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{
    "pk": 52022,
    "title": "A Case Report of a 36-year-old Male Diagnosed with a Spontaneous Coronary Artery Dissection",
    "subtitle": null,
    "abstract": "<p>This case report discusses a 36-year-old male who presented to the emergency department with an atypical story for acute coronary syndrome (ACS). Initially, the patient was felt to have a  non-diagnostic electrocardiogram (ECG). Once the laboratory test results were obtained and the initial high-sensitivity troponin was noted to be elevated, the initial ECG was again reviewed. The patient was felt this time to have an abnormal ECG, demonstrating borderline ST elevation in leads I, aVL, and V2-V5. The interventional cardiologist on call was contacted, and the cardiac catheterization lab was activated. Upon left heart catheterization, the patient was found to have a spontaneous coronary artery dissection (SCAD) of the distal left anterior descending (LAD) artery. Post-catheterization, the patient was observed on cardiac telemetry and started on dual antiplatelet therapy. Echocardiogram revealed a preserved ejection fraction (EF), but hypokinesis of the apical anterior, anterolateral, inferior, and apical myocardium. The patient was discharged within 48 hours without any complications.</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.\n\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": "electrocardiogram"
        },
        {
            "word": "EKG"
        },
        {
            "word": "cardiology"
        },
        {
            "word": "acute coronary syndrome"
        },
        {
            "word": "spontaneous coronary artery dissection"
        },
        {
            "word": "SCAD"
        }
    ],
    "section": "Visual EM",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5g96632f",
    "frozenauthors": [
        {
            "first_name": "Stephen",
            "middle_name": "",
            "last_name": "DeWitt",
            "name_suffix": "DO",
            "institution": "Memorial Health System, Marietta Memorial Hospital Emergency Medicine Residency; Marietta, OH",
            "department": ""
        },
        {
            "first_name": "Jacob",
            "middle_name": "",
            "last_name": "McClinton",
            "name_suffix": "MD",
            "institution": "Memorial Health System, Marietta Memorial Hospital",
            "department": "Department of Emergency Medicine"
        },
        {
            "first_name": "Daniel",
            "middle_name": "",
            "last_name": "Jarrell",
            "name_suffix": "DO",
            "institution": "Memorial Health System, Marietta Memorial Hospital Emergency Medicine Residency, Marietta, OH",
            "department": ""
        }
    ],
    "date_submitted": "2023-11-16T15:05:12Z",
    "date_accepted": "2026-01-07T01:39:59.702000Z",
    "date_published": "2026-01-31T18:08:00Z",
    "render_galley": {
        "label": "DeWitt S, et al. A Case Report of a 36-year-old Male Diagnosed with a Spontaneous Coronary Artery Dissection. JETem 2026. 11(1)V19-23",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_jetem/article/52022/galley/48065/download/"
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            "label": "DeWitt S, et al. A Case Report of a 36-year-old Male Diagnosed with a Spontaneous Coronary Artery Dissection. JETem 2026. 11(1)V19-23",
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}