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{
    "pk": 758,
    "title": "Fitting a Square Peg in a Round Hole:  A Simple Case of Chest Pain",
    "subtitle": null,
    "abstract": "A 39-year-old female presents to the emergency department with chest pain and shortness of breath. Her electrocardiogram suggests ST-elevation myocardial infarction, but she has no atherosclerotic risk factors. She is gravida 4, para 4, and four weeks postpartum from uncomplicated vaginal delivery. She is diaphoretic and anxious, but otherwise her exam is unremarkable. Cardiac enzymes are markedly elevated and point-of-care echocardiogram shows inferolateral hypokinesis and ejection fraction of 50%. In this clinicopathological case, we explore a classically underappreciated cause of acute coronary syndrome in healthy young women.",
    "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": "Clinicopathological Cases",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0wr7586d",
    "frozenauthors": [
        {
            "first_name": "Mary",
            "middle_name": "E.",
            "last_name": "McLean",
            "name_suffix": "",
            "institution": "St. John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York",
            "department": "None"
        },
        {
            "first_name": "Jennifer",
            "middle_name": "",
            "last_name": "Beck-Esmay",
            "name_suffix": "",
            "institution": "Mount Sinai St. Luke’s-Mt Sinai West, Department of Emergency Medicine, New York, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2019-12-17T14:49:18-05:00",
    "date_accepted": "2019-12-17T14:49:18-05:00",
    "date_published": "2020-01-06T16:53:03-05:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/758/galley/513/download/"
        }
    ]
}