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{ "pk": 1110, "title": "Nausea and Dyspnea on Exertion: Left Ventricular Free-wall Rupture", "subtitle": null, "abstract": "Case Presentation:\n A 53-year-old female presented to the emergency department with three days of nausea and dyspnea on exertion after using methamphetamine. Initial electrocardiogram revealed an ST-elevation myocardial infarction. While awaiting transfer to the cardiac catheterization lab the patient suffered a witnessed cardiac arrest. During resuscitative efforts an enlarging pericardial effusion on point-of-care ultrasound led to the detection of a left ventricular free-wall rupture (LVFWR). This case illustrates the progression of a left ventricular free-wall rupture using point-of-care ultrasound.\nDiscussion:\n Left ventricular free-wall rupture has a low incidence rate in the setting of an acute myocardial infarction. Ultrasonography is the tool of choice for detecting a LVFWR.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Left ventricular free-wall rupture" }, { "word": "POCUS" }, { "word": "acute myocardial infarction" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5m74j5jh", "frozenauthors": [ { "first_name": "Juliana", "middle_name": "", "last_name": "Wilson", "name_suffix": "", "institution": "University of Colorado Denver – Anschutz Medical Campus, Department of Emergency Medicine, Aurora, Colorado; Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Mendes", "name_suffix": "", "institution": "University of Colorado Denver – Anschutz Medical Campus, Department of Emergency Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Marian", "middle_name": "", "last_name": "Betz", "name_suffix": "", "institution": "University of Colorado Denver – Anschutz Medical Campus, Department of Emergency Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Juan", "middle_name": "Galindez", "last_name": "Mingo", "name_suffix": "", "institution": "University of Colorado School of Medicine, Aurora, Colorado", "department": "None" } ], "date_submitted": "2021-12-17T00:53:30+01:00", "date_accepted": "2021-12-17T00:53:30+01:00", "date_published": "2021-12-17T00:57:51+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1110/galley/851/download/" } ] }