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{
    "pk": 47095,
    "title": "Phantom Arm Pain and Tinnitus in a Patient with ST-Segment Elevation Myocardial Infarction: A Case Report",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: We present the case of a patient with the unusual occurrence of phantom arm pain and an acute exacerbation of chronic tinnitus during an ST-segment elevation myocardial infarction (STEMI).</p>\n<p><strong>Case Report: </strong>A 56-year-old man was having several classic symptoms associated with acute coronary syndrome, along with perceived pain in an arm lost years earlier in a traumatic accident and a sudden worsening of his chronic tinnitus. Emergency medical services responded and diagnosed a STEMI on scene. A 100% occlusion of his right coronary artery was rapidly identified in the hospital and treated with the deployment of two drug-eluting stents. After the procedure his symptoms resolved. He was discharged without incident two days later.</p>\n<p><strong>Conclusion</strong>: Whereas arm pain is a well-documented presenting symptom of acute coronary syndrome, phantom limb pain and exacerbation of tinnitus have been rarely reported in the literature.</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": "arm pain"
        },
        {
            "word": "case report"
        },
        {
            "word": "Phantom limb pain"
        },
        {
            "word": "STEMI"
        },
        {
            "word": "Tinnitus"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/63z929k8",
    "frozenauthors": [
        {
            "first_name": "John",
            "middle_name": "",
            "last_name": "Porter",
            "name_suffix": "",
            "institution": "Mayo Clinic, Cardiac Catheterization Laboratory, Rochester, Minnesota",
            "department": ""
        },
        {
            "first_name": "Chad",
            "middle_name": "P.",
            "last_name": "Liedl",
            "name_suffix": "",
            "institution": "Mayo Clinic, Ambulance Service, Rochester, Minnesota",
            "department": ""
        },
        {
            "first_name": "Kevin",
            "middle_name": "P.",
            "last_name": "Steever",
            "name_suffix": "",
            "institution": "Mayo Clinic, Ambulance Service, Rochester, Minnesota",
            "department": ""
        },
        {
            "first_name": "Hunter",
            "middle_name": "D.",
            "last_name": "Lumby",
            "name_suffix": "",
            "institution": "Mayo Clinic, Ambulance Service, Rochester, Minnesota",
            "department": ""
        },
        {
            "first_name": "Chase",
            "middle_name": "M.",
            "last_name": "Hanson",
            "name_suffix": "",
            "institution": "Mayo Clinic, Ambulance Service, Rochester, Minnesota",
            "department": ""
        },
        {
            "first_name": "Hannah Rae",
            "middle_name": "R.",
            "last_name": "Vaden",
            "name_suffix": "",
            "institution": "Mayo Clinic, Division of Audiology, Rochester, Minnesota",
            "department": ""
        },
        {
            "first_name": "Aaron",
            "middle_name": "",
            "last_name": "Klassen",
            "name_suffix": "",
            "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota",
            "department": ""
        }
    ],
    "date_submitted": "2025-03-28T18:35:03.275000+03:00",
    "date_accepted": "2025-08-28T21:53:19.374000+03:00",
    "date_published": "2025-12-15T22:56:00+03:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47095/galley/48084/download/"
        }
    ]
}