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{
    "pk": 366,
    "title": "Quality Initiatives May Affect Diagnostic Accuracy: STEMI Mimics in an Age of Decreasing Door to Balloon Time",
    "subtitle": null,
    "abstract": "A 53-year-old male with several cardiac risk factors presented to the emergency department with backpain and an electrocardiogram concerning for an anterior ST-elevation myocardial infarction. The patientdecompensated hemodynamically and a point-of-care ultrasound revealed a small pericardial effusion.An aortic dissection was ruled out by computed tomography angiography and coronary catheterization didnot reveal a culprit lesion. The diagnosis of tamponade was made in the catheterization laboratory aftermeasurement of intra-cardiac diastolic pressures and the patient’s symptoms resolved after drainage of 100mL of pericardial fluid.",
    "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": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7qb497w3",
    "frozenauthors": [
        {
            "first_name": "Jose",
            "middle_name": "L.",
            "last_name": "Villa-Uribe",
            "name_suffix": "",
            "institution": "University of Massachusetts Medical School- Baystate",
            "department": "None"
        },
        {
            "first_name": "Elizabeth",
            "middle_name": "M.",
            "last_name": "Schoenfeld",
            "name_suffix": "",
            "institution": "University of Massachusetts Medical School- Baystate",
            "department": "None"
        }
    ],
    "date_submitted": "2017-03-15T02:21:26+05:30",
    "date_accepted": "2017-03-15T02:21:26+05:30",
    "date_published": "2017-03-15T12:30:00+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/366/galley/132/download/"
        }
    ]
}