108, 290
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 110, 280, 114, 290
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 152, 258, 162, 268
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 201, 236, 211, 246
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 94, 192, 186, 202
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 80, 83, 161, 91
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 66, 73, 106, 81
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 405, 300, 409, 310
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 371, 267, 378, 277
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 401, 202, 405, 212
       Flags: Print
       Destination: 23
    Page: 
     Label: 2603
     Sequence: 3
     Annotations: 
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 234, 482, 237, 491
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 438, 532, 442, 542
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 385, 351, 417, 361
       Flags: Print
       Destination: 8
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 537, 165, 541, 175
       Flags: Print
       Destination: 23
    Page: 
     Label: 2604
     Sequence: 4
     Annotations: 
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 227, 268, 280, 278
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 43, 257, 72, 267
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 512, 597, 541, 607
       Flags: Print
       Destination: 11
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 411, 477, 441, 487
       Flags: Print
       Destination: 14
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 316, 362, 345, 372
       Flags: Print
       Destination: 17
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 488, 110, 541, 120
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 304, 99, 340, 109
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 405, 55, 496, 65
       Flags: Print
       Destination: 26
    Page: 
     Label: 2605
     Sequence: 5
     Annotations: 
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 316, 100, 345, 110
       Flags: Print
       Destination: 20
    Page: 
     Label: 2606
     Sequence: 6
     Annotations: 
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 94, 326, 98, 336
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 423, 483, 430, 493
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 355, 384, 359, 394
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 373, 231, 469, 241
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 474, 231, 484, 241
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 486, 231, 493, 241
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 436, 176, 443, 186
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 390, 121, 394, 131
       Flags: Print
       Destination: 23
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 395, 121, 403, 131
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 247, 692, 250, 699
       Flags: Print
       Destination: null
    Page: 
     Label: 2607
     Sequence: 7
     Rotate: 90
    Page: 
     Label: 2608
     Sequence: 8
     Annotations: 
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 82, 494, 116, 504
       Flags: Print
       Destination: 8
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 121, 329, 129, 339
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 272, 307, 280, 317
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 120, 209, 127, 219
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 197, 110, 205, 120
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 487, 450, 494, 460
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 123, 615, 126, 623
       Flags: Print
       Destination: null
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 176, 588, 180, 596
       Flags: Print
       Destination: null
    Page: 
     Label: 2609
     Sequence: 9
     Annotations: 
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 351, 453, 458, 463
       Flags: Print
       Destination: 26
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 345, 328, 471, 336
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 349, 291, 475, 299
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 465, 254, 541, 262
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 318, 244, 360, 252
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 446, 207, 541, 215
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 318, 197, 357, 205
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 461, 160, 541, 168
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 318, 150, 391, 158
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 349, 93, 482, 101
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 506, 66, 541, 74
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 318, 56, 411, 64
       Flags: Print
    Page: 
     Label: 2610
     Sequence: 10
     Annotations: 
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 56, 685, 216, 693
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 204, 649, 280, 657
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 56, 639, 109, 647
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 57, 623, 280, 631
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 57, 613, 280, 621
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 57, 603, 127, 611
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 179, 577, 280, 585
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 57, 567, 98, 575
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 232, 541, 280, 549
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 57, 531, 137, 539
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 57, 486, 191, 494
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 57, 470, 280, 478
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 57, 460, 280, 468
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 57, 450, 191, 458
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 506, 695, 541, 703
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 318, 685, 419, 693
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 377, 642, 509, 650
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 443, 589, 541, 597
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 318, 579, 374, 587
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 318, 536, 453, 544
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 363, 460, 430, 470
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 469, 460, 541, 470
       Flags: Print
      Annotation: 
       Subtype: Link
       Contents: 
       Rect: 304, 449, 399, 459
       Flags: Print
  Checksum: d4345b60
   Type: CRC32
  Checksum: 20d6b2221fc55b287e9b947f9ae6079d
   Type: MD5
  Checksum: 55ae8de210ec4e3a803331626de49fcf1e3941d7
   Type: SHA-1
  Checksum: 95b92c3727bb6ae7244d703a9f4921ff05a520e642bb7e26a5e2c72a61f24c0c
   Type: SHA-256