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{
    "pk": 8709,
    "title": "Emergent Presentation of Decompensated Mitral  Valve Prolapse and Atrial Septal Defect",
    "subtitle": null,
    "abstract": "Mitral valve prolapse is not commonly on the list of differential diagnosis when a patient presents in the emergency department (ED) in severe distress, presenting with non-specific features such as abdominal pain, tachycardia and dyspnea. A healthy 55-year-old man without significant past medical history arrived in the ED with a unique presentation of a primary mitral valve prolapse with an atrial septal defect uncommon in cardiology literature. Early recognition of mitral valve prolapse in high-risk patients for severe mitral regurgitation or patients with underlying cardiovascular abnormalities such as an atrial septal defect is crucial to prevent morbid outcomes such as sudden cardiac death. [West J Emerg Med. 2015;16(3):432–434.]",
    "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": [
        {
            "word": "mitral valve prolapse"
        },
        {
            "word": "mitral regurgitation"
        },
        {
            "word": "Atrial Septal Defect"
        },
        {
            "word": "myxomatous mitral valve"
        },
        {
            "word": "cardiology"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2k3801x5",
    "frozenauthors": [
        {
            "first_name": "Jessie",
            "middle_name": "",
            "last_name": "Kang",
            "name_suffix": "",
            "institution": "Dalhousie University, Department of Emergency Medicine, Halifax, Nova Scotia",
            "department": "None"
        },
        {
            "first_name": "Bijon",
            "middle_name": "",
            "last_name": "Das",
            "name_suffix": "",
            "institution": "Dalhousie University, Department of Emergency Medicine, Halifax, Nova Scotia",
            "department": "None"
        }
    ],
    "date_submitted": "2015-01-17T17:37:23Z",
    "date_accepted": "2015-01-17T17:37:23Z",
    "date_published": "2015-04-06T23:19:22Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8709/galley/4995/download/"
        }
    ]
}