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{
    "pk": 918,
    "title": "Point-of-care Ultrasound in the Evaluation of Mitral Valve Regurgitation and Mitral Annular Calcification",
    "subtitle": null,
    "abstract": "Case Presentation:\n A 77-year-old female presented to the emergency department (ED) with chest pain. Cardiac point-of-care ultrasound (POCUS) was performed and demonstrated a hyperechoic structure on the posterior leaflet of the mitral valve. Admission to cardiology and echocardiogram revealed moderately decreased mobility of the posterior leaflet, mitral annular calcification, and severe mitral regurgitation.\nDiscussion:\n These findings highlight the role of POCUS in identifying mitral valve pathology in the ED, ultimately leading to appropriate disposition and management. Mitral annular calcification can lead to significant manifestations including mitral stenosis or regurgitation, and advanced cases have been associated with an increased risk of infective endocarditis, thrombosis, and arrhythmia.",
    "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 calcification"
        },
        {
            "word": "mitral valve regurgitation"
        },
        {
            "word": "cardiac ultrasound"
        },
        {
            "word": "point-of-care ultrasound"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1n0300ts",
    "frozenauthors": [
        {
            "first_name": "Benjamen",
            "middle_name": "",
            "last_name": "Schoenberg",
            "name_suffix": "",
            "institution": "University of California, Riverside, Riverside Community Hospital, Department of Emergency Medicine, Riverside, California",
            "department": "None"
        },
        {
            "first_name": "Marwan",
            "middle_name": "",
            "last_name": "Alkhattabi",
            "name_suffix": "",
            "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California",
            "department": "None"
        },
        {
            "first_name": "Shadi",
            "middle_name": "",
            "last_name": "Lahham",
            "name_suffix": "",
            "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California",
            "department": "None"
        }
    ],
    "date_submitted": "2020-09-18T07:54:47+08:00",
    "date_accepted": "2020-09-18T07:54:47+08:00",
    "date_published": "2020-09-18T07:55:20+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/918/galley/666/download/"
        }
    ]
}