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{
    "pk": 1590,
    "title": "Spontaneous Coronary Sinus Thrombosis Detected by Point-of-care Transthoracic Echo: A Case Report",
    "subtitle": null,
    "abstract": "<p><b>Introduction:</b> Coronary sinus thrombosis (CST) is a rare condition, primarily occurring after instrumentation of the heart, with no prior reported cases diagnosed via point-of-care ultrasound or of spontaneous occurrence without predisposing medical or surgical history. Patients typically present with critical illness, and CST has a reported mortality of 80%.&nbsp;</p><p><b>Case Report:</b> We present a case of a healthy 38-year-old male with chest pain one hour after cocaine use, with an electrocardiogram pattern consistent with Wellens syndrome, whose point-of-care cardiac ultrasound revealed CST.&nbsp;</p><p><b>Conclusion:</b> This uncommon ultrasonographic finding has never been reported in the emergency medicine literature to our knowledge. It can be recognized by the clinician sonographer during standard point-of-care transthoracic echocardiogram.</p>",
    "language": "eng",
    "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": "Case report; POCUS; TTE; coronary sinus thrombosis; ECG"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1tb9m636",
    "frozenauthors": [
        {
            "first_name": "Lily",
            "middle_name": "Leitner",
            "last_name": "Berrin",
            "name_suffix": "",
            "institution": "Highland Hospital, Alameda Health System, Department of Emergency Medicine, Oakland, California",
            "department": ""
        },
        {
            "first_name": "Kaitlen",
            "middle_name": "",
            "last_name": "Howell",
            "name_suffix": "",
            "institution": "Highland Hospital, Alameda Health System, Department of Emergency Medicine, Oakland, California",
            "department": ""
        },
        {
            "first_name": "Amanda",
            "middle_name": "",
            "last_name": "Foote",
            "name_suffix": "",
            "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California",
            "department": ""
        },
        {
            "first_name": "Jordan",
            "middle_name": "",
            "last_name": "Mullings",
            "name_suffix": "",
            "institution": "Highland Hospital, Alameda Health System, Department of Emergency Medicine, Oakland, California",
            "department": ""
        },
        {
            "first_name": "Akash",
            "middle_name": "",
            "last_name": "Desai",
            "name_suffix": "",
            "institution": "Highland Hospital, Alameda Health System, Department of Emergency Medicine, Oakland, California",
            "department": ""
        },
        {
            "first_name": "Martha",
            "middle_name": "",
            "last_name": "Montgomery",
            "name_suffix": "",
            "institution": "Highland Hospital, Alameda Health System, Department of Emergency Medicine, Oakland, California",
            "department": ""
        },
        {
            "first_name": "Sophie",
            "middle_name": "",
            "last_name": "Barbant",
            "name_suffix": "",
            "institution": "Highland Hospital, Alameda Health System, Department of Cardiology, Oakland, California",
            "department": ""
        },
        {
            "first_name": "Arun",
            "middle_name": "",
            "last_name": "Nagdev",
            "name_suffix": "",
            "institution": "Highland Hospital, Alameda Health System, Department of Emergency Medicine, Oakland, California",
            "department": ""
        }
    ],
    "date_submitted": "2023-08-04T19:21:55.923000Z",
    "date_accepted": "2023-08-04T19:26:58.555000Z",
    "date_published": "2023-08-14T16:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1590/galley/1144/download/"
        }
    ]
}